Victor-Chmil Joyce, Larew Charles
Wilkes University, Wilkes-Barre, PA, USA.
Int J Nurs Educ Scholarsh. 2013 Apr 23;10:/j/ijnes.2013.10.issue-1/ijnes-2012-0030/ijnes-2012-0030.xml. doi: 10.1515/ijnes-2012-0030.
Simulation is integrated into nursing curricula as a means of developing and evaluating clinical judgment, but there are few valid and reliable tools available and evaluation is not consistently theory based. When the Lasater Clinical Judgment Rubric (LCJR) was introduced in 2007, it provided a common evaluative language for assessment of clinical judgment but had limited support of its validity and reliability. Based on Tanner's Model, the LCJR organized nursing actions into eleven dimensions and four behavioral categories and defined specific actions in each which are typical of developmental phases (Lasater, 2007). The LCJR has been adopted by many nursing programs with limited support of its validity and reliability. This article attempts to organize current knowledge available on the LCJR in an effort to assess its use as a valid and reliable measurement tool, and to identify specific needs for continued testing of the instrument.
模拟已被纳入护理课程，作为培养和评估临床判断力的一种手段，但可用的有效且可靠的工具很少，而且评估并非始终基于理论。2007年引入的拉撒特临床判断量表（LCJR）为临床判断评估提供了一种通用的评估语言，但其有效性和可靠性的支持有限。基于坦纳模型，LCJR将护理行为组织成11个维度和4个行为类别，并在每个类别中定义了代表发展阶段的具体行为（拉撒特，2007年）。许多护理项目采用了LCJR，但其有效性和可靠性的支持有限。本文试图整理有关LCJR的现有知识，以评估其作为有效且可靠测量工具的用途，并确定该工具持续测试的具体需求。
