Comparison of Simulation Assessments: Can They Identify Novice/StudentNurses?

Background: Six nursing assessments were studied to determine if they could differentiate expert (sensitivity) vs. novice (specificity) nurses: Lasater Clinical Judgment Rubric (LCJR), Quint Leveled Clinical Competency Tool (QLCCT), subjective pass/fail (P/F), time to task (TTT), fixation count, and dwell time. Methods: Fourteen reviewers viewed 79 videos of experts and novices in a simulation and scored the LCJR, QLCCT, and subjective P/F assessments. Results: Sensitivity was good for the LCJR and the QLCCT. Specificity was good for subjective P/F and TTT, and excellent for fixation count and dwell time. Conclusion: TTT, fixation count, and dwell time deserve more study. (C) 2020 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.