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Rater Bias in Simulation Performance Assessment: Examining the Effect of Participant Race/Ethnicity

AIMThe purpose of this study was to determine whether scores assigned to simulation participants using the Lasater Clinical Judgment Rubric (LCJR) were influenced by participants’ racial/ethnic backgrounds. BACKGROUNDScores on the LCJR demonstrate strong reliability and validity. However, little evidence exists about whether scores are influenced by factors that are not relevant to the demonstration of clinical judgment, such as simulation participants’ racial/ethnic backgrounds. METHODUsing video-recorded simulations portraying male and female nursing students of different racial/ethnic backgrounds, LCJR scores assigned by 68 raters were compared to determine whether there were significant differences among them. RESULTSThis study provides validity evidence indicating LCJR scores were not significantly affected by the simulation participants’ racial/ethnic backgrounds. CONCLUSIONFindings support the use of the LCJR for providing valid data about student performance in simulation activities and provide a catalyst for further examination of simulation evaluation practices.