Overview
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 to engage in structured ways 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 complete a template document with a set of guiding questions for each scenario.
Instructions
To complete this Assessment, do the following:
- Be sure to adhere to the indicated Assignment length.
- Download the template document, Decision Making for Clinical Judgment (Microsoft Word document).
- Download the Academic Writing Expectations Checklist to review prior to submitting your Assessment.
Before submitting your Assessment, carefully review the rubric. This is the same rubric the Faculty Instructor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.
Important Information on Interpreting the Assessment Rubric (click to expand)
Achievement vs. Mastery of the Competency
- Mastery of this Competency means that 80% or more of the rows have been assessed as Exceeds Expectations and no rows have been assessed as Does Not Meet Expectations.
- Achievement of this Competency means that all rows are assessed at Meets Expectations or above (but lower than the 80% threshold required for Mastery).
Assessment of Individual Rubric Rows
In order to achieve Meets Expectations for a particular row of the rubric, you must have adequately completed all criteria in that row. This means that you have addressed all required elements to the required level of quantity and/or quality.
In order to achieve Exceeds Expectations for a particular row of the rubric, you must have adequately completed all criteria in the row, and in addition, your response must reflect a depth and breadth of knowledge and expertise. Examples of this include—but are not limited to—the following:
- You provide additional, specific, and/or particularly relevant examples to illustrate points made.
- You seamlessly incorporate your original thoughts and diverse, credible, and relevant academic sources, when applicable, to express your viewpoint or develop a persuasive argument.
- You demonstrate a deeper understanding of the subject that draws from discipline-specific knowledge and theory and incorporates the viewpoints of a diverse set of business and management thought leaders.
- You draw additional connections between multiple, complex topics to support your explanations.
- You are able to apply your knowledge in unique, creative, and/or innovative ways.
- You thoroughly break down concepts into simpler parts and use your understanding of business to make connections.
- Your analysis is insightful and original.
- You design processes, products, and/or solutions that are creative, high-quality, and innovative.
- You consider diverse perspectives and relevant social, ethical, and business-related issues when proposing new ideas or formulating judgments.
Rubric
All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate. Submissions that do not meet these expectations will be returned without scoring.
This Assessment requires submission of one file in Microsoft Word. Save this file as XH3002_firstinitial_lastname (for example, XH3002_J_Smith).
You may submit a draft of your assignment to the Turnitin Draft Check area to check for authenticity. When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.
Important Note: As a student taking this Competency, you agree that you may be required to submit your Assessment for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted Assessment materials will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such materials. Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.
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. Base your responses on information in the interactive media resource, other Learning Resources, and any resources you identify to support your responses to the following questions. All responses should have evidence cited to support statements made in your document. Your document should be 3–4 pages plus a reference page. You should address the following:
Click each of the items below for more information on this Assessment.
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 your 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.
Complete and Submit.