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
Nurs Educ Perspect. 2021;42(6):E49-E51. doi: 10.1097/01.NEP.0000000000000802.
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.
临床判断对于新入职护士的患者安全护理至关重要。Lasater 临床判断量表 (LCJR) 是本科护理教育研究中已知的工具。本研究在模拟环境中对 17 名新入职护士进行了 4 次测量,评估了 LCJR 的内部一致性信度和变化。LCJR 的 Cronbach's alpha 信度为.90。效应大小 (η2) 范围从.01 到.45,只有反映分量表表现出效果。研究团队和研究参与者在 LCJR 上的自我评分进行了比较;团队成员的评分明显低于参与者的自我评分。