Core Elements of Tanner’s Clinical Judgment Model

The Nursing Clinical Judgment Template

Noticing	Interpreting	Responding	Reflecting
What happened?	What does this mean to you as a nurse?   What does this mean to the healthcare team?   What does this mean to the patient and family?   What does this mean to the community?	What can nurses do?   What can the healthcare team do?   What can the family do?   What can other organizations/government do?   How should the plan be prioritized?	How would the nurse know the issue/problem is improving?   How would the nurse know the issue/problem is NOT improving?

As a new nurse on a busy medical surgical floor, you have been assigned a preceptor to shadow during the first few months of employment. During your observation, you note the following qualities of the nursing care provided: The preceptor focuses on each component of the assessment one at a time, focuses on the most obvious data during observation of her patients, makes an effort to prioritize data but also attends to less relevant or useful data, interprets the patient’s data patterns and compares with known patterns to develop an intervention plan, and generally displays leadership and confidence, being able to control or calm most situations. She communicates effectively, explaining interventions while calming and reassuring the patients and their families. She shows mastery of all necessary nursing skills.

1. What core elements of Tanner’s clinical judgment model are being demonstrated by your preceptor during your observation?
2. Using Lasater’s clinical judgment rubric, how would you describe your preceptors’ level of performance related to effective noticing?
3. How would you describe your preceptors’ level of performance related to effective interpreting?
4. How would you describe your preceptors’ level of performance related to effective responding?
5. As a preceptor, what skills would you expect to identify if exemplary performance were required?

The Nursing Clinical Judgment Template

Noticing	Interpreting	Responding	Reflecting
What happened?	What does this mean to you as a nurse?   What does this mean to the healthcare team?   What does this mean to the patient and family?   What does this mean to the community?	What can nurses do?   What can the healthcare team do?   What can the family do?   What can other organizations/government do?   How should the plan be prioritized?	How would the nurse know the issue/problem is improving?   How would the nurse know the issue/problem is NOT improving?

As a new nurse on a busy medical surgical floor, you have been assigned a preceptor to shadow during the first few months of employment. During your observation, you note the following qualities of the nursing care provided: The preceptor focuses on each component of the assessment one at a time, focuses on the most obvious data during observation of her patients, makes an effort to prioritize data but also attends to less relevant or useful data, interprets the patient’s data patterns and compares with known patterns to develop an intervention plan, and generally displays leadership and confidence, being able to control or calm most situations. She communicates effectively, explaining interventions while calming and reassuring the patients and their families. She shows mastery of all necessary nursing skills.

1. What core elements of Tanner’s clinical judgment model are being demonstrated by your preceptor during your observation?
2. Using Lasater’s clinical judgment rubric, how would you describe your preceptors’ level of performance related to effective noticing?
3. How would you describe your preceptors’ level of performance related to effective interpreting?
4. How would you describe your preceptors’ level of performance related to effective responding?
5. As a preceptor, what skills would you expect to identify if exemplary performance were required?