Development of Clinical Judgment in Prelicensure Nursing Students Through Simulation: A Longitudinal Study.

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 throu...

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Detalles Bibliográficos
Publicado en:Nurse Educator Vol. 50; no. 3; pp. 117 - 123
Autores principales: Bussard, Michelle E., Jacobs, Lisa A., Mahoney, Sarah A., Davis, Lacey L., Oberhaus, Annette M., Lavoie, Patrick
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May/Jun2025
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario: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.