Background: There is a lack of longitudinal studies measuring student progression in clinical judgment. Previous studies measured gains in clinical judgment after 1 intervention or over 1 semester.
Purpose: This study evaluated the development and progression of clinical judgment in simulation throughout a prelicensure bachelor of science in nursing (BSN) program using the Lasater Clinical Judgment Rubric (LCJR).
Methods: This retrospective longitudinal study evaluated clinical judgment using the LCJR over 4 semesters, with a sample of 53 prelicensure nursing students. Each student had 18 simulation scores recorded during the study. A linear mixed model was employed to compare LCJR average scores from the beginning to the end of the program and across each semester.
Results: Eighteen simulations were reviewed among 4 nursing courses. LCJR scores increased progressively from the first to the fourth semester.
Conclusions: Students showed progression of clinical judgment throughout a BSN curriculum using the LCJR as an assessment tool.
Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.