[Music] welcome back to rn2 professors where we teach you how to think like a nurse from day one i'm professor wick in this video we're going to continue with our fundamentals to clinical thinking series and break down a key question what's the difference between the nursing process and the cjmm and why does it matter to your clinical judgment let's start with what you know adp pie assess diagnose plan implement evaluate it's linear it's familiar and still useful but real patient care isn't that simple that's where cjmm comes in it reflects how nurses think in real time six layers recognize cues analyze cues prioritize hypothesis generate solutions take action and evaluate the outcomes here's the difference adp pie is sequential cjmm is layered with cjmm you don't finish one step before starting the next you're analyzing while acting adjusting while evaluating it's a loop not a ladder your posttop patient suddenly becomes short of breath their respiratory rate is rising they look anxious and restless as a nurse this is your moment to engage clinical judgment in the traditional nursing process adp pie this starts with assessment you collect the data but what comes next you're supposed to diagnose but real life doesn't always wait for that cjmm gives you more flexibility you recognize something is off shortness of breath and low oxygen then you analyze it could it be pain anxiety or something serious like a pulmonary embolism now you prioritize your hypothesis pulmonary embolism is life-threatening and this patient just had surgery that's become your top concern you're not waiting you're thinking critically in the moment with adpi you'd be moving step by step assess diagnose plan but cjmm lets you adjust as the situation evolves it supports real time clinical reasoning not just care planning next you generate solutions raise the head of the bed apply oxygen call the provider then you take action these aren't guesses they're based on prioritizing what's most likely and most dangerous you finish by evaluating outcomes is the breathing improving did your actions help cjmm walks you through clinical thinking at every point not just documenting it after the fact cjmm does not replace adp pie it elevates it you still use adp pie in care planning but cjmm prepares you for fast realtime decisionm in clinicals and on the enclelex subscribe to rn2 professors and keep building your clinical brain one judgment call at a time [Music]