Lasater clinical judgment rubric in nursing education: a Turkish validity and reliability study.

IF 3.1 2区 医学 Q1 NURSING BMC Nursing Pub Date : 2025-01-20 DOI:10.1186/s12912-024-02679-1
Esra Sezer, Hilal Yıldız Çelik, Ükke Karabacak, Kathie Lasater
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Abstract

Introduction: Gaining clinical judgment competence among student nurses is a significant outcome of nursing education. In this education process, an assessment tool based on observable behaviors is needed for evaluating students' clinical judgment skills.

Objective: This study aimed to evaluate the validity and reliability of the Turkish version of the Lasater Clinical Judgment Rubric, which assesses student nurses' stages of clinical judgment competency in simulation-based education.

Method: This study was conducted using a cross-sectional methodological design between April and August 2024. For the cultural adaptation and psychometric evaluation of the rubric, simulation videos of 3rd and 4th-year nursing students from a foundation university were used. The language validity of the rubric was performed according to the 10-step translation and cultural adaptation guide of the International Society for Pharmacoeconomics and Outcomes Research; expert opinions were obtained for content validity. The final version of the rubric comprises four stages of the Tanner Model of Clinical Judgment (noticing, interpreting, responding, and reflecting) and 11 dimensions. Four levels of achievement describe the development of each of the 11 dimensions. Sixty-four scenario records of the simulation-based education of 4th -year students in the nursing undergraduate program of a foundation university were examined, and the students were evaluated by two independent observers using the Turkish version of the rubric. The construct validity of the scale was examined using confirmatory factor analysis, and reliability was measured using Cronbach's alpha coefficient. Interobserver agreement was analyzed using the kappa and intraclass correlation coefficients. Moreover, the discrimination of the rubric was evaluated using an independent samples t-test between the lower and upper 27% groups.

Results: Confirmatory factor analysis revealed that the scale formed a four-factor structure of noticing, interpreting, responding, and reflecting in accordance with the original rubric. Furthermore, confirmatory factor analysis showed that the four-factor structure model had an acceptable and generally good fit and was statistically significant and valid. The fit indices for the model were calculated as χ2/df = 1.70, root mean square error of approximation = 0.06, comparative fit index = 0.94, and root mean square residual = 0.03. Kappa values ranged between 0.72 and 0.92, indicating a significant fit for all the items. The intraclass correlation coefficient values ranged between 0.70 and 0.90 and were statistically significant for all the items. The Cronbach's alpha value of the rubric was 0.91 and ranged between 0.80 and 0.84 in its subdimensions.

Conclusion: Therefore, the Turkish version of the rubric is a valid and reliable tool for evaluating student nurses' clinical judgment competency in simulation-based training.

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护理教育后期临床判断量表:土耳其语效度与信度研究。
摘要护理专业学生临床判断能力的培养是护理教育的重要成果。在这一教育过程中,需要一种基于可观察行为的评估工具来评估学生的临床判断能力。目的:本研究旨在评估土耳其版Lasater临床判断量表的效度和信度,该量表用于评估实习护士临床判断能力的各个阶段。方法:本研究于2024年4月至8月采用横断面方法学设计。本研究采用某基础大学护理专业三、四年级学生的模拟视频进行文化适应和心理测量评估。标题的语言效度按照国际药物经济学与结果研究学会的10步翻译和文化适应指南进行;内容效度征求专家意见。量表的最终版本包括坦纳临床判断模型的四个阶段(注意、解释、反应和反思)和11个维度。成就的四个层次描述了11个维度中的每一个的发展。对一所基础大学护理本科四年级学生的64份模拟教育情景记录进行了检查,并由两名独立观察员使用土耳其版的评分标准对学生进行了评估。量表的结构效度采用验证性因子分析检验,信度采用Cronbach’s alpha系数测定。使用kappa和类内相关系数分析观察者间的一致性。此外,使用独立样本t检验在上、下27%组之间评估分类的区别。结果:验证性因子分析显示,量表按照原标题形成注意、解释、反应、反思四因子结构。验证性因子分析表明,四因素结构模型具有可接受的总体较好的拟合性,具有统计学显著性和有效性。模型的拟合指数为χ2/df = 1.70,近似均方根误差= 0.06,比较拟合指数= 0.94,均方根残差= 0.03。Kappa值介于0.72和0.92之间,表明所有项目都具有显著的拟合性。类内相关系数值在0.70 ~ 0.90之间,各项目均具有统计学显著性。该分类的Cronbach's alpha值为0.91,其子维度范围在0.80 ~ 0.84之间。结论:因此,土耳其语版量表是评估实习护士临床判断能力的有效和可靠的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
期刊最新文献
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