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Development of Clinical Judgment in Prelicensure Nursing Students Through Simulation: A Longitudinal Study
Open accessAbstract
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.
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Cites
Clinical judgment: The last frontier for evaluation
Lasater, K. (2011) · Nurse Education in Practice · doi:10.1016/j.nepr.2010.11.013 · Cited by 179
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Metadata
- Authors
- Bussard, M. E., Jacobs, L. A., Mahoney, S. A., Davis, L. L., Oberhaus, A. M., & Lavoie, P.
- Affiliations
- Bowling Green State University (US)
- Corresponding author
- Bussard, Michelle E.
- Venue
- Nurse Educator
- Published
- 2024-12-10
- Volume
- 50
- Issue
- 3
- Pages
- 117-122
- ISSN
- 0363-3624 (ISSN-L)
- 1538-9855
- OpenAlex
- W4405239331
- Cited by
- 10
- References
- 1
- Citations by year
- 2026: 6 · 2025: 4
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nurse Educator (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- clinical judgment, nursing simulation, prelicensure nursing students, Lasater Clinical Judgment Rubric, longitudinal assessment, nursing education
- MeSH terms
- Simulation Training, Adult, Clinical Competence, Curriculum, Education, Nursing, Baccalaureate, Educational Measurement, Female, Humans, Judgment, Longitudinal Studies, Male, Retrospective Studies, Students, Nursing, Nursing Education Research, Nursing Evaluation Research, Young Adult
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