Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
1
NCSBN: Clinical Judgment Measurement Model
Using the Clinical Judgment Measurement Model during a patient simulation helps
structure the development and assessment of clinical reasoning.
1. Recognize Cues -Gather and identify relevant data (e.g., vitals, appearance, breathing
e>ort).
2. Analyze Cues – Interpret what the cues mean in the clinical context.
3. Prioritize Hypotheses – Rank possible problems or complications based on urgency
and likelihood.
4. Generate Solutions – Think of appropriate nursing interventions or actions.
5. Take Action – Carry out the most appropriate actions safely and e>ectively.
6. Evaluate Outcomes – Assess if the interventions worked and what the next steps
should be.
As you reflect on the patient scenario, complete the lab simulation debrief form by
thoroughly addressing each step of the NCSBN Clinical Judgment Measurement Model. In
addition, provide a detailed explanation of the pathophysiology for each prioritized
concept, clearly connecting it to the patient’s underlying disease process. This assignment
will be evaluated based on completeness and accuracy.
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
2
1. Recognizing Cues and Analyzing Cues:
In Column A, identify all the relevant cues from the patient simulation. In Column B, interpret the
meaning of these cues in relation to the patient’s condition. In Column C, identify the relevant
Giddens concept for each identified cue.
A
Recognize Cues – Patient
Assessment
B
Analyze Cues – Nurse
Inference
C
Identified Giddens
Concepts
*Example: Stridor *Example: obstructed airway Example: Gas Exchange
(Concept 19)
* Giddens, J. F. (2021). Concepts for nursing practice (3rd ed.). Elsevier
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
3
2. Prioritizing Hypothesis
a. Organize the potential explanations for a patient’s condition by prioritizing and ranking the
top three concepts based on the patient’s immediate priorities.
1.
2.
3. Pathophysiology
Explain the detailed pathophysiology for each prioritized concept listed above and describe how it
connects to the patient’s disease process.
Concept 1 Pathophysiology: Concept 2 Pathophysiology:
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
4
2. Predicting Complications:
What potential complications can occur if the signs and symptoms are not addressed? Be
specific to the disease/topic (avoid generalizations such as ‘infection’ instead explain the
complication and why, etc.).
Concept 1 Predicting Complications: Concept 2 Predicting Complications:
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
5
4. Generate Solutions, Take Action and Evaluate Outcomes:
For each prioritized concept, identify three (3) unique, evidence-based, and patient-centered
nursing interventions. Each intervention must:
• Be typed as a specific, measurable nursing action
• Be directly related to the disease or topic. Avoid vague phrases like “Patient Education”
• Cannot be repeated across concepts
For each intervention, address the following:
1. Purpose:
o Clearly explain the rationale for the intervention
o If applicable (e.g., for medications), include the mechanism of action
2. Evaluation of Outcomes:
o Describe what actions or measurements would be used to assess whether the
intervention was eYective
o Include expected/actual patient outcomes
3. NCLEX Client Needs Category:
o Identify the relevant NCLEX category and include the specific bullet point that aligns
with the intervention
Intervention 1:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
Intervention 2:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
6
NCLEX Client Need Category:
Bullet point:
NCLEX Client Need Category:
Bullet point:
Intervention 1:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
Intervention 2:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
7
NCLEX Client Need Category:
Bullet point:
NCLEX Client Need Category:
Bullet point:
Intervention 1:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
NCLEX Client Need Category:
Bullet point:
Intervention2:(Take Action)
Purpose of intervention:
Evaluation of Outcome: (Actions or measurement)
NCLEX Client Need Category:
Bullet point:
Lab Simulation Debriefing Form
Name: Date:
Patient Name/Scenario:
8
IV. Individualized Care
Use specific information to describe how individualized care was provided during this simulation.
Include: Erikson’s stage, culture, family dynamics, religion, and patient preferences. Include
individual care provided based on your findings.
Erikson’s
Stage
Culture
Family
Dynamics
Religion
Patient
Preferences
V. Reflection:
Describe at least one specific learning moment you experienced during the simulation. Be detailed
and reflective in your response. Avoid general terms like “teamwork”—instead, clearly explain:
• What you learned from the simulation.
• Explain in depth how you will change your practice.

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