Assessing the Reliability, Validity, and Use of the Lasater Clinical Judgment Rubric: Three Approaches

Abstract

The purpose of this article is to summarize the methods and findings from three different approaches examining the reliability and validity of data from the Lasater Clinical Judgment Rubric (LCJR) using human patient simulation. The first study, by Adamson, assessed the interrater reliability of data produced using the LCJR using intraclass correlation (2,1). Interrater reliability was calculated to be 0.889. The second study, by Gubrud-Howe, used the percent agreement strategy for assessing interrater reliability. Results ranged from 92% to 96%. The third study, by Sideras, used level of agreement for reliability analyses. Results ranged from 57% to 100%. Findings from each of these studies provided evidence supporting the validity of the LCJR for assessing clinical judgment during simulated patient care scenarios. This article provides extensive information about psychometrics and appropriate use of the LCJR and concludes with recommendations for further psychometric assessment and use of the LCJR.

Psychometric Properties of the Lasater Clinical Judgment Rubric

“…These reports contain insufficient details of sample, methods, and limitations. The most recent academic publication of the LCJR's reliability includes the results of three studies presented in one article: Adamson, who had the largest sample size used intra-class correlation (2,1) with a reported inter-rater reliability of 0.889; Gubrud used the percent agreement strategy with a reported range of inter-rater reliability of 92-96%; Sideras used level of agreement with a reported range of inter-rater reliability of 57-100% (Adamson et al, 2012).…”

Assessment of bachelor's theses in a nursing degree with a rubrics system: Development and validation study

“…Nicholson et al (2009Nicholson et al ( , 2013) use the Rash model to explore psychometric properties of a rubric, and explore inter-rater reliability with CCI and internal consistency with Cronbach's Alpha. Lasater (2007) develop a rubric using a qualitative-quantitative-qualitative design, and later other authors have studied psychometric properties (Adamson et al, 2012) (Shin et al, 2015). Other rubrics have been developed by consensus and this might affect their content validity (Torres Manrique et al, 2012).…”

Self-Evaluation in a Clinical Setting to Develop Nursing Students’ Clinical Judgment

“…Lasater (2007) reported a continuation of "predictive validity studies formalizing the correlation between the simulation laboratory and clinical setting, and studies of interrater reliability" (p. 503). Adamson et al (2014) has also established the reliability and validity of the LCJR with simulation using standardized human patients (Adamson et al, 2012).…”