CTPN

Novice

New learners with no experience; rely on rules and guidelines.

Advanced Beginner

Some experience; can recognize recurring situations but need support.

Competent

2–3 years of practice; more organized, plans care based on long-term goals.

Proficient

Sees situations holistically; uses experience to guide decisions.

Expert

Intuitive understanding of clinical situations; acts confidently without needing rules.

Assessment

Collect patient data (vitals, history, observations)

Diagnosis

Identify patient problems (nursing, not medical)

Planning

Set measurable, realistic goals and choose interventions.

Implementation

Put the care plan into action

Evaluation

Check if goals were met and adjust as needed

1st step in Caputi framework

Getting the information

2nd step in Caputi framework

Making meaning of the information

3rd step in Caputi framework

Determining actions to take

4th step in Caputi framework

Taking action

5th step in Caputi framework

Evaluating outcomes and your thinking

Assessment ( NP )

Getting the info ( CP )

What findings are most significant?

What findings need follow up?

What additional information is needed?

What questions should the nurse ask?

Diagnosis ( NP )

Making meaning of the info ( CP )

What findings did you expect?

What patient problems are consistent with these findings?

Is the data concerning?

Planning ( NP )

Determining actions to take ( CP )

What interventions are indicated?

What outcomes are most important?

How will the interventions promote the expected outcomes of care?

What interventions should be avoided?

Implementation ( NP )

Taking action ( CP )

What interventions are appropriate?

What intervention should be done first?

What actions should be taken now?

What would you teach before discharge?

What should be reported ASAP?

Evaluation ( NP )

Evaluating your outcomes and thinking ( CP )

What findings show the patient is improving?

Are the interventions effective?

What observations would you make to see if the patient understands discharge instructions, how to do a procedure/treatment at home?

Determining important information to collect

Getting the information

Scanning the environment

Getting the information

Identify signs and symptoms

Getting the information

Assessing systematically and comprehensively

Getting the information

Ensuring accurate information

Getting the information

Clustering related information

Making meaning of the information

Identifying assumptions

Making meaning of the information

Recognizing inconsistencies

Making meaning of the information

Distinguishing relevant from irrelevant information

Making meaning of the information

Judging how much ambiguity is acceptable

Making meaning of the information

Comparing and contrasting

Making meaning of the information

Predicting potential complications

Making meaning of the information

Collaborating with healthcare team members

Making meaning of the information

Determining patient care needs / health care environment issues

Making meaning of the information

Selecting interventions

Determining actions to take

Managing potential complications

Determining actions to take

Setting priorities

Determining actions to take

Determining how to implement the planned interventions

Taking action

Delegating, communicating, teaching others

Taking action

Evaluating data

Evaluating outcomes & your thinking

Evaluating and correcting thinking

Evaluating outcomes & your thinking