The 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 ANALYSIS RECOGNIZE CUES 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 List the data/cues that are relevant and are interpreted as clinically significant. Significant Data/Cue 2 Significant Data/Cue 3 Lowhemoglobin Traceankleedema mildheadache Significant Data/Cue 4 Significant Data/Cue 5 concernsofpregnancyHistoryofpreclampsia Analyze Cues – Organizing and linking the recognized cues to the client’s clinical presentation. Potential Problem 1 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? Edema Additional Data Potential Problem 2 Preclampsia Additional Data Ethening m Potential Problem 3 Anxiety Additional Data hxofpregnancycomplications Prioritize Hypothesis – Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.). Of the potential problems PriorityThe patient has a headache Preclampsia ismostlikelypresent is most you identified, which bloodPressure aswellasheranxietyshealsohas ahistoryof Preclampsia problem(s) is most likely likelydue tothehigh present? Which problem inherpriorpregnancies is the most concerning and why? and that 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. Priority Action/Intervention 1 Based on the most urgent problem, what are the priority actions/interventions? For each priority action, what are the desired outcomes? Are there any interventions or actions that should be avoided? Include rationale. Fetalmonitoring Expected Outcomes Priority Action/Intervention 2 Bloodpressuremanagement Expected Outcomes catenanudistresst.me Priority Action/Intervention 3 99 08 Expected Outcomes i essurewinoeffff a am Therearenospecificstoavoid Theclienthasa normalgrowthanddevelopmentplan 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..). Performed Education Documented Environmental Individual Environmental Individual List environmental Factor 1 Factor 1 Factor 2 Factor 2 and/or individual factors impacting the ability of the nurse to generate workingequiptmentRegular orvisitsnoisybusyarea compliance solutions and take action. Environmental Factor 3 Individual Factor 3 stocked supplies not anxiety 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? If the patient status has not improved, what other issues may be present? List environmental and/or individual factors impacting the achievement of outcomes. Babyshowednosignsofdistress Matches Expected Outcome? Yes Confirmedunderstanding Matches Expected Outcome? Yes patienthasimproved The Individual Factor 1 Environmental Factor 2 ofeducation Matches Expected Outcome? Yes patienthasimproved The Environmental Factor 1 Bloodpressure 120180 patienthasimproved The Individual Factor 2 workingequiptmentRegular orvisitsnoisybusyarea compliance Environmental Factor 3 stocked suppliesnot Individual Factor 3 anxiety Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-220192 ©2022 Chamberlain University LLC. All rights reserved. 0822pflcpeADA