Utilizing Case-Based Learning and a Modified Lasater Clinical Judgment Rubric (LCJR) for Clinical Judgment Skills.

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Bev Wilgenbusch, Rebekah Knauer

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Bev Wilgenbusch: About the Authors Bev Wilgenbusch, EdD, RN, CNE, CCRN, is assistant professor, Miami University, Department of Nursing, Hamilton, Ohio. Rebekah Knauer, EdD, RN, CCFP, is associate professor and director, Bailen Health Sciences Simulation Learning Center, Louisville, Kentucky. This research was based on Dr. Wilgenbusch's dissertation, published through the School of Education at Indiana University in 2021. For more information, contact Dr. Wilgenbusch at wilgenba@miamioh.edu.

PMID: 40042345 DOI: 10.1097/01.NEP.0000000000001395

ABSTRACT: It is challenging to assess clinical judgment skill development. The purpose of this study was to understand how case-based learning (CBL) and an innovation to the Lasater Clinical Judgment Rubric (LCJR) can be used to facilitate and assess clinical judgment skills. A pilot study using a quasi-experimental design was conducted to develop and assess clinical judgment competencies. Data were collected through a pretest/posttest, CBL worksheets, and modified LCJRs. Pretest/posttest results were statistically significant. Significant results were not shown by LCJR data as a whole, but one component demonstrated significant change. Considering the study's brevity, any significant LCJR results are promising.

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