The Reliability and Validity of the Lasater Clinical Judgement Rubric in Korean Nursing Students

Abstract

Purpose: This study was done to evaluate the Lasater Clinical Judgement Rubric for use with Korean nursing students. Methods: A methodological study was used to validate the rubric developed by Lasater to assess clinical judgment during nursing simulation. Participants were 34 nursing students at K University in Seoul. Between February and May, 2012, analysis was done of 91 video clips recording performance during simulation. Results: Findings showed reliability and validity of the rubric. For internal consistency, Cronbach's α score was .884 and intraclass correlation coefficient was .839, which established reliability. The rubric was validated using the exploratory factor analysis and content validity. The content validity score was 83%, establishing the appropriateness and readiness of the tool. Factor analysis showed that noticing, responding, and reflecting domains had Eigen values of 2.669, 1.991, and 2.912, respectively and were bound, but unlike the original tool in which four factors noticing, interpretation, responding, and reflecting domains were bound. Conclusion: Results of the study indicate that the rubric shows acceptable reliability and validity in Korean nursing students. This evaluation tool for nursing simulation allows nursing faculty to objectively evaluate students' clinical judgment as well as students to reflect on their clinical judgment process during simulation.

First experiences of high‐fidelity simulation training in junior nursing students in Korea

“…The present authors measured the effectiveness of simulation, developed by Elfrink Cordi, Leighton, and Ryan-Wenger (2012), and translated into Korean by Shim (2012), which consisted of 13 questions with eight items of learning and five items of confidence areas. It was a 3 point scale ranging from 1 ("strongly disagree") to 3 ("strongly agree").…”

Effects of Nursing Simulation Learning on Nursing Competence According to the Learner’s Metacognition Level

“…Clinical judgment: To evaluate clinical judgment in simulation education, this study utilized an amended and improved clinical judgment tool that was originally developed by Laster [18] and modified by Shim [19]. This tool was determined to have sufficient content validity (CVI = 0.75), as established by a group of experts.…”

The Effect of Debriefing using Reflective Questions and Writing in Simulation Training: Post Operative Care of Abdominal Surgery

“…특히 구조적 디브리핑은 시뮬레이션 경험을 조직화하고 생각을 구조화시킴 으로써 임상판단력, 문제해결 능력, 비판적 사고성향, 자기효 능감, 자신감 향상에 더욱 효과적이라고 하였다 (Lasater, 2007(Lasater, , 2011. 구조적 디브리핑 방법 중 Lasater의 임상판단 루브릭 (Lasater's Clinical Judgement Rubric, LCJR)은 신뢰도와 타당 도가 인정되어 (Lasater, 2007;Sim, 2012) 다양한 간호 시뮬레 이션 교육에 효과적으로 사용되고 있다 (Eun & Bang, 2016;Ha, 2014;Jung, 2015;Lasater & Nielsen, 2009;Mariani, Cantrell, Meakim, Prieto, & Dreifuerst, 2013;Oh, 2016). 특히 LCJR을 이용한 구조적 디브리핑은 임상판단력과 비판적 사고 성향 (Cato et al, 2009)및 자기효능감 (Cant & Cooper, 2010) (Petranek, 2000).…”