Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain

Montserrat Román-Cereto, Silvia García-Mayor, Shakira Kaknani-Uttumchandani, Marina García-Gámez, Alvaro León-Campos, Eloisa Fernández-Ordóñez, Maria Luisa Ruiz-García, C. Martí-García, Inmaculada López-Leiva, Kathie Lasater, José Miguel Morales-Asencio

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background: The clinical judgment and decision-making abilities of nurses can influence many health outcomes, hence the importance of addressing these qualities in university studies. In this respect, clinical simulation is a commonly employed teaching method. The evaluation of simulation activities requires standardised instruments, such as the Lasater Clinical Judgment Rubric, which is widely used for this purpose, although a culturally adapted and validated version in Spain is not available. Aims: To obtain a Spanish culturally adapted and validated version of the rubric for undergraduate students of nursing. Design, Participants and Setting: Cultural adaptation and psychometric validation study carried out with undergraduate nursing students in the simulation laboratories at the University of Málaga (Spain). Methods: A process of translation/back-translation and cultural adaptation was carried out in accordance with international standards. The rubric was empirically evaluated in standardised scenarios with high and medium-fidelity simulators. Each student took part in two different simulation sessions, led by two instructors. In each simulation, the data were collected by two independent observers. Results: 152 observations were obtained from 76 students. The interobserver reliability was high, with an intraclass correlation coefficient of 0.93 (95% CI 0.92–0.95) (p = 0.0001) and Cronbach's alpha of 0.93. According to the confirmatory factor analysis, the fit of the model was satisfactory in all indices, with a χ2/df value of 1.08, GFI 0.96, TLI 0.99, NFI 0.97 and RMSEA 0.24 (90% CI 0.000–0.066). Conclusions: The rubric obtained is culturally adapted to the Spanish educational context, and is valid and reliable for nursing students. Further prospective studies should be undertaken to evaluate the responsiveness, potential for transfer to clinical practice and cost-benefit ratios of different simulation designs.

    Original languageEnglish (US)
    Pages (from-to)71-78
    Number of pages8
    JournalNurse Education Today
    Volume64
    DOIs
    StatePublished - May 1 2018

    Fingerprint

    Nursing Students
    Spain
    nursing
    simulation
    Students
    Aptitude
    student
    Validation Studies
    Psychometrics
    Statistical Factor Analysis
    Cost-Benefit Analysis
    Teaching
    Nurses
    Prospective Studies
    Health
    teaching method
    psychometrics
    factor analysis
    instructor
    nurse

    Keywords

    • Clinical competence
    • Education, nursing
    • Educational measurement
    • Patient simulation
    • Psychometrics
    • Simulation training
    • Students, nursing

    ASJC Scopus subject areas

    • Nursing(all)
    • Education

    Cite this

    Román-Cereto, M., García-Mayor, S., Kaknani-Uttumchandani, S., García-Gámez, M., León-Campos, A., Fernández-Ordóñez, E., ... Morales-Asencio, J. M. (2018). Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain. Nurse Education Today, 64, 71-78. https://doi.org/10.1016/j.nedt.2018.02.002

    Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain. / Román-Cereto, Montserrat; García-Mayor, Silvia; Kaknani-Uttumchandani, Shakira; García-Gámez, Marina; León-Campos, Alvaro; Fernández-Ordóñez, Eloisa; Ruiz-García, Maria Luisa; Martí-García, C.; López-Leiva, Inmaculada; Lasater, Kathie; Morales-Asencio, José Miguel.

    In: Nurse Education Today, Vol. 64, 01.05.2018, p. 71-78.

    Research output: Contribution to journalArticle

    Román-Cereto, M, García-Mayor, S, Kaknani-Uttumchandani, S, García-Gámez, M, León-Campos, A, Fernández-Ordóñez, E, Ruiz-García, ML, Martí-García, C, López-Leiva, I, Lasater, K & Morales-Asencio, JM 2018, 'Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain', Nurse Education Today, vol. 64, pp. 71-78. https://doi.org/10.1016/j.nedt.2018.02.002
    Román-Cereto M, García-Mayor S, Kaknani-Uttumchandani S, García-Gámez M, León-Campos A, Fernández-Ordóñez E et al. Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain. Nurse Education Today. 2018 May 1;64:71-78. https://doi.org/10.1016/j.nedt.2018.02.002
    Román-Cereto, Montserrat ; García-Mayor, Silvia ; Kaknani-Uttumchandani, Shakira ; García-Gámez, Marina ; León-Campos, Alvaro ; Fernández-Ordóñez, Eloisa ; Ruiz-García, Maria Luisa ; Martí-García, C. ; López-Leiva, Inmaculada ; Lasater, Kathie ; Morales-Asencio, José Miguel. / Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain. In: Nurse Education Today. 2018 ; Vol. 64. pp. 71-78.
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    abstract = "Background: The clinical judgment and decision-making abilities of nurses can influence many health outcomes, hence the importance of addressing these qualities in university studies. In this respect, clinical simulation is a commonly employed teaching method. The evaluation of simulation activities requires standardised instruments, such as the Lasater Clinical Judgment Rubric, which is widely used for this purpose, although a culturally adapted and validated version in Spain is not available. Aims: To obtain a Spanish culturally adapted and validated version of the rubric for undergraduate students of nursing. Design, Participants and Setting: Cultural adaptation and psychometric validation study carried out with undergraduate nursing students in the simulation laboratories at the University of M{\'a}laga (Spain). Methods: A process of translation/back-translation and cultural adaptation was carried out in accordance with international standards. The rubric was empirically evaluated in standardised scenarios with high and medium-fidelity simulators. Each student took part in two different simulation sessions, led by two instructors. In each simulation, the data were collected by two independent observers. Results: 152 observations were obtained from 76 students. The interobserver reliability was high, with an intraclass correlation coefficient of 0.93 (95{\%} CI 0.92–0.95) (p = 0.0001) and Cronbach's alpha of 0.93. According to the confirmatory factor analysis, the fit of the model was satisfactory in all indices, with a χ2/df value of 1.08, GFI 0.96, TLI 0.99, NFI 0.97 and RMSEA 0.24 (90{\%} CI 0.000–0.066). Conclusions: The rubric obtained is culturally adapted to the Spanish educational context, and is valid and reliable for nursing students. Further prospective studies should be undertaken to evaluate the responsiveness, potential for transfer to clinical practice and cost-benefit ratios of different simulation designs.",
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    AU - García-Gámez, Marina

    AU - León-Campos, Alvaro

    AU - Fernández-Ordóñez, Eloisa

    AU - Ruiz-García, Maria Luisa

    AU - Martí-García, C.

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