Matches in SemOpenAlex for { <https://semopenalex.org/work/W46191128> ?p ?o ?g. }
- W46191128 abstract "Title: An examination of the construct validity of a clinical judgment evaluation tool in the setting of high-fidelity simulation Author: Stephanie Sideras APPROVED: Christine A. Tanner, RN, PhD, Dissertation Chair The purpose of this study was to examine the construct validity of the Lasater Clinical Judgment Rubric (LCJR) as a method of evaluating clinical judgment. The primary aims of the study were to examine the empirical evidence for two testable theoretical relationships present in the Tanner research-based clinical judgment model. A secondary aspect of the study was the exploration of clinical judgment assessments made by faculty in comparison to those made by students. A baccalaureate nursing program requiring two years of upper division course work provided the convenience sample. Known-groups methodology was used to compare the clinical judgment performances of graduating seniors (N = 24) to those of end-of-year juniors (N = 22). The setting was a high-fidelity simulation lab with each student participating in three scenarios of increasing complexity. The active component of each simulation and the debriefing was recorded. Nursing faculty raters were blind to the educational status of the student. The first hypothesis, that graduating seniors would demonstrate a higher level of clinical judgment than end-of-year juniors was supported. With performance averaged across all three of the simulation scenarios, the z-score probability interpretation of the effect size difference between these two groups found that 81% of the juniors demonstrated a level of clinical judgment that was less than the average of the senior group. While this study provides strong support for the construct validity of the LCJR, further research needs to be directed toward methods of improving inter-rater agreement, which was modest in this study. The second hypothesis was that as simulation complexity increased, student performance in clinical judgment, as measured on the LCJR, would decrease. This hypothesis was examined through repeated measures ANOVA, and was not supported. The possible explanations for the lack of interaction between complexity and clinical judgment include possible error in the measurement or implementation of complexity, a practice effect as the students went directly from one simulation to the next, or insufficient power in the study design. Future research in this area needs to address our understanding of situational complexity. The third hypothesis examined the relationship between student self-evaluation of clinical judgment and faculty rating. A Pearson r correlation demonstrated significance only in the dimension of noticing. While paired ttest analysis found significant differences between faculty and both groups of students, less difference was present between faculty and senior students. An analysis of variance determined student grouping did not significantly impact the accuracy of self-assessment. Future research should be directed toward improving student awareness of the expected the standard of performance. Conclusion: Preliminary evidence supports the construct validity of the Lasater Clinical Judgment Rubric. Clinical Judgment Construct Validity vi TABLE OF CONTENTS ACKNOWLEDGMENTS iii DEDICATION iv ABSTRACT v TABLE OF CONTENTS vi LIST OF TABLES ix LIST OF FIGURES x CHAPTER" @default.
- W46191128 created "2016-06-24" @default.
- W46191128 creator A5027068817 @default.
- W46191128 date "2007-01-01" @default.
- W46191128 modified "2023-09-23" @default.
- W46191128 title "An examination of the construct validity of a clinical judgment evaluation tool in the setting of high-fidelity simulation" @default.
- W46191128 cites W105060465 @default.
- W46191128 cites W114726355 @default.
- W46191128 cites W129900582 @default.
- W46191128 cites W139767363 @default.
- W46191128 cites W1435761418 @default.
- W46191128 cites W1481704255 @default.
- W46191128 cites W1488396647 @default.
- W46191128 cites W1491207710 @default.
- W46191128 cites W1493628934 @default.
- W46191128 cites W1507008874 @default.
- W46191128 cites W1509938432 @default.
- W46191128 cites W1524955631 @default.
- W46191128 cites W1533746441 @default.
- W46191128 cites W1556215917 @default.
- W46191128 cites W155630682 @default.
- W46191128 cites W1564062842 @default.
- W46191128 cites W1566043400 @default.
- W46191128 cites W1606644542 @default.
- W46191128 cites W167399724 @default.
- W46191128 cites W171279065 @default.
- W46191128 cites W1761828760 @default.
- W46191128 cites W1787350650 @default.
- W46191128 cites W1964218847 @default.
- W46191128 cites W1969450896 @default.
- W46191128 cites W1973804463 @default.
- W46191128 cites W1973892025 @default.
- W46191128 cites W1974599891 @default.
- W46191128 cites W1975680569 @default.
- W46191128 cites W1981895801 @default.
- W46191128 cites W1982016896 @default.
- W46191128 cites W1985190484 @default.
- W46191128 cites W1990070749 @default.
- W46191128 cites W199506550 @default.
- W46191128 cites W1997589486 @default.
- W46191128 cites W1999967356 @default.
- W46191128 cites W2001256517 @default.
- W46191128 cites W2002081553 @default.
- W46191128 cites W2004685127 @default.
- W46191128 cites W2005839237 @default.
- W46191128 cites W2006436798 @default.
- W46191128 cites W2013971630 @default.
- W46191128 cites W2015149074 @default.
- W46191128 cites W2015980568 @default.
- W46191128 cites W2016660511 @default.
- W46191128 cites W2016738977 @default.
- W46191128 cites W2019288716 @default.
- W46191128 cites W2019804194 @default.
- W46191128 cites W2021541970 @default.
- W46191128 cites W2021750853 @default.
- W46191128 cites W2022575139 @default.
- W46191128 cites W2028812532 @default.
- W46191128 cites W2029745201 @default.
- W46191128 cites W2033102585 @default.
- W46191128 cites W2036232752 @default.
- W46191128 cites W2036503757 @default.
- W46191128 cites W2036513749 @default.
- W46191128 cites W2038244867 @default.
- W46191128 cites W2038746872 @default.
- W46191128 cites W2040596761 @default.
- W46191128 cites W2041577482 @default.
- W46191128 cites W2043704212 @default.
- W46191128 cites W2045491631 @default.
- W46191128 cites W2047798912 @default.
- W46191128 cites W2048471705 @default.
- W46191128 cites W2052144518 @default.
- W46191128 cites W2058555157 @default.
- W46191128 cites W2060103249 @default.
- W46191128 cites W2060280636 @default.
- W46191128 cites W2060409493 @default.
- W46191128 cites W2061510116 @default.
- W46191128 cites W2067040491 @default.
- W46191128 cites W2067426705 @default.
- W46191128 cites W2068757607 @default.
- W46191128 cites W2069719955 @default.
- W46191128 cites W2077315091 @default.
- W46191128 cites W2079006924 @default.
- W46191128 cites W2079337456 @default.
- W46191128 cites W2080102105 @default.
- W46191128 cites W2080702957 @default.
- W46191128 cites W2083536940 @default.
- W46191128 cites W2085377832 @default.
- W46191128 cites W2086468910 @default.
- W46191128 cites W2088205075 @default.
- W46191128 cites W2090299671 @default.
- W46191128 cites W2090777839 @default.
- W46191128 cites W2090884181 @default.
- W46191128 cites W2091623399 @default.
- W46191128 cites W2095734058 @default.
- W46191128 cites W2099467668 @default.
- W46191128 cites W2102878539 @default.
- W46191128 cites W2104505336 @default.
- W46191128 cites W2111993338 @default.
- W46191128 cites W211272866 @default.
- W46191128 cites W2115173015 @default.