RT Journal Article T1 Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain A1 Román-Cereto, Montserrat A1 García-Mayor, Silvia A1 Kaknani-Uttumchandani, Shakira A1 García-Gámez, Marina A1 León-Campos, Álvaro A1 Fernández-Ordóñez, Eloísa A1 Martí-García, Celia A1 López-Leiva, María Inmaculada A1 Lasater, Kathie A1 Morales-Asencio, José Miguel K1 Enfermería - Estudio y enseñanza AB Background: The clinical judgment and decision-making abilities of nurses can influence many health outcomes,hence the importance of addressing these qualities in university studies. In this respect, clinical simulation is acommonly employed teaching method. The evaluation of simulation activities requires standardised instruments,such as the Lasater Clinical Judgment Rubric, which is widely used for this purpose, although a culturallyadapted and validated version in Spain is not available.Aims: To obtain a Spanish culturally adapted and validated version of the rubric for undergraduate students ofnursing.Design, Participants and Setting: Cultural adaptation and psychometric validation study carried out with undergraduatenursing students in the simulation laboratories at the University of Málaga (Spain).Methods: A process of translation/back-translation and cultural adaptation was carried out in accordance withinternational standards. The rubric was empirically evaluated in standardised scenarios with high and mediumfidelitysimulators. Each student took part in two different simulation sessions, led by two instructors. In eachsimulation, the data were collected by two independent observers.Results: 152 observations were obtained from 76 students. The interobserver reliability was high, with an intraclasscorrelation coefficient of 0.93 (95% CI 0.92–0.95) (p=0.0001) and Cronbach's alpha of 0.93. Accordingto the confirmatory factor analysis, the fit of the model was satisfactory in all indices, with a χ2/df value of 1.08,GFI 0.96, TLI 0.99, NFI 0.97 and RMSEA 0.24 (90% CI 0.000–0.066).Conclusions: The rubric obtained is culturally adapted to the Spanish educational context, and is valid andreliable for nursing students. Further prospective studies should be undertaken to evaluate the responsiveness,potential for transfer to clinical practice and cost-benefit ratios of different simulation designs PB Elsevier YR 2018 FD 2018 LK https://hdl.handle.net/10630/33481 UL https://hdl.handle.net/10630/33481 LA eng NO Román-Cereto, M., García-Mayor, S., Kaknani-Uttumchandani, S., García-Gámez, M., León-Campos, A., Fernández-Ordóñez, E., Ruiz-García, M. L., Martí-García, C., López-Leiva, I., Lasater, K., & Morales-Asencio, J. M. (2018). Cultural adaptation and validation of the Lasater Clinical Judgment Rubric in nursing students in Spain. Nurse education today, 64, 71–78. https://doi.org/10.1016/j.nedt.2018.02.002 Format: DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 22 ene 2026