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Internal Reliability Estimates of the Lasater Clinical Judgment Rubric Among New-to-Practice Nurses in a Simulated Setting

Mary Ann Cantrell, Bette Mariani, Evelyn Lengetti

2021Nursing Education Perspectives10 citationsDOI

Abstract

ABSTRACT: Clinical judgment among new-to-practice nurses is critical for safe patient care. The Lasater Clinical Judgment Rubric (LCJR) is a known instrument in undergraduate nursing education research. This study evaluated the internal consistency reliability and changes in the LCJR in a sample of 17 new-to-practice nurses in a simulated setting across four measurements. Cronbach's alpha reliability for the LCJR was .90. Effect sizes (η2) ranged from .01 to .45, with only the reflecting subscale demonstrating an effect. Study team and study participants' self-ratings on the LCJR were compared; team members' ratings were significantly lower than participants' self-ratings.

Topics & Concepts

RubricCronbach's alphaReliability (semiconductor)Internal consistencyPsychologyClinical judgmentClinical PracticePatient careMedical educationNursingClinical psychologyMedicinePsychometricsMedical physicsPedagogyPhysicsPower (physics)Quantum mechanicsSimulation-Based Education in HealthcarePatient Safety and Medication ErrorsClinical Reasoning and Diagnostic Skills