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Updated: May 10, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Simulation evaluation using a modified Lasater Clinical Judgment Rubric
Alyce S Ashcraft1, Laura Opton, Ruth Ann Bridges
1Texas Tech University Health Sciences Center, School of Nursing, Lubbock, Texas, USA. alyce.ashcraft@ttuhsc.edu
Aim:
The purpose of this study was to describe the process of evaluating senior nursing students in the simulation laboratory using a modified Lasater Clinical Judgment Rubric (LCJR).
Background:
The LCJR is a clinical evaluation tool used to measure outcomes in simulated learning settings. The LCJR was revised to provide numeric grading and clarity regarding expectations of clinical competency.
Method:
The study was conducted over two years with students enrolled in their final bachelor of science in nursing semester (Phase I, n = 86; Phase 2, n = 102) using high-fidelity simulation.
Results:
The modified rubric measured student performance more holistically than a procedural checklist and provided objective criteria for evaluation.
Conclusion:
A well-constructed rubric provides a mechanism to evaluate student performance in simulation by focusing on clinical reasoning essential for patient safety and allowing numeric evaluation of performance.