Clinical Reasoning and Clinical Judgment

NUR4153CBE Section 01CBE Clinical Reasoning and Clinical Judgment (11 Weeks) – CBE Online Course – 2024 Summer Quarter

Deliverable 5 – Outcomes-based Cycle of Clinical Reasoning and Clinical Judgment

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Assignment Content

1.

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Competency

Modify clinical judgment within an iterative, outcome-based cycle of clinical reasoning and client needs.

 

Student Success Criteria

View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

 

Scenario

You were recently invited to your alma mater to participate in a clinical judgment roundtable with alums. The audience includes nursing students enrolled in their last term before graduation. You were asked to prepare a one-to-two-page handout for the round table discussion to facilitate a conversation about the outcomes-based dynamic cycle of clinical reasoning and clinical judgment.

 

Instructions

Create a one-to-two-page handout that includes the following information:

· Summarize a clinical experience you found challenging for clinical judgment, including examples and rationales.

· Describe the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

· Choose the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

 

Resources

· APA 7th Edition Guide

· Writing Guide

 

Submit a Word document with your handout.

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· A – 4 – Mastery

Comprehensive summary of a clinical experience you found challenging for clinical judgment, including superior examples and rationales.

0

B – 3 – Proficiency

Satisfactory summary of a clinical experience you found challenging for clinical judgment, including sufficient examples and rationales.

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C – 2 – Competence

Somewhat reasonable summary of a clinical experience you found challenging for clinical judgment, including some examples and rationales.

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F – 1 – No Pass

Partial summary of a clinical experience you found challenging for clinical judgment, including minimal examples and rationales.

0

I – 0 – Not Submitted

Not Submitted

0

· Criterion 2

0% of total grade

A – 4 – Mastery

Detailed description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including superior rationales and evidence from credible sources.

0

B – 3 – Proficiency

Satisfactory description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including sufficient rationales and evidence from credible sources.

0

C – 2 – Competence

Somewhat reasonable description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including some rationales and evidence from credible sources.

0

F – 1 – No Pass

Partial description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including minimal rationales and evidence from credible sources.

0

I – 0 – Not Submitted

Not Submitted

0

· Criterion 3

0% of total grade

A – 4 – Mastery

Skillful selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including superior supporting rationales and evidence from credible sources.

0

B – 3 – Proficiency

Satisfactory selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including sufficient supporting rationales and evidence from credible sources.

0

C – 2 – Competence

Somewhat reasonable selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including some supporting rationales and evidence from credible sources.

0

F – 1 – No Pass

Vague of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including minimal supporting rationales and evidence from credible sources.

0

I – 0 – Not Submitted

Not Submitted

0

· Criterion 4

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Title

 

 

Student Name

Rasmussen University

NUR4153: Clinical Reasoning and Clinical Judgment

Instructor Mindy Fadell

Date

 

 

Title

*Be sure to erase blue font

*Be sure to use APA use in-text citations and references to provide detailed rationale

*This should be a handout

· Choose the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

 

Scenario

*Describe clinical experience you found challenging for clinical judgment, including examples and rationales. What did you see with the vital signs? What was seen with assessment? Current medication etc

 

Address Why this clinical Experience was Challenging: (use references to support this)

Clinical Judgement Process

CUE IDENTIFICATION AND ANALYSIS *Address for each hypothesis

· Individual/Internal Factors (for Nurse)

Knowledge • Skills • Level of experience • Confidence • Specialty background • Personal characteristics • Prior experience, education, emotions, confidence, personal values, professional orientation, and experiential learning.

Environmental/ External Factors (for Client Situation):

Client observation • Physical environment • Resources • Health/medical records • Time pressure/urgency • Task complexity • Consequences and risks • Cultural considerations, distractions interruptions and professional autonomy

 

Internal Cues for Nurse:

 

External Cues for Patient

Priority Hypothesis: ? (Use reference support):

Why is this the priority?  (Use reference support):

Intervention 1(also known as Solution): : What cues were significant? After you analyze your cues, what was your priority hypothesis? Describe the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

Rationale (Use reference support):

 

 

Intervention 2: What is the next important intervention? What cues were significant? After you analyze your cues, what was your priority hypothesis? Describe the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

Rationale: (Use reference support):

 

 

Second Hypothesis

 

CUE IDENTIFICATION AND ANALYSIS *Address for each hypothesis

·

Internal Cues for Nurse:

 

External Cues for Patient

Second Hypothesis:

 

Intervention 1: What cues were significant? After you analyze your cues, what was your priority hypothesis? Describe the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

Rationale: (Use reference support):

 

 

Intervention 2: What is the next important intervention? What cues were significant? After you analyze your cues, what was your priority hypothesis? Describe the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including supporting rationales and evidence from credible sources.

Rationale: (Use reference support):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

See https://guides.rasmussen.edu/apa/references

 

 

Deliverable 5 – Outcomes-based Cycle of Clinical Reasoning and Clinical Judgment

 

· Format: Create a one-to-two-page handout

·	A	B	C	F
Criterion 1	Comprehensive summary of a clinical experience you found challenging for clinical judgment, including superior examples and rationales.	Satisfactory summary of a clinical experience you found challenging for clinical judgment, including sufficient examples and rationales.	Somewhat reasonable summary of a clinical experience you found challenging for clinical judgment, including some examples and rationales.	Partial summary of a clinical experience you found challenging for clinical judgment, including minimal examples and rationales.
Criterion 2	Detailed description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including superior rationales and evidence from credible sources.	Satisfactory description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including sufficient rationales and evidence from credible sources.	Somewhat reasonable description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including some rationales and evidence from credible sources.	Partial description of the most appropriate client intervention supported with relevant cues, hypotheses and priority hypothesis, including minimal rationales and evidence from credible sources.
Criterion 3	Skillful selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including superior supporting rationales and evidence from credible sources.	Satisfactory selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including sufficient supporting rationales and evidence from credible sources.	Somewhat reasonable selection of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including some supporting rationales and evidence from credible sources.	Vague of the next most appropriate client interventions supported with relevant cues, hypotheses and priority hypothesis, including minimal supporting rationales and evidence from credible sources.
Criterion 4	Formal style is demonstrated throughout the document, including no spelling, grammar, or APA format errors.	Formal style is demonstrated throughout most of the document, with minor spelling, grammar, or APA format errors.	Formal style is demonstrated in some parts of the document but not maintained throughout. Some spelling, grammar, or APA format errors present.	Lack of formal style in the document. Numerous spelling, grammar, or APA format errors are present.