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Journal of Korean Critical Care Nursing 2012;5(2):15-27.
Published online December 31, 2012.

간호대학생의 저혈당 응급관리 시뮬레이션 실습 수행 평가를 위한 임상판단 루브릭 적용
허혜경, 박소미, 김기경, 정지수, 신윤희, 최향옥
1연세대학교 원주의과대학 간호학과
2연세대학교 원주의과대학 간호학과
3연세대학교 원주의과대학 간호학과
4연세대학교 대학원 간호학과
5연세대학교 원주의과대학 간호학과
6연세대학교 원주의과대학 간호학과
Evaluation of Lasater Clinical Judgment Rubric to Measure Nursing Student' Performance of Emergency Management Simulation of Hypoglycemia
Hea Kung Hur, So Mi Park, Ki Kyong Kim, Ji Soo Jung, Yoon Hee Shin, Hyang Ok Choi
1Department of Nursing, Yonsei University Wonju College of Medicine
2Department of Nursing, Yonsei University Wonju College of Medicine
3Department of Nursing, Yonsei University Wonju College of Medicine
4Department of Nursing, Yonsei University Wonju College of Medicine
5Department of Nursing, Yonsei University Wonju College of Medicine
6Department of Nursing, Yonsei University Wonju College of Medicine
Abstract
Purpose
To evaluate the applicability of Lasater Clinical Judgment Rubric (LCJR) as an evaluation tool for hypoglycemia simulation practicum on Korean nursing students.
Methods
The methodological study was done to evaluate the reliability and validity of the LCJR. Based on Benner's 4 levels of nursing grading rubric, ten items of the LCJR was evaluated for interrater reliability and internal consistency. The content validity was tested by eight experts and concurrent validity was done by Clark (2006)'s clinical simulation grading rubric. Fifty five video-taped cases of senior nursing students in Y University were used for the reliability and concurrent validity of the LCJR.
Results
The interrater reliability was r=.90 (p<.001); Kendall tau b=.87 (p <.001), and Cronbach's alpha was .90. A value of item content validity index of the LCJR was .97 and correlation coefficient between the LCJR and Clark's instrument was .90 (p<.001). The mean (${pm}SD$) of the nursing students' clinical judgment was 2.04 (${pm}50$).
Conclusion
The LCJR is a useful tool to examine the simulation performance evaluation for improving competency among nursing students. The results indicated that the LCJR may provide valuable information regarding clinical judgment of nursing students and thus, suggested to use to develop a simulation-based education program.
Key Words: Clinical judgment, Rubric, Simulation, Hypoglycemia
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