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The Lasater Clinical Judgment Rubric (LCJR) effectively tracks nursing students' clinical judgment development over time. Simulation offers a valuable comparison, revealing differences in how judgment is assessed in various educational settings.

Keywords:
Tanner’s Clinical Judgment Modelassessmentclinical experiencesprelicensure nursing

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Area of Science:

  • Nursing Education
  • Clinical Assessment
  • Healthcare Professional Development

Background:

  • Clinical judgment is crucial for safe nursing practice.
  • Consistent assessment of clinical judgment in nursing education remains under-researched.

Purpose of the Study:

  • To evaluate the Lasater Clinical Judgment Rubric (LCJR) for assessing prelicensure nursing students' clinical judgment.
  • To compare LCJR assessments in clinical experiences with simulation data.

Main Methods:

  • A longitudinal cohort study involving 53 nursing students across 4 semesters.
  • Students were assessed 35 times using the LCJR in both clinical and simulation settings.

Main Results:

  • The LCJR showed strong correlations between clinical and simulation scores in the first semester, which weakened in subsequent semesters.
  • LCJR scores in clinical settings significantly improved across semesters, with notable increases between the second and third semesters.

Conclusions:

  • The LCJR is sensitive to developmental changes in clinical judgment during nursing education, indicating its potential as a standardized longitudinal evaluation tool.
  • Simulation serves as a valuable comparative tool, highlighting variations in clinical judgment expression and assessment across different learning environments.