Lasater Clinical Judgement Rubric Tool-Lasater Clinical Judgement Rubric Tool

Lasater Clinical Judgement Rubric Tool

Pdf Summary

The Emergency Nurses Association (ENA) has developed a comprehensive Clinical Judgment Rubric and Residency Scoring Tool to assess nursing competencies. This tool uses a tiered grading system to evaluate nursing skills across four main categories: Noticing, Interpreting, Responding, and Reflecting. Each category contains specific sub-categories with performance levels ranging from Beginning (1) to Exemplary (4).<br /><br />**Noticing:**<br />1. **Focused Observation** - Ranges from confusion in data collection (1) to proficient monitoring of various data (4).<br />2. **Recognizing Deviations from Expected Patterns** - Evaluates ability to identify and act on data patterns, from missing important data (1) to recognizing subtle patterns (4).<br />3. **Information Seeking** - Assesses efforts to gather relevant information from clients and families, from ineffective attempts (1) to assertive and careful collection (4).<br /><br />**Interpreting:**<br />1. **Prioritizing Data** - Measures the ability to focus on important data, from struggling to prioritize (1) to efficiently focusing on key data (4).<br />2. **Making Sense of Data** - From difficulty interpreting simple data (1) to successfully developing justified intervention plans even with complex data (4).<br /><br />**Responding:**<br />1. **Calm, Confident Manner** - Evaluates leadership and stress management, from stressed and disorganized (1) to taking control effectively in most situations (4).<br />2. **Clear Communication** - Ranges from poor communication causing confusion (1) to clearly directing and reassuring clients/families (4).<br />3. **Well-Planned Intervention/Flexibility** - Analyzes the ability to tailor interventions and adjust treatments, from vague single interventions (1) to closely tailored and monitored interventions (4).<br />4. **Being Skillful** - Evaluates mastery of nursing skills, from inability to perform skills (1) to showing necessary skill mastery (4).<br /><br />**Reflecting:**<br />1. **Evaluation/Self-Analysis** - Evaluates the capacity for self-assessment and learning from experiences, from cursory evaluations (1) to independent, detailed self-analysis (4).<br />2. **Commitment to Improvement** - Measures the drive for ongoing improvement, from lack of interest (1) to identifying specific plans to improve performance (4).<br /><br />The tool includes sections for evaluators to record scores and feedback, and can be used for regular intervals or during simulations. Adapted from Kathie Lasater's work in the "Journal of Nursing Education," this rubric aims to foster development and accountability in nursing education.

Keywords

Emergency Nurses Association

Clinical Judgment Rubric

Residency Scoring Tool

nursing competencies

Noticing

Interpreting

Responding

Reflecting

performance levels

nursing education