Nursing Escape Room: Exploring Clinical Judgement Phases
Created byLaura Jobe
14 views0 downloads

Nursing Escape Room: Exploring Clinical Judgement Phases

College/UniversityOther1 days
The Nursing Escape Room project is an immersive educational experience designed for college/university nursing students to explore and apply Tanner's Clinical Judgement model. Through collaborative design and participation in storytelling, students develop and engage in escape room scenarios that address real-world nursing challenges, enhancing their understanding of phases such as Noticing, Interpreting, Responding, and Reflecting. By integrating these phases into narrative-driven puzzles, students augment their critical thinking and problem-solving skills, and reflect on their learning to prepare for practical application in clinical scenarios.
NursingEscape RoomClinical JudgmentStorytellingCollaborationCritical Thinking
Want to create your own PBL Recipe?Use our AI-powered tools to design engaging project-based learning experiences for your students.
📝

Inquiry Framework

Question Framework

Driving Question

The overarching question that guides the entire project.How can we collaboratively design an immersive escape room that effectively teaches and demonstrates Tanner's Clinical Judgement model in nursing, while addressing the challenges of applying these concepts in real-world scenarios?

Essential Questions

Supporting questions that break down major concepts.
  • What are Tanner's Clinical Judgement phases and how do they interconnect?
  • How can storytelling enhance understanding and application of clinical judgment in nursing?
  • What elements are essential to design an effective nursing-based escape room?
  • How does engaging in immersive activities, like escape rooms, aid in the comprehension of complex nursing concepts?
  • What are the potential challenges in applying Tanner's Clinical Judgement in practical scenarios, and how can these be addressed?

Standards & Learning Goals

Learning Goals

By the end of this project, students will be able to:
  • Students will understand the phases of Tanner's Clinical Judgement model and how to apply them in nursing scenarios.
  • Students will collaborate to design an escape room that demonstrates their knowledge of clinical judgment.
  • Students will engage in storytelling as a method to enhance comprehension of complex nursing concepts.
  • Students will identify challenges in applying clinical judgment and develop solutions to address them in real-world settings.

Nursing Education Standards

NURS-1
Primary
Students will apply Tanner's Clinical Judgement model to nursing scenarios.Reason: The project aims to teach nursing students Tanner's Clinical Judgement model through an immersive escape room experience, directly applying their understanding to practical scenarios.

Entry Events

Events that will be used to introduce the project to students

The Missing Protocol

Students walk into a darkened room set up like a hospital ward under pressure. A critical patient file is missing, and students must use Tanner’s Clinical Judgment Model to uncover clues and reconstruct the patient's story before time runs out.

Time Capsule Patient

Students encounter a room filled with artifacts and medical records from different decades. They must piece together what happened to a mysterious, long-lost patient using Tanner's phases, thereby connecting past practices with modern clinical reasoning.

Virtual Reality Ward

Students don VR headsets to enter various patient care scenarios where they must apply Tanner's Model to navigate complex ethical and clinical decisions, experiencing the impact of different choices in a fully immersive, consequence-driven environment.
📚

Portfolio Activities

Portfolio Activities

These activities progressively build towards your learning goals, with each submission contributing to the student's final portfolio.
Activity 1

Story-Driven Scenario Design

Students utilize their understanding of Tanner's phases by creating narrative scenarios that could be used within the escape room, integrating storytelling elements to convey complex clinical judgments.

Steps

Here is some basic scaffolding to help students complete the activity.
1. Form new groups combining members from previous phase exploration teams to ensure diverse inputs in storytelling.
2. Groups brainstorm and outline a narrative scenario that incorporates all four phases of Tanner's Model, focusing on realistic clinical situations that require critical judgment.
3. Develop characters, settings, and plot lines that incorporate the core concepts of the phases and the clinical decisions involved.
4. Create a storyboard for each narrative that sequentially integrates 'Noticing,' 'Interpreting,' 'Responding,' and 'Reflecting.'

Final Product

What students will submit as the final product of the activityA storyboard detailing a complete narrative scenario for use in the escape room, demonstrating the integration of clinical judgment phases.

Alignment

How this activity aligns with the learning objectives & standardsSupports the learning goal and standard NURS-1 by applying the model to conceptual scenarios.
Activity 2

Escape Room Puzzle Development

Teams design puzzles for the escape room that require application of Tanner's phases to solve, reinforcing practical application of clinical judgments.

Steps

Here is some basic scaffolding to help students complete the activity.
1. Review the narrative scenarios created to identify key decision points that can be translated into escape room puzzles.
2. Design puzzles or tasks that require the application of Noticing, Interpreting, Responding, and Reflecting, ensuring they are challenging yet solvable by using the model.
3. Test and refine puzzles with peer feedback to ensure clarity, engagement, and educational value.
4. Incorporate storytelling elements into the puzzles to maintain narrative cohesion within the escape room.

Final Product

What students will submit as the final product of the activityA set of escape room puzzles incorporating Tanner's Clinical Judgment phases, ready for implementation.

Alignment

How this activity aligns with the learning objectives & standardsDirectly applies and assesses understanding of the standard NURS-1 by using the model in practical challenges.
Activity 3

Final Escape Room Implementation and Reflection

Students implement and participate in the fully developed escape room, followed by a reflective discussion on the learning experience and its application to real-world nursing scenarios.

Steps

Here is some basic scaffolding to help students complete the activity.
1. Set up the escape room using the developed narrative scenarios and puzzles, ensuring all technical and logistic details are addressed.
2. Students participate in the escape room, working collaboratively to solve puzzles and advance through the narrative.
3. Conduct a reflective debrief session post-escape room, discussing the effectiveness of the room design in teaching Tanner's model and potential improvements.
4. Have students individually write a reflection on how the activity helped them understand the application of clinical judgments in real-world situations.

Final Product

What students will submit as the final product of the activityComplete escape room experience and individual reflections on the educational process and real-world applicability.

Alignment

How this activity aligns with the learning objectives & standardsEncapsulates the learning goals and standard NURS-1 by providing a comprehensive, applied learning experience.
🏆

Rubric & Reflection

Portfolio Rubric

Grading criteria for assessing the overall project portfolio

Nursing Clinical Judgment Escape Room Rubric

Category 1

Understanding of Tanner's Model

Assessment of the student's comprehension and application of Tanner's Clinical Judgement phases in realistic nursing scenarios.
Criterion 1

Identification of Phases

Ability to accurately identify and distinguish between the four phases of Tanner's Clinical Judgement model.

Exemplary
4 Points

Accurately identifies and distinguishes all phases with nuanced understanding across multiple scenarios.

Proficient
3 Points

Correctly identifies and distinguishes all phases in context, with minor conceptual errors.

Developing
2 Points

Identifies most phases but shows some gaps or misconceptions in distinctions.

Beginning
1 Points

Struggles to accurately identify and distinguish phases, with significant misconceptions.

Criterion 2

Integration of Phases in Storytelling

Effectiveness in incorporating Tanner's phases into the narrative in a cohesive and insightful manner.

Exemplary
4 Points

Seamlessly integrates all phases into a compelling and contextually rich narrative, demonstrating deep understanding and creativity.

Proficient
3 Points

Successfully incorporates all phases into the narrative, maintaining coherence, with minor gaps in creativity or context.

Developing
2 Points

Includes phases in the narrative but with gaps in coherence or creativity, showing basic understanding.

Beginning
1 Points

Limited integration of phases into the narrative, with substantial coherence and understanding issues.

Category 2

Collaboration and Engagement

Evaluation of student contributions to group dynamics and collective problem-solving efforts during the escape room design and implementation phases.
Criterion 1

Collaboration and Communication

Level of positive contribution to group efforts, including communication, idea sharing, and feedback acceptance.

Exemplary
4 Points

Actively leads and enhances group dynamics with effective communication and inclusive collaboration, consistently encouraging peer contributions.

Proficient
3 Points

Effectively contributes to group efforts, communicating well and supporting peer contributions.

Developing
2 Points

Participates in group activities but with inconsistent communication or collaboration, occasionally needing prompting.

Beginning
1 Points

Limited contribution to group dynamics, with poor communication and minimal collaborative engagement.

Category 3

Creative Design and Problem Solving

Assessment of the creativity and efficacy in designing escape room puzzles and narratives that reflect the application of clinical judgment skills.
Criterion 1

Innovation in Puzzle Design

Creative and practical design of puzzles that effectively require the application of clinical judgment skills and phases.

Exemplary
4 Points

Designs highly innovative and relevant puzzles that challenge and enhance comprehension of clinical judgment skills, with excellent educational value.

Proficient
3 Points

Designs effective puzzles that apply clinical judgment skills appropriately, providing good educational value and engagement.

Developing
2 Points

Produces puzzles with basic engagement and application of clinical skills, showing partial innovation.

Beginning
1 Points

Struggles to design appropriate puzzles, with little innovation and ambiguous application of clinical skills.

Category 4

Reflective Practice

Evaluation of student's ability to reflect on the learning experience, identifying personal growth and potential real-world applications of learned concepts.
Criterion 1

Depth of Reflection

Ability to critically analyze and articulate personal learning experiences and the application of clinical judgment.

Exemplary
4 Points

Provides highly insightful and comprehensive reflections, identifying nuanced learning experiences and real-world applicability.

Proficient
3 Points

Offers reflective insights that effectively link learning experiences to practical applications.

Developing
2 Points

Shows basic reflective skills, with some connections between learning and application identified.

Beginning
1 Points

Minimal reflective insight, with limited connection to personal learning experiences or applications.

Reflection Prompts

End-of-project reflection questions to get students to think about their learning
Question 1

How did participating in the escape room experience enhance your understanding of Tanner's Clinical Judgment model in nursing practice? Provide specific examples from the activity that highlight your learning.

Text
Required
Question 2

Which phase of Tanner's Clinical Judgment model did you find most challenging to apply within the escape room scenarios, and why?

Text
Required
Question 3

On a scale from 1 to 5, how would you rate the effectiveness of the escape room in teaching you about nursing clinical judgment?

Scale
Required
Question 4

What storytelling elements within the escape room were most impactful in helping you understand and apply Tanner's Clinical Judgment model?

Text
Optional
Question 5

Reflect on how this experience might influence your approach to clinical scenarios in the future. What insights have you gained that could be applied to real-world nursing situations?

Text
Required