nursing outcome

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Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved. Structure adapted from Lasater (2007), with permission.

KRN CLINICAL JUDGMENT RUBRIC

NOTICING Effective NOTICING Involves: Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Focused Observation Recognizes majority (>90%) of relevant clinical data

Recognizes most (75–90%) of relevant clinical data

Recognizes some (50–74%) of relevant clinical data

Recognizes minimal (<50%) of relevant clinical data

Recognizing Deviations from Expected Patterns

Recognizes majority (>90%) of concerning clinical data trends

Recognizes most (75–90%) of concerning clinical data trends

Recognizes some 50–74%) of concerning clinical data trends

Recognizes minimal (<50%) of concerning clinical data trends

INTERPRETING Effective INTERPRETING Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Prioritizing Data Demonstrates thorough analysis (>90%) of clinical data to formulate the most urgent nursing priority

Demonstrates analysis of most (75–90%) clinical data to formulate a nursing priority that is relevant but may not be the most urgent

Demonstrates fundamental analysis (50–74%) of clinical data to formulate a nursing priority that is not the most urgent

Demonstrates lack of analysis (<50%) of clinical data that results in formulating incorrect nursing priority

Making Sense of Data Identifies clinical significance of the majority (>90%) of relevant clinical data

Identifies clinical significance of most (75–90%) relevant clinical data

Identifies clinical significance of some (50–74%) relevant clinical data

Able to identify clinical significance of minimal (<50%) relevant clinical data

RESPONDING Effective RESPONDING Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Well-Planned Intervention/Flexibility

Identifies majority (>90%) of nursing interventions that are relevant to this scenario

Recognizes most (75–90%) nursing interventions that are relevant to this scenario

Recognizes some relevant (50– 74%) nursing interventions that are relevant to this scenario

Recognizes minimal relevant (<50%) nursing interventions that are relevant to this scenario

Being Skillful Complete consistency between each step of the nursing process. Nursing plan of care is thorough.

Is mostly consistent between each step of the nursing process. Nursing plan of care is mostly thorough.

Little consistency between each step of the nursing process. Nursing plan of care has some thoroughness.

No consistency between each step of the nursing process. Superficial and lack of thoroughness in nursing plan of care.

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RESPONDING continued

Effective RESPONDING Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Clear Communication

(Not able to be assessed with SKINNY or NextGen Reasoning)

Communicates concisely and effectively using SBAR by summarizing majority (>90%) of relevant clinical data and correctly interpreting current clinical status

Using SBAR, summarizes most (75–90%) of clinical data that is relevant, correctly interprets the patient’s current status

Using SBAR, summarizes some (50–74%) clinical data that is relevant, correctly interprets the patient’s current status

Using SBAR, unable to summarize (<50%) relevant clinical data, incorrectly interprets the patient’s current status.

Recognizing Patient Problems (Not able to be assessed with SKINNY or NextGen Reasoning)

Identifies all most likely and worst possible problems and recognizes majority (>90%) of expected early changes in patient’s condition

Identifies most (75–90%) potential problems and recognizes most expected early changes in patient’s condition

Identifies some (50–74%) potential problems but not the most important and recognizes some expected early changes in patient’s condition

Unable to identify (<50%) potential problems or recognize expected early changes in patient’s condition

KRN CLINICAL JUDGMENT RUBRIC KeithRN.com

REFLECTING Effective REFLECTING Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Evaluating Plan of Care Able to evaluate care by adjusting the nursing priority by recognizing majority (>90%) of relevant evaluation data

Able to evaluate care by adjusting the nursing priority by consistent- ly recognizing most (75–90%) relevant evaluation data

Able to evaluate care by recognizing some (50–74%) relevant evaluation data

Unable to evaluate care by adjusting the nursing priority by recognizing minimal (<50%) relevant evaluation data

Evaluation/Self-Analysis Evaluates performance on case by thoroughly reflecting and identifying personal strengths and weaknesses

Evaluates performance on case by reflecting with some thoroughness, identifying personal strengths and weaknesses

Evaluates performance on case by reflecting with some insight, identifying personal strengths and weaknesses

Demonstrates lack of insight on performance on case. Does not address personal strengths and weaknesses

Commitment to Improvement

Demonstrates commitment to ongoing improvement with detailed and specific plans to improve current weaknesses (identified in reflection) and apply what was learned to care for future patients

Demonstrates commitment to ongoing improvement with some clear plans to eliminate weaknesses (identified in reflection) and apply what was learned to care for future patients

Demonstrates commitment to ongoing improvement with vague plans to eliminate weaknesses (identified in reflection) and apply what was learned to care for future patients

Demonstrates lack of commitment to ongoing improvement with no clear plan to eliminate weaknesses (identified in reflection) and apply what was learned to care for future patients

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved. Structure adapted from Lasater (2007), with permission.