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A simulation-based intelligent tutoring system (ITS) was designed for nurses working in a Surgical Intensive Care Unit (SICU). A cognitive task analysis approach was used to identify the cognitive components of clinical decision making of "expert" surgical nurses. Quantitative analyses revealed that expert nurses reached the same decisions. However, a qualitative analysis of the verbal protocols revealed great variability in how the nurses arrived at their clinical decisions. Differences weredoi:10.2190/ltrw-br1g-b75l-3f65 fatcat:jk23g3jptre3he5yxkgme7l4gu