Guide for Using Tanner’s Clinical Judgment Model Journaling is a strategy design

Guide for Using Tanner’s Clinical Judgment Model
Journaling is a strategy designed to promote critical thinking and the development of reflective practitioners. The journal is not meant to be a narrative account of what took place, but rather a reflection on the situation that occurred and your response.
1.
INTRODUCTION & BACKGROUND
Briefly describe the scenario that you encountered in 2-3 sentences.
Describe the formal knowledge or previous experience you have had with similar problems that helped guide you in this situation.
Describe any emotions you had about the situation.
2.
NOTICING
What were the cues or subjective/objective data you identified that affected your response?
Did you miss any pertinent cues that could have changed the outcome?
3.
INTERPRETING
Describe what you thought of the situation.
What did your observations and data interpretation lead you to believe?
4.
RESPONDING
What was your nursing response to the situation and was it appropriate?
How do you feel you responded to the family member?
Do you think the family member felt confident of the care you provided?
Were you able to effectively communicate your needs to the physician?
5.
REFLECTION
What would you do differently if you encountered this situation again?
Did you have any predictions about what was going to happen? If so, did it affect your critical thinking ability either positively or negatively?
What knowledge and skills do you think you still need?
Describe any changes in your values or feelings as a result of this experience.