NR 226 week 1

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NR226note.docx
NR226Clinical_Judgment_Measurement_Model_worksheet.pdf
NR226_iHuman_Patients_Assignment_Guidelines_NOV231.docx

NR226note.docx

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NR226Clinical_Judgment_Measurement_Model_worksheet.pdf

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

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.

Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs).

List the data/cues that are relevant and are interpreted as clinically significant.

Significant Data/Cue 1

Significant Data/Cue 2

Significant Data/Cue 3

Significant Data/Cue 4

Significant Data/Cue 5

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?

RECOGNIZE CUES

ANALYZE CUES

PRIORITIZE HYPOTHESIS

GENERATE SOLUTIONS

TAKE ACTION

EVALUATE OUTCOMES

ASSESSMENT ANALYSIS PLANNING IMPLEMENTATION EVALUATION

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

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..).

List environmental and/or individual factors impacting the ability of the nurse to generate solutions and take action.

Environmental Factor 1

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?

Does the observed outcome match expected outcome? If not, what are the additional actions/interventions that should be considered?

Observed Outcomes Observed Outcomes Observed Outcomes

Matches Expected Outcome? Matches Expected Outcome? Matches Expected Outcome?

If the patient status has not improved, what other issues may be present?

List environmental and/or individual factors impacting the achievement of outcomes.

Environmental Factor 1

Individual Factor 1

Environmental Factor 2

Individual Factor 2

Environmental Factor 3

Individual Factor 3

Significant Data/Cue 1:
Potential Problem 1:
Additional Data:
Prioritize Hypothesis:
Additional Data 1:
Additional Data 2:
Potential Problem 2:
Potential Problem 3:
Significant Data/Cue 2:
Significant Data/Cue 3:
Significant Data/Cue 4:
Significant Data/Cue 5:
Priority Action/Intervention 4:
Expected Outcomes 3:
Expected Outcomes 4:
Expected Outcomes 5:
Are there any interventions or actions that should be avoided? 1:
Take Action 4:
Environmental Factor 7:
Observed Outcomes 3:
Matches Expected Outcome? 3:
what other issues may be present 3:
what other issues may be present 4:
what other issues may be present 5:
Matches Expected Outcome? 4:
Matches Expected Outcome? 5:
Observed Outcomes 4:
Observed Outcomes 5:
Environmental Factor 8:
Individual Factor 7:
Individual Factor 8:
Individual Factor 9:
Individual Factor 10:
Individual Factor 11:
Individual Factor 12:
Environmental Factor 9:
Environmental Factor 10:
Environmental Factor 11:
Environmental Factor 12:
Take Action 5:
Take Action 6:
Priority Action/Intervention 5:
Priority Action/Intervention 6:

NR226note.docx

A screenshot of a computer Description automatically generated

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image3.png

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NR226Clinical_Judgment_Measurement_Model_worksheet.pdf

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

The Clinical Judgment Measurement Model Page 1 of 2

Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs).

List the data/cues that are relevant and are interpreted as clinically significant.

Significant Data/Cue 1

Significant Data/Cue 2

Significant Data/Cue 3

Significant Data/Cue 4

Significant Data/Cue 5

Analyze Cues – Organizing and linking the recognized cues to the client’s clinical presentation.

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?

RECOGNIZE CUES

ANALYZE CUES

PRIORITIZE HYPOTHESIS

GENERATE SOLUTIONS

TAKE ACTION

EVALUATE OUTCOMES

ASSESSMENT ANALYSIS PLANNING IMPLEMENTATION EVALUATION

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

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..).

List environmental and/or individual factors impacting the ability of the nurse to generate solutions and take action.

Environmental Factor 1

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?

Does the observed outcome match expected outcome? If not, what are the additional actions/interventions that should be considered?

Observed Outcomes Observed Outcomes Observed Outcomes

Matches Expected Outcome? Matches Expected Outcome? Matches Expected Outcome?

If the patient status has not improved, what other issues may be present?

List environmental and/or individual factors impacting the achievement of outcomes.

Environmental Factor 1

Individual Factor 1

Environmental Factor 2

Individual Factor 2

Environmental Factor 3

Individual Factor 3

Significant Data/Cue 1:
Potential Problem 1:
Additional Data:
Prioritize Hypothesis:
Additional Data 1:
Additional Data 2:
Potential Problem 2:
Potential Problem 3:
Significant Data/Cue 2:
Significant Data/Cue 3:
Significant Data/Cue 4:
Significant Data/Cue 5:
Priority Action/Intervention 4:
Expected Outcomes 3:
Expected Outcomes 4:
Expected Outcomes 5:
Are there any interventions or actions that should be avoided? 1:
Take Action 4:
Environmental Factor 7:
Observed Outcomes 3:
Matches Expected Outcome? 3:
what other issues may be present 3:
what other issues may be present 4:
what other issues may be present 5:
Matches Expected Outcome? 4:
Matches Expected Outcome? 5:
Observed Outcomes 4:
Observed Outcomes 5:
Environmental Factor 8:
Individual Factor 7:
Individual Factor 8:
Individual Factor 9:
Individual Factor 10:
Individual Factor 11:
Individual Factor 12:
Environmental Factor 9:
Environmental Factor 10:
Environmental Factor 11:
Environmental Factor 12:
Take Action 5:
Take Action 6:
Priority Action/Intervention 5:
Priority Action/Intervention 6:

NR226Clinical_Judgment_Measurement_Model_worksheet.pdf

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

The Clinical Judgment Measurement Model Page 1 of 2

Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs).

List the data/cues that are relevant and are interpreted as clinically significant.

Significant Data/Cue 1

Significant Data/Cue 2

Significant Data/Cue 3

Significant Data/Cue 4

Significant Data/Cue 5

Analyze Cues – Organizing and linking the recognized cues to the client’s clinical presentation.

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?

RECOGNIZE CUES

ANALYZE CUES

PRIORITIZE HYPOTHESIS

GENERATE SOLUTIONS

TAKE ACTION

EVALUATE OUTCOMES

ASSESSMENT ANALYSIS PLANNING IMPLEMENTATION EVALUATION

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

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..).

List environmental and/or individual factors impacting the ability of the nurse to generate solutions and take action.

Environmental Factor 1

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?

Does the observed outcome match expected outcome? If not, what are the additional actions/interventions that should be considered?

Observed Outcomes Observed Outcomes Observed Outcomes

Matches Expected Outcome? Matches Expected Outcome? Matches Expected Outcome?

If the patient status has not improved, what other issues may be present?

List environmental and/or individual factors impacting the achievement of outcomes.

Environmental Factor 1

Individual Factor 1

Environmental Factor 2

Individual Factor 2

Environmental Factor 3

Individual Factor 3

Significant Data/Cue 1:
Potential Problem 1:
Additional Data:
Prioritize Hypothesis:
Additional Data 1:
Additional Data 2:
Potential Problem 2:
Potential Problem 3:
Significant Data/Cue 2:
Significant Data/Cue 3:
Significant Data/Cue 4:
Significant Data/Cue 5:
Priority Action/Intervention 4:
Expected Outcomes 3:
Expected Outcomes 4:
Expected Outcomes 5:
Are there any interventions or actions that should be avoided? 1:
Take Action 4:
Environmental Factor 7:
Observed Outcomes 3:
Matches Expected Outcome? 3:
what other issues may be present 3:
what other issues may be present 4:
what other issues may be present 5:
Matches Expected Outcome? 4:
Matches Expected Outcome? 5:
Observed Outcomes 4:
Observed Outcomes 5:
Environmental Factor 8:
Individual Factor 7:
Individual Factor 8:
Individual Factor 9:
Individual Factor 10:
Individual Factor 11:
Individual Factor 12:
Environmental Factor 9:
Environmental Factor 10:
Environmental Factor 11:
Environmental Factor 12:
Take Action 5:
Take Action 6:
Priority Action/Intervention 5:
Priority Action/Intervention 6:

other Questions(10)

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section Not Included
Completed Simulation (20 points/40%)	20 points	16 points	7 points	0 points
Required Criteria 1. Actual points earned will be based on the highest percentage overall score earned on the simulation. 2. Completes the simulation in one or two attempts. 3. Waits 24 hours between the attempts (time stamps are recorded). 4. Uploads a PDF copy of the Performance Overview Evaluation to the i-Human Patients® Assignment Grading dropbox.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 86% - 100%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation and received an overall score of 76% - 85%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 1% - 75%.	Did not complete the simulation and/or did not upload PDF copy of the Performance Overview Evaluation.
CJMM Worksheet (20 points/40%)	20 points	16 points	7 points	0 points
Required criteria 1. Completes these 3 sections of the CJMM worksheet: Recognize Cues, Analyze Cues, and Prioritize Hypothesis 2. Completes the CJMM worksheet to accurately reflect the assigned virtual simulation client.* 3. Uploads the completed CJMM worksheet to the i-Human Patients® Assignment Grading dropbox. 4. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable. *CJMM worksheets submitted that do not reflect the assigned virtual simulation client will result in 0 points for this category.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 1-2 requirements for section.	Did not complete any of the requirements for the CJMM worksheet on the virtual simulation client OR does not upload the CJMM worksheet to the i-Human Patients® Assignment Grading dropbox
Reflection Questions (10 points/20%)	10 points	8 points	3 points	0 points
Required criteria 1. Completes the responses to the reflection questions 2. Uploads the completed reflection questions to i-Human Patients® Assignment Grading dropbox. 3. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Did not complete the reflection questions.
Total Points Possible = 50 points

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section Not Included
Completed Simulation (20 points/40%)	20 points	16 points	7 points	0 points
Required Criteria 1. Actual points earned will be based on the highest percentage overall score earned on the simulation. 2. Completes the simulation in one or two attempts. 3. Waits 24 hours between the attempts (time stamps are recorded). 4. Uploads a PDF copy of the Performance Overview Evaluation to the i-Human Patients® Assignment Grading dropbox.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 86% - 100%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation and received an overall score of 76% - 85%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 1% - 75%.	Did not complete the simulation and/or did not upload PDF copy of the Performance Overview Evaluation.
CJMM Worksheet (20 points/40%)	20 points	16 points	7 points	0 points
Required criteria 1. Completes these 3 sections of the CJMM worksheet: Recognize Cues, Analyze Cues, and Prioritize Hypothesis 2. Completes the CJMM worksheet to accurately reflect the assigned virtual simulation client.* 3. Uploads the completed CJMM worksheet to the i-Human Patients® Assignment Grading dropbox. 4. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable. *CJMM worksheets submitted that do not reflect the assigned virtual simulation client will result in 0 points for this category.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 1-2 requirements for section.	Did not complete any of the requirements for the CJMM worksheet on the virtual simulation client OR does not upload the CJMM worksheet to the i-Human Patients® Assignment Grading dropbox
Reflection Questions (10 points/20%)	10 points	8 points	3 points	0 points
Required criteria 1. Completes the responses to the reflection questions 2. Uploads the completed reflection questions to i-Human Patients® Assignment Grading dropbox. 3. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Did not complete the reflection questions.
Total Points Possible = 50 points

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section Not Included
Completed Simulation (20 points/40%)	20 points	16 points	7 points	0 points
Required Criteria 1. Actual points earned will be based on the highest percentage overall score earned on the simulation. 2. Completes the simulation in one or two attempts. 3. Waits 24 hours between the attempts (time stamps are recorded). 4. Uploads a PDF copy of the Performance Overview Evaluation to the i-Human Patients® Assignment Grading dropbox.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 86% - 100%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation and received an overall score of 76% - 85%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 1% - 75%.	Did not complete the simulation and/or did not upload PDF copy of the Performance Overview Evaluation.
CJMM Worksheet (20 points/40%)	20 points	16 points	7 points	0 points
Required criteria 1. Completes these 3 sections of the CJMM worksheet: Recognize Cues, Analyze Cues, and Prioritize Hypothesis 2. Completes the CJMM worksheet to accurately reflect the assigned virtual simulation client.* 3. Uploads the completed CJMM worksheet to the i-Human Patients® Assignment Grading dropbox. 4. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable. *CJMM worksheets submitted that do not reflect the assigned virtual simulation client will result in 0 points for this category.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 1-2 requirements for section.	Did not complete any of the requirements for the CJMM worksheet on the virtual simulation client OR does not upload the CJMM worksheet to the i-Human Patients® Assignment Grading dropbox
Reflection Questions (10 points/20%)	10 points	8 points	3 points	0 points
Required criteria 1. Completes the responses to the reflection questions 2. Uploads the completed reflection questions to i-Human Patients® Assignment Grading dropbox. 3. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Did not complete the reflection questions.
Total Points Possible = 50 points

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section Not Included
Completed Simulation (20 points/40%)	20 points	16 points	7 points	0 points
Required Criteria 1. Actual points earned will be based on the highest percentage overall score earned on the simulation. 2. Completes the simulation in one or two attempts. 3. Waits 24 hours between the attempts (time stamps are recorded). 4. Uploads a PDF copy of the Performance Overview Evaluation to the i-Human Patients® Assignment Grading dropbox.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 86% - 100%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation and received an overall score of 76% - 85%.	Completed the simulation in one or two attempts, uploaded the PDF copy of the Performance Overview Evaluation, and received an overall score of 1% - 75%.	Did not complete the simulation and/or did not upload PDF copy of the Performance Overview Evaluation.
CJMM Worksheet (20 points/40%)	20 points	16 points	7 points	0 points
Required criteria 1. Completes these 3 sections of the CJMM worksheet: Recognize Cues, Analyze Cues, and Prioritize Hypothesis 2. Completes the CJMM worksheet to accurately reflect the assigned virtual simulation client.* 3. Uploads the completed CJMM worksheet to the i-Human Patients® Assignment Grading dropbox. 4. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable. *CJMM worksheets submitted that do not reflect the assigned virtual simulation client will result in 0 points for this category.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 1-2 requirements for section.	Did not complete any of the requirements for the CJMM worksheet on the virtual simulation client OR does not upload the CJMM worksheet to the i-Human Patients® Assignment Grading dropbox
Reflection Questions (10 points/20%)	10 points	8 points	3 points	0 points
Required criteria 1. Completes the responses to the reflection questions 2. Uploads the completed reflection questions to i-Human Patients® Assignment Grading dropbox. 3. Demonstrates logical flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Did not complete the reflection questions.
Total Points Possible = 50 points

NR 226 week 1

NR226note.docx

NR226Clinical_Judgment_Measurement_Model_worksheet.pdf

NR226_iHuman_Patients_Assignment_Guidelines_NOV231.docx

NR226note.docx

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NR226Clinical_Judgment_Measurement_Model_worksheet.pdf

NR226_iHuman_Patients_Assignment_Guidelines_NOV231.docx

Purpose

Use interactive simulation and reflection questions to enhance knowledge, skills, and attitudes in assessment and clinical judgment.

Preparing the assignment

Reflection Questions

Fundamentals Patient Care

Fundamentals Patient Care

i-Human Patients® Assignment Guidelines

Please note that your faculty member may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review material.

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NR226note.docx

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ihuman

Nursing