SAGE
Our LLM-based voice-memo and reflective-writing analysis pipeline.
SAGE is the Kaira-built layer that ingests nurse-authored voice memos, journal entries, and reflective writing, and surfaces sub-competency-level signal against the Five Practices framework. It is the only one of the evidence streams listed on the framework page that is built and operated by Kaira; the others are externally validated nursing-education instruments. SAGE is not a clinical-decision tool, does not score patients, and never reads anything an employer can see.
LCJR
Lasater Clinical Judgment Rubric. An established rubric for observed clinical judgment in nursing education.
The LCJR (Lasater, 2007) operationalizes Tanner's clinical-judgment model into an observable rubric used widely in pre-licensure nursing education. We use LCJR-aligned preceptor observations as the primary evidence stream for Practice 4 (Integration) and as a contributing stream for Practices 2 (Heart) and 5 (Impact). Note: LCJR is a third-party instrument; we cite it because it is the most widely used rubric in the literature, but the framework does not require LCJR-trained observers.
EPA
Entrustable Professional Activity. A unit of practice that supervisors can entrust trainees to perform.
EPAs originated in graduate medical education (ten Cate, 2005) and have moved into nursing as a way to anchor competency assessment in observable units of clinical work. We use EPA-style observations as the primary evidence stream for Practice 3 (Hands), where the unit being assessed is a discrete procedural or technical action. AACN sub-competencies map cleanly to EPAs in many cases.
Tanner CJM
Tanner's Clinical Judgment Model. The cognitive process underlying nursing clinical judgment.
Tanner's Clinical Judgment Model (Tanner, 2006) describes the four-phase cycle of noticing, interpreting, responding, and reflecting. It is the cognitive backbone of Practice 1 (Head) in our framework. The LCJR is a measurement instrument built on top of Tanner's model.
AACN Essentials (2021)
The American Association of Colleges of Nursing competency framework for entry-to-practice.
The 2021 AACN Essentials defines 10 domains, 45 competencies, and 434 sub-competencies that nursing programs must demonstrate they teach to. Our framework preserves all 434 sub-competency identifiers verbatim and maps each one to one of the Five Practices. This is the citable substrate for accreditation reviews.
PI / Progression Indicator
The three-bucket rubric we use to grade each sub-competency.
A Progression Indicator is one of three values: Not Demonstrated, Developing, or Developed. The values align to the AACN level descriptors so the language is portable. Some sub-competencies (most of P3, Hands) cap at Developing without preceptor observation, because a single nurse cannot triangulate their own technical execution.