MCCCD Program Description

Decision Making in Nursing

Course: NCE106

First Term: 2025 Fall

Lecture 0.5 Credit(s) 0.5 Period(s) 0.5 Load
Subject Type: Occupational
Load Formula: S - Standard Load

Description: Principles and application of a clinical judgment decision-making model in nursing . Description and application of critical thinking and clinical reasoning skills and their relationship to the clinical judgment decision-making model.

MCCCD Official Course Competencies
1. Differentiate between critical thinking, clinical reasoning, and clinical judgment. (I) 2. Discuss data and implications of failure to apply clinical judgment and appropriate clinical decision-making in nursing and healthcare situations. (II) 3. Describe the steps in the clinical judgment decision-making model. (III) 4. Relate the National Council for State Boards of Nursing (NCSBN) Clinical Judgment Assessment/Measurement Model (CJAM/CJMM) and the nursing process to the clinical judgment decision-making model and factors that influence clinical judgment. (IV) 5. Apply the clinical judgment decision-making model steps to make appropriate clinical decisions in nursing and other healthcare situations. (V) 6. Integrate patient-centered care, professionalism (including ethical principles), leadership, system-based practice, informatics and technology, communication, teamwork and collaboration, safety, quality improvement, and evidenced-based practice in the application of a clinical judgment decision-making model in nursing and other healthcare situations. (VI)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Mental processes critical to healthcare A. Critical thinking/cognitive process B. Clinical reasoning/thinking process C. Clinical judgment/decision-making process II. Clinical judgment insights A. Data B. Contributing factors C. Failure to rescue III. Tanner’s clinical judgment model steps A. Noticing B. Interpreting C. Responding D. Reflecting IV. Comparison of methodologies A. Tanner’s clinical judgment model B. National Council for State Boards of Nursing (NCSBN) model C. Clinical Judgment Assessment/Measurement Model (CJAM/CJMM) Nursing process V. Application of clinical judgment A. Case studies 1. Classroom 2. Online 3. Clinical experiences B. Video vignette VI. Integration of nursing course competencies A. Patient-centered care B. Professionalism C. Leadership D. System-based practice E. Informatics and technology F. Communication G. Teamwork and collaboration H. Safety I. Quality improvement J. Evidence-based practice

MCCCD Governing Board Approval Date: May 27, 2025

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.