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Adapting the Lasater Clinical Judgment Rubric for Student Self-Assessment.

Bev A Wilgenbusch, Victoria D Jurevic, Katy E Gilb

    The Journal of Nursing Education
    |April 15, 2026
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    Nursing students using a self-assessment tool showed significant growth in clinical judgment skills. This empowers them to identify strengths and areas for development in their nursing education journey.

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    Area of Science:

    • Nursing Education
    • Clinical Judgment Assessment

    Background:

    • The Lasater Clinical Judgment Rubric (LCJR) is a validated instrument for assessing clinical judgment in nursing education.
    • This study investigated an adapted LCJR version for self-assessment of clinical judgment development.

    Purpose of the Study:

    • To evaluate the effectiveness of an adapted Lasater Clinical Judgment Rubric (LCJR) as a self-assessment tool.
    • To track students' reflection on clinical judgment development over an academic year.

    Main Methods:

    • An adapted LCJR was administered to nursing students twice during an academic year.
    • Classroom activities were integrated to foster clinical judgment skill development.

    Main Results:

    • Participants reported significant improvement in their clinical judgment skills.
    • A correlation was observed where lower course grades corresponded to lower self-rated LCJR scores.

    Conclusions:

    • Self-assessment empowers nursing students to recognize their strengths and areas needing improvement.
    • This process aids students in their transition to professional nursing practice.