SBAR Framework and NCSBN Clinical Judgment Measurement Model

Vocabulary practice flashcards covering the SBAR communication framework, the four layers of the NCSBN Clinical Judgment Measurement Model (CJMM), and its direct mapping to the Nursing Process.

SBAR Framework

A structured communication model used when communicating medical situations, giving reports, or requesting immediate provider attention, consisting of Situation, Background, Assessment, and Recommendation.

Situation (SBAR)

The initial step of SBAR where the nurse identifies themselves, their location/unit, the patient, and the symptom onset and severity.

Background (SBAR)

The step of SBAR providing pertinent clinical context, including admitting diagnosis, relevant medical history, lab or diagnostic results (including vitals), and notable patient changes.

Assessment (SBAR)

The step of SBAR where the nurse states the suspected underlying cause or clinical concern based on recognized cues and evaluation.

Recommendation and Expectation (SBAR)

The final step of SBAR where the nurse clearly and specifically communicates the urgency of the request, expected time frame, and anticipated orders or interventions.

Layer 0 (NCSBN CJMM)

The layer of the Clinical Judgment Measurement Model where client needs drive the process and clinical decisions serve as the output.

Layer 1 (NCSBN CJMM)

The layer of the Clinical Judgment Measurement Model representing overall clinical judgment, which bridges client needs to clinical decisions.

Layer 2 (NCSBN CJMM)

The layer of the Clinical Judgment Measurement Model depicting the iterative cycle of forming hypotheses, refining hypotheses, and evaluating hypotheses.

Layer 3 (NCSBN CJMM)

The layer of the Clinical Judgment Measurement Model detailing six cognitive operations: Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, and Evaluate Outcomes.

Layer 4 (NCSBN CJMM)

The layer of the Clinical Judgment Measurement Model containing environmental and individual factors (knowledge, skills, experience, time pressure, resources) aligned with the Nursing Process.

Recognize Cues

The Layer 3 cognitive operation corresponding to Nursing Assessment, involving identifying clinical observations, medical record data, and environmental factors.

Analyze Cues

The Layer 3 cognitive operation corresponding to Nursing Analysis/Diagnosis, where identified patient cues are interpreted and linked to clinical condition.

Prioritize Hypotheses

The Layer 3 cognitive operation involving ranking potential clinical problems or explanations based on urgency, risk, and priority.

Generate Solutions

The Layer 3 cognitive operation corresponding to Nursing Planning, where goals and interventions are identified to address prioritized hypotheses.

Take Actions

The Layer 3 cognitive operation corresponding to Nursing Implementation, where specific nursing interventions are carried out.

Evaluate Outcomes

The Layer 3 cognitive operation corresponding to Nursing Evaluation, assessing whether implemented clinical actions satisfied or did not satisfy client needs.

Nursing Process

A 5-step clinical decision framework consisting of Assessment (Assess), Diagnosis/Analysis (Diagnose), Planning (Plan), Implementation (Implement), and Evaluation (Evaluate).