in nursing education, providing a resource for educators to use as they help students develop clinical judgment skills. 1. The Clinical Judgment Model NCSBN® defines CJ as “the observed outcome of critical thinking and decision-making. Clinical judgment has been identified as a critical component of professional nursing practice and enables nurses to deliver safe patient care with optimal outcomes. Clinical judgment is an elusive concept that educators struggle to present and assess. There are other models and frameworks of clinical judgment that also can be used. Nurses, particularly those transitioning into clinical practice, may require assistance to enhance their clinical judgment skills. Assessing systematically and comprehensively 4. Noticing 2. Benner's seminal work in 1984 and continuing work in 1996 of novice to expert along with Tanner's continuing work on clinical judgment provides a model of “thinking in action” that focuses on four phases: noticing, interpreting, responding, and reflecting. The situation can be a specific physiological patient problem, such as an Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Four key aspects of the Clinical Judgement Model and the sequence in which they occur. The Relationship of Approaches Fostering Clinical Judgment (Figure 1) illustrates the relationship between the Action Model, Tanner’s Clinical Judgment Model (Tanner, 2006), and the Nursing Process (Smeltzer, 1980). This Guide for Reflection is intended to help you think about a given clinical situation you have encountered during the past week and your nursing response to that situation. The CJM was designed to explore new ways of testing clinical judgment in the nursing profession as part of the licensure examination. NCSBN’s Clinical Judg-ment Measurement Model is an assessment model, but this model can be used for teaching clinical judgment and developing cases. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. Gathering complete and accurate data 3. Noticing phase thinking skills in order. Responding 4.Reflecting. Tanners model of clinical judgment phases in order. Facilitating Development of Clinical Judgment Chris Tanner Guiding the Process The model of clinical judgment that we are teaching in the OCNE curriculum has several overlapping phases: – • noticing signs, symptoms, or patterns that might signal that a patient is developing a problem, Guide for Reflection Using Tanner’s (2006) Clinical Judgment Model . Noticing, interpreting, responding, reflecting 3 components of knowledge from which the nurse's "noticing" of the clinical situation is derived. Instructions . Interpreting 3. In this model, clinical judgment is viewed as a problem-solving activity, beginning with assessment and nursing diagnosis, pro- ceeding with planning and implementing nursing inter- ventions directed toward the resolution of the diagnosed problems, and culminating in the evaluation of the effec- tiveness of the interventions. The nursing clinical judgment research conducted by NCSBN resulted in the creation of the clinical judgment model (CJM). 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