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The Lasater Clinical Judgment Rubric: Implications for Evaluating Teaching Effectiveness.

Kristin C Lee

    The Journal of Nursing Education
    |February 2, 2021
    PubMed
    Summary
    This summary is machine-generated.

    The Lasater Clinical Judgment Rubric (LCJR) effectively evaluates nursing education interventions. Educators should consider reliability and adaptation strategies for optimal use in assessing clinical judgment.

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    Area of Science:

    • Nursing Education
    • Healthcare Quality Improvement

    Background:

    • Patient safety is paramount and requires validated tools to assess clinical judgment.
    • The Lasater Clinical Judgment Rubric (LCJR) is a key instrument for this evaluation.

    Purpose of the Study:

    • To review the application of the LCJR in evaluating educational interventions.
    • To assess the psychometric properties of the LCJR in various studies.

    Main Methods:

    • A systematic literature search was conducted using databases like Scopus, ERIC, and CINAHL.
    • Keywords included 'nurse,' 'student,' 'clinical judgment,' and 'Lasater Clinical Judgment Rubric.'
    • Twenty studies met the inclusion criteria for the review.

    Main Results:

    • Reported Cronbach's alpha values demonstrated strong internal consistency for the LCJR scales (total scales .80–.97, subscales .89–.93).
    • Student self-scoring reliability ranged from .81 to .82.
    • Identified themes included evaluation methods (individual vs. group), scenario design, and adapting the rubric for non-observational assessments.

    Conclusions:

    • The LCJR is a viable tool for evaluating clinical judgment in nursing education.
    • Considerations for educators include ensuring inter- and intrarater reliability.
    • Adapting the LCJR for different evaluation contexts, such as non-direct observation, is important.