The Lasater Clinical Judgment Rubric as a Framework to Enhance Clinical Judgment in Novice and Experienced Nurses

Miraglia, Robbin; Asselin, Marilyn E.

doi:10.1097/nnd.0000000000000209

Cited by 30 publications

(10 citation statements)

References 15 publications

(43 reference statements)

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“…The overall score may range from 11 to 44. Higher scores indicate better clinical judgment [36]. In brief, the noticing dimension emphasizes the ability to gather and recognize information.…”

Section: Methodsmentioning

confidence: 99%

Improving clinical judgment by simulation: a randomized trial and validation of the Lasater clinical judgment rubric in Chinese

et al. 2019

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BackgroundThe development and assessment of clinical judgment ability are essential in nursing education. The Lasater Clinical Judgment Rubric (LCJR) was shown to be valid in evaluating nursing students’ learning outcomes and skills in western cultures but has not been validated in mainland China. This study aimed to compare a simulation-teaching model with a traditional teaching method in enhancing the clinical judgment ability of nursing undergraduate students and to validate the Chinese version of the Lasater Clinical Judgment Rubric (C-LCJR).MethodsFour classes of nursing students (n = 157) at Hubei University of Chinese Medicine, China, were randomly assigned to two control and two experimental classes. The experimental classes were taught using simulation teaching with standardized patients, while the control classes were taught using traditional teaching methods. At the end of the experiment, students in both kinds of classes evaluated their clinical judgment using the C-LCJR. Teachers also rated the students but without knowing who had received the simulation teaching. Confirmatory factor analysis and a Multiple Indicators Multiple Causes (MIMIC) model with Bayesian estimation was fit to the rating data to investigate measurement properties and experimental effects.ResultsCompared to the control classes, students in the experimental classes performed better in all subdomains of C-LCJR (noticing, interpreting, responding, and reflecting). The measurement properties of the C-LCJR were found to be satisfactory with high factor loadings and reliabilities and no bias from age, gender, and raters.ConclusionsThe simulation teaching model is more effective than the traditional (non-simulation-based) teaching method in improving clinical judgment of Chinese nursing students. The C-LCJR is a valid and reliable instrument for measuring clinical judgment in nursing students in China.

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Section: Methodsmentioning

confidence: 99%

Improving clinical judgment by simulation: a randomized trial and validation of the Lasater clinical judgment rubric in Chinese

et al. 2019

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“…It presents the expected behaviors of the student for every stage and dimension, representing the levels of clinical judgment performance of the learner: exemplary, accomplished, developing or beginning. This assessment of the clinical reasoning process may be done either by the professor or through the student's self-assessment (38) .…”

Section: Clinical Reasoning: Teaching Strategiesmentioning

confidence: 99%

Clinical reasoning in nursing: teaching strategies and assessment tools

2017

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“…(15) In the professional environment, the LCJR allows nurses' performance evaluation in the conclusion of an educational activity by favoring the definition of performance criteria and self-assessment of strengths and weaknesses regarding the competence in the ability of clinical judgment during reflective practice. (17) The cultural and semantic validation of the LCJR was performed in Brazil, and the instrument was named LCJR-BV. It was used to analyze five videos in a situation of high-fidelity simulation regarding performance of nursing students' clinical judgment.…”

Section: Reference Model Of Tanner and The Lcjrmentioning

confidence: 99%

Confiabilidade e validade da Lasater Clinical Judgment Rubric – Brazilian Version

Morais

Nunes

Lasater³

et al. 2018

Acta paul. enferm.

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Resumo Objetivo Avaliar a confiabilidade e validade da Lasater Clinical Judgment Rubric – Brazilian Version em uma amostra de estudantes de enfermagem. Métodos Pesquisa com delineamento metodológico, realizado em uma instituição pública de ensino superior da região sudeste do Brasil. Preliminarmente, foi analisada a clareza dos comportamentos descritos em cada nível das 11 dimensões do instrumento, por oito estudantes. A seguir, deu-se a coleta de dados relativos a avaliação das propriedades psicométricas com auto aplicação a 179 estudantes. Os participantes foram agrupados em iniciantes (1ª e 2ª séries n=115) e concluintes (3ª e 4ª séries n=64). Foram analisadas as propriedades psicométricas: validade discriminante, a fidedignidade e a dimensionalidade. Resultados A versão brasileira da rubrica diferenciou os dois grupos de estudantes (p-valor <0,05) nas 11 dimensões avaliadas. A estabilidade foi verificada pelo teste-reteste (ICC de 0,88). A consistência interna foi obtida para o instrumento global (alpha de Cronbach, de 0,889) e para as fases de reconhecimento (α=0,75), interpretação (α=0,64), resposta (α=0,78) e reflexão (α=0,63). Validade da dimensionalidade pela análise fatorial confirmatória (AFC) obteve resultados de confiabilidade composta (CC) acima de 0,7 e a variância média extraída (AVE) superiores a 0,5, em todas as fases. A validade discriminante do modelo fatorial pelo critério de Fornell-Larcker e pelas cargas cruzadas confirmaram a estrutura teórica da versão original da rubrica. Conclusão A avaliação das propriedades psicométricas da versão brasileira da rubrica mostrou evidências de confiabilidade e validade de construto do instrumento para medir o desenvolvimento do julgamento clínico do estudante de enfermagem.

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The Lasater Clinical Judgment Rubric as a Framework to Enhance Clinical Judgment in Novice and Experienced Nurses

Cited by 30 publications

References 15 publications

Improving clinical judgment by simulation: a randomized trial and validation of the Lasater clinical judgment rubric in Chinese

Improving clinical judgment by simulation: a randomized trial and validation of the Lasater clinical judgment rubric in Chinese

Clinical reasoning in nursing: teaching strategies and assessment tools

Confiabilidade e validade da Lasater Clinical Judgment Rubric – Brazilian Version

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