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Clinical judgment: The last frontier for evaluation
Abstract
Nursing educators and preceptors often find it difficult to evaluate prelicensure students' clinical judgment development. Clinical judgment is critical to excellent patient care decisions and outcomes. The Lasater Clinical Judgment Rubric, a validated, evidence-based clinical judgment rubric, is described as a tool that offers a common language for students, nurse educators, and preceptors and a trajectory for students' clinical judgment development. The rubric has been used to provide feedback for reflective journals and a means for self-evaluation in addition to a guide for formulating higher level thought questions to shape students' thinking like a nurse.
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“Critical care nurses require adequate thinking skills to assess the condition of acutely-ill patients, make decisions, and implement appropriate interventions [1].”
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Metadata
- Authors
- Lasater, K.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- Lasater, Kathie
- ORCID
- Lasater, Kathie
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 11
- Issue
- 2
- Pages
- 86-92
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W1994296350
- Cited by
- 179
- References
- 66
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 10 · 2020: 19 · 2019: 13 · 2018: 13 · 2017: 11 · 2016: 21 · 2015: 19 · 2014: 10 · 2013: 5 · 2012: 7
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- clinical judgment, Lasater Clinical Judgment Rubric, prelicensure nursing students, nursing education, clinical preceptors, reflective journals, student self-assessment, feedback, clinical reasoning
- MeSH terms
- Clinical Competence, Education, Nursing, Baccalaureate, Humans, Judgment, Preceptorship, Self-Assessment, Students, Nursing, Nursing Education Research
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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