Clinical judgment measurement model
The Clinical Judgment Measurement Model Page 1 of 2 THE CLINICAL JUDGMENT MEASUREMENT MODEL The Clinical Judgment Measurement Model (CJMM) identifies six cognitive skills needed to make appropriate clinical judgments. Complete the following section using the CJMM and reflecting on all the data/cues (Assessment, Labs/Diagnostics, Prescriptions/Orders and Patient Information) from your assigned patient. ASSESSMENT RECOGNIZE CUES ANALYSIS ANALYZE CUES PRIORITIZE HYPOTHESIS PLANNING IMPLEMENTATION EVALUATION GENERATE SOLUTIONS TAKE ACTION EVALUATE OUTCOMES Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs). Significant Data/Cue 1 Significant Data/Cue 2 Significant Data/Cue 3 Significant Data/Cue 4 Significant Data/Cue 5 List the data/cues that are relevant and are interpreted as clinically significant. Analyze Cues – Organizing and linking the recognized cues to the client’s clinical presentation. Interpret the relevant clinical data/cues. Identify the top three most likely problems. Is additional data needed to confirm the clinical significance of the cues at this point? Be specific; what additional data is needed to confirm? Potential Problem 1 Potential Problem 2 Potential Problem 3 Additional Data Additional Data Additional Data Prioritize Hypothesis – Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.). Of the potential problems you identified, which problem(s) is most likely present? Which problem is the most concerning and why? Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-220192 ©2022 Chamberlain University LLC. All rights reserved. 0822pflcpeADA The Clinical Judgment Measurement Model Page 2 of 2 Generate Solutions – Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes. Based on the most urgent problem, what are the priority actions/interventions? For each priority action, what are the desired outcomes? Priority Action/Intervention 1 Priority Action/Intervention 2 Priority Action/Intervention 3 Expected Outcomes Expected Outcomes Expected Outcomes Are there any interventions or actions that should be avoided? Include rationale. Take Action – Implementing the solution(s) that addresses the highest priorities. How should the interventions or actions above be accomplished? (Performed, administered, requested, communicated, taught, documented, etc..). Environmental List environmental Factor 1 and/or individual factors impacting the ability of the nurse to generate solutions and take action. Individual Factor 1 Environmental Factor 2 Individual Factor 2 Environmental Factor 3 Individual Factor 3 Evaluate Outcomes – Comparing observed outcomes against expected outcomes. Compare observed outcomes to expected outcomes – has the patient’s status improved, declined or remain unchanged? Observed Outcomes Observed Outcomes Observed Outcomes Does the observed outcome match expected outcome? If not, what are the additional actions/interventions that should be considered? Matches Expected Outcome? Matches Expected Outcome? Matches Expected Outcome? Environmental Factor 1 Environmental Factor 2 Environmental Factor 3 If the patient status has not improved, what other issues may be present? List environmental and/or individual factors impacting the achievement of outcomes. Individual Factor 1 Individual Factor 2 Individual Factor 3 Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-220192 ©2022 Chamberlain University LLC. All rights reserved. 0822pflcpeADA
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