INSTRUCTIONS:
Decision Making for Clinical Judgment
For this Competency Assessment, you engage with avatars representing patients and clinic staff in a simulation set in a community health center, Neighborhood Clinic. There are two separate scenarios, and you will analyze both. Your purpose is gathering data to help inform making clinical judgments.
To prepare:
Access the Decision Making for Clinical Judgment template document. You will complete this one template for both simulation scenarios. Review the document to clarify the required information and analysis for each scenario.Review the Mursion interactive media resources as many times as you need to prepare for and complete the Assessment. You are encouraged to take notes on details provided by the avatars. The following recaps each scenario.
The Part 1 scenario involves a discussion with fellow clinic nurse, Atsumi Yoshida, about a returning patient whom you are scheduled to see, Mr. Teo Kimura. Use this conversation to gather clues to Mr. Kimura’s unplanned return as you listen to understand your colleague’s assessment of Mr. Kimura in his initial visit and identify what you would focus on in your own examination. You will not see or engage with Mr. Kimura, so your conclusions about your avatar colleague’s clinical judgment will be based on the details she shares.
The Part 2 scenario features Serena Miranda, a young, first-time mother who has brought her 1-month-old son, Jorge, to the clinic for an initial and unscheduled appointment. Keep in mind the interaction is only with the mother; the child is sleeping in a car seat outside your frame of view throughout the simulation.
For each scenario, develop your responses based on the specific information in each media resource, other Learning Resources for this Competency, and other resources you may identify.
To complete the Competency Assessment:
Use the Decision Making for Clinical Judgment template document to record your responses for each part. Your submitted document should be 3–4 pages plus a reference page. You should address the following:
PART 1; Nurse Scenario: Atsumi Yoshida and returning patient Mr Teo Kimura
Summarize the information you learned from Atsumi Yoshida about Teo Kimura and his previous appointment at Neighborhood Clinic.Evaluate the nurse’s application of clinical judgment based on what she stated and explain your reasoning.In your appointment with Teo Kimura, explain what you would look for and pay particular attention to based on the information you received from Atsumi Yoshida and your assessment of her clinical judgment.What questions would you ask Mr. Kimura to understand his physical symptoms?What questions would you ask Mr. Kimura to understand other factors that may affect his health?Explain aspects of clinical judgment—noticing, interpreting, responding, reflecting—that would support assessment and decision making on Mr. Kimura’s health.Are there questions about cultural competence and/or implicit bias in this scenario? Explain your thinking.
PART 2: Patient Scenario: Serena Miranda and her 1-month old Son Jorge
Summarize the information you learned from Serena Miranda that would inform your examination of Jorge and application of clinical judgment.Based on this information, what concerns would you have about Jorge’s condition?If your concern were failure to thrive, what questions would you ask to understand more?When you examine Jorge, explain what you would look for and pay particular attention to in your examination based on the information you gather.Explain your next steps for Jorge and Serena Miranda based on components of the nursing process and your reasoning.Explain aspects of clinical judgment—noticing, interpreting, responding, reflecting—that would support your decision making.
Competency Description: In the nursing process, as defined by the American Nurses Association (n.d.), assessment is the first step in delivering nursing care as the professional nurse gathers data from the patient. Key to this Competency is the second step in the nursing process—how that data informs the nurse’s diagnosis, which requires clinical judgment. Applying clinical judgment involves detective-like attention to notice and interpret significant clues. There are also other considerations in making a clinical judgment. For example, how do you ensure that complicating factors, such as lack of familiarity with a patient’s culture or the potential for implicit bias, do not cloud clinical judgment? How—and when—do you question a fellow professional’s clinical judgment? Given the myriad demands on a nurse, you might even seek clarity on the importance of clinical judgment. This Competency will help you to answer these and other essential questions through opportunities to develop and refine your clinical judgment.
For this Performance Task Assessment, you will gather data to inform making clinical judgments. Your primary resources for this Assessment are two interactive media simulations using Mursion technology. You will view the media, have opportunities for structured engagement with the featured avatars, and analyze information provided by the avatars. There are two types of situations involving clinical judgment you will address: (1) a fellow nurse explaining her assessment of a patient; and (2) a first-time mother sharing details on her 1-month-old son. Using the information you learn, you will © 2024 Walden University, LLC Page 1 of 1 complete a template document with a set of guiding questions for each scenario. Submission Length: 3–4 pages, plus reference page, in the Decision Making for Clinical Judgment template document. Competency Modules • Module 1: Skills for Clinical Judgment • Module 2: The Importance of Clinical Judgment
