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

doi:10.1097/01.NEP.0000000000000802

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

Nurs Educ Perspect. 2021 Nov-Dec;42(6):E49-E51. doi: 10.1097/01.NEP.0000000000000802.

Authors

Mary Ann Cantrell¹, Bette Mariani, Evelyn Lengetti

Affiliation

¹ About the Authors The authors are faculty at M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania. Mary Ann Cantrell, PhD, RN, CNE, ANEF, FAAN, is a professor and director, PhD program. Bette Mariani, PhD, RN, ANEF, is vice dean for academic affairs and associate professor. Evelyn Lengetti, PhD, RN-BC, is assistant dean of continuing education. This research was supported by an NLN Ruth Donnelly Corcoran Research Award and by the Center for Research, M. Louise Fitzpatrick College of Nursing. Dr. Mariani, Nursing Education Perspectives Research Brief editor, did not participate in review or decision for this article. For more information, contact Dr. Cantrell at [email protected].

PMID: 34149011
DOI: 10.1097/01.NEP.0000000000000802

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.

MeSH terms

Clinical Competence
Education, Nursing, Baccalaureate*
Educational Measurement
Humans
Judgment
Nurses*
Reproducibility of Results
Students, Nursing*