Stages of the Clinical Judgment Model

Recognize and Analyze Cues

• External cues
• Internal cues
• Cluster relevant cues with a description of cue analysis for importance and immediate concern
• Relevant cues must be linked to the client’s clinical presentation and ordered in the significance of priority needs

Create and Prioritize Hypotheses

• Generate a minimum of three hypotheses based on the analysis of cues.
• Evaluate and prioritize the top two hypotheses
• Provide rationales and evidence to support choices for each priority hypothesis

Generate Solutions

• Identify an expected outcome for each priority hypothesis
• Describe a set of priority interventions for each expected outcome

Take Action

• Describe an implementation plan for priority interventions.
• Provide rationales and evidence to support choices for each priority intervention

Evaluate Outcomes

• Describe an evaluation plan for outcomes related to expected results.
• Identify effective actions
• Describe an evaluation plan for outcomes related to unexpected results.
• Identify the actions related to declining or unchanged status

Summary of the ongoing iterative process of Clinical Judgment

• Provide a summary of what you believe went well, including at least one area of new knowledge gained with a description of how the new knowledge will affect your nursing practice
• Describe at least one part of the clinical judgment process you would do differently if faced with a similar clinical situation in the future. Explain why you would approach this situation in another way.