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Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Critical Thinking II01:25

Critical Thinking II

Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains for...
Data Validation01:03

Data Validation

Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...

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Clinical judgment: the last frontier for evaluation.

Kathie Lasater1

  • 1Oregon Health & Science University, School of Nursing, 3455 SW Veterans Hospital Rd., Portland, OR 97239, USA. lasaterk@ohsu.edu

Nurse Education in Practice
|January 8, 2011
PubMed
Summary

Evaluating clinical judgment in nursing students is challenging. The Lasater Clinical Judgment Rubric provides a common language and framework for assessing and developing this essential skill in prelicensure nursing students.

Related Experiment Videos

Area of Science:

  • Nursing Education
  • Clinical Skills Assessment
  • Healthcare Quality

Background:

  • Assessing prelicensure nursing students' clinical judgment development presents challenges for educators and preceptors.
  • Clinical judgment is fundamental for optimal patient care and achieving positive patient outcomes.
  • A standardized tool is needed to facilitate consistent evaluation and development of clinical judgment.

Purpose of the Study:

  • To describe the Lasater Clinical Judgment Rubric as a validated, evidence-based tool.
  • To highlight the rubric's utility in providing a common language for students, educators, and preceptors.
  • To illustrate how the rubric supports the trajectory of clinical judgment development.

Main Methods:

  • The Lasater Clinical Judgment Rubric is an evidence-based instrument.
  • It facilitates structured feedback for reflective journals and self-evaluation.
  • The rubric guides the formulation of higher-order thinking questions.

Main Results:

  • The rubric establishes a shared vocabulary for clinical judgment among stakeholders.
  • It offers a clear developmental pathway for students' clinical judgment.
  • The tool supports reflective practice and critical thinking development.

Conclusions:

  • The Lasater Clinical Judgment Rubric is an effective tool for evaluating and fostering clinical judgment in nursing education.
  • Its implementation can enhance the quality of patient care by improving student decision-making skills.
  • The rubric promotes a consistent and evidence-based approach to clinical judgment assessment.