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- Title
Psychometric properties of a clinical reasoning assessment rubric for nursing education.
- Authors
Lee, JuHee; Park, Chang Gi; Kim, Sung Hae; Bae, Juyeon
- Abstract
Background: Clinical reasoning is a vital competency for healthcare providers. In 2014, a clinical reasoning assessment rubric (CRAR) composed of analysis, heuristics, inference, information processing, logic, cognition and meta-cognition subdomains was developed for osteopathy students. Methods: This study was conducted to verify the validity and reliability of the CRAR in nursing education. A total of 202 case vignette assessments completed by 68 students were used for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The Cronbach's α coefficient of the CRAR was calculated. Results: The content validity indices ranged from 0.57 to 1.0. The EFA resulted in three factors: assessment in nursing, nursing diagnosis and planning, and cognition/meta-cognition in nursing. The CFA supported a 3-factor model. The Cronbach's α coefficient of the CRAR was 0.94. This study confirmed the content validity, construct validity, and reliability of the CRAR. Therefore, the CRAR is a useful rubric for assessing clinical reasoning in nursing students. Conclusions: The CRAR is a standardized rubric for assessing clinical reasoning in nurses. This scale will be useful for the development of educational programs for improving clinical reasoning in nursing education.
- Subjects
RESEARCH evaluation; NURSING; CONFIDENCE intervals; RESEARCH methodology; COGNITION; NURSING education; PSYCHOMETRICS; MULTITRAIT multimethod techniques; NURSES; QUESTIONNAIRES; CASE studies; FACTOR analysis; RESEARCH funding; DESCRIPTIVE statistics; NURSING students; STUDENT attitudes; STATISTICAL correlation; DATA analysis software; MEDICAL logic; TRANSLATIONS
- Publication
BMC Nursing, 2021, Vol 20, Issue 1, p1
- ISSN
1472-6955
- Publication type
Article
- DOI
10.1186/s12912-021-00695-z