Clinical judgment is a critical competency in nursing, yet it has traditionally been evaluated through written exams and knowledge-based testing. While these methods assess theoretical understanding, they do not reflect how nurses think, prioritize, and act in real clinical environments.

In actual practice, nurses make decisions in dynamic, high-pressure situations that involve evolving patient conditions, multiple priorities, and uncertainty. Measuring competence in such settings requires an assessment approach that goes beyond memorization and evaluates performance within real-world clinical context.

The need was to shift from static testing to contextual evaluation measuring how clinical judgment is demonstrated during patient care.

Glee Business designed and implemented a simulation-based, adaptive evaluation framework to measure clinical judgment where it actually occurs during patient care activities.

The solution removes scripted questions and predefined answers, focusing instead on observable clinical behaviors. It evaluates how nurses:

• Identify and interpret changing patient cues
• Prioritize competing clinical tasks app
• Communicate effectively within care teams
• Respond to uncertainty and rapid changes in condition

By aligning assessment with real clinical workflows and decision-making processes, the solution enables a more accurate understanding of practice readiness. This approach supports competency-based education, improves patient safety outcomes, and helps organizations make informed decisions about clinical preparedness and workforce development.