Clinical judgement is defined as the observed outcome of which processes?

INTRO TO CJMM

CJMM Clinical judgement is defined as the observed outcome of which processes?

• Critical thinking 
• Decision making

Match the type of contextual factors influencing clinical judgement w/ appropriate examples.Education, Experience, Knowledge - internal contextual factors Distractions, time pressures, time complexity - external contextual factors Match the layers of the Clinical Judgment Measurement Model with the concept addressed in each layer.

Observation: layer

Hypotheses: layer

• & 3

Clinical Judgement: layer

1

Contextual Factors: layer

4

Layer 0: Observable Components

Clinical Needs:

Identification of patient needs initiates the process of clinical judgment.Clinical decisions made at the completion of the clinical judgment process affect patient needs.Definition

of patient needs: what is needed or desired to improve overall health.

Examples

of patient needs: personal care/hygiene needs, symptom/disease

management, emergent care, emotional support, spiritual needs, cultural needs, health promotion, infection control, medication management, and pain relief.

Clinical Decisions:

Clinical decisions conclude the clinical judgment process.Clinical decisions are influenced by the entire clinical judgment process.

Layer 1: Clinical Judgement

Defined by the observable outcome of critical thinking and decision making depicted in layer

• and the unobservable cognitive operations depicted in layers 2 and 3

Clinical judgment is an essential component of nursing practice as it allows nurses to observe changes in patient status, recognize potential problems, and take immediate action when needed. Initially, the nurse might not have a clear or accurate understanding of a patient's needs and the appropriate actions to take. The nurse should question and explore different perspectives and interpretations to find the best solution for the patient, and the CJMM provides a framework for the nurse to apply these clinical judgment skills.Which characteristic describes patient needs as they relate to layer 0 of the Clinical Judgment Measurement Model?Are influenced by clinical decisions.Clinical decisions made at the completion of the clinical judgment process affect patient needs.Which activities would the nurse perform when a clinical situation occurs according to layer 1 of the Clinical Judgment Measurement Model? 1 / 2

• Seek new knowledge

The nurse seeks new knowledge, recognizing that there are seldom clear, "one size fits all" solutions.-Respond appropriately -The nurse should be flexible and respond timely, as appropriate for the unique situation.-Consider influencing factors The nurse considers all factors that might influence the particular patient’s circumstances.-Recognize what is happening  The nurse must clearly understand what is happening with the patient to respond appropriately.-Interpret the meaning of the situation Clinical judgment is complex, and every patient experiences unique health problems.The nurse must accurately interpret the meaning of the situation to provide safe, competent care.Which components are addressed by layer 1 of the Clinical Judgment Measurement Model (CJMM)?

• Unobservable cognitive operations

Layer 1 is a cognitive layer of the CJMM that includes unobservable cognitive operations.-Observable outcome of critical thinking

3 Functions of Layer 2:

• Form Hypotheses
• Refine Hypotheses
• Evaluation

Layer 2: Form Hypotheses - Refine Hypotheses - Evaluation

Layer

• of the CJMM represents a cyclical, or recurring, process of three cognitive

operations:

forming hypotheses, refining hypotheses, and evaluating outcomes.

Layer 2: Refining Hypotheses

Once the hypotheses are developed, the nurse refines them to ensure that the patient's priority needs are met in the most appropriate manner. It is important to remember that patients who present with similar disease processes or injuries may not actually have the same plan of care. The hypotheses are prioritized and solutions are generated based on the priority concerns to develop a plan of care to meet the unique needs of each individual patient.Evaluating Outcomes Questions the nurse can ask to evaluate actual or observed outcomes against

expected outcomes are as follows:

-What signs would indicate improvement or a positive outcome?-What signs would indicate a decline or a negative outcome?-What signs would suggest that the patient’s status has not changed?-Were the solutions/interventions effective?-What other solutions/interventions might have been more effective?-Should the nurse revise any components of the plan of care to best meet the patient’s needs?

• / 2