Layer 0
Layer 1
Layer 2
Layer 3
Satisfied
Evaluation
Clinical Judgment
Not Satisfied
Refine HypothesesForm Hypotheses
Client
Needs
Clinical
Decisions
Recognize
Cues
Analyze
Cues
Prioritize
Hypotheses
Generate
Solutions
Take
Actions
Evaluate
Outcomes
The NCSBN Clinical Judgment Measurement Model
Copyright ©2019 NCSBN. All Rights Reserved.
Environmental Factor Examples Individual Factor Examples
Nursing
Process
Layer 4
Assessment Analysis Planning EvaluationImplementation
Environment Resources Medical
Records
Client
Observation
Consequences
& Risks
Task
Complexity
Time
Pressure
Cultural
Consideration
Prior
Experience
Candidate
Characteristics
Level of
Experience
SkillsKnowledge Specialty