{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:01:03Z","timestamp":1784869263566,"version":"3.55.0"},"reference-count":26,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: The assessment of clinical competencies in nursing education requires valid and reliable instruments, especially for essential procedures such as the placement of a cervical collar in the care of polytrauma patients. The objective of this study was to analyse the psychometric properties of a rubric designed to assess the placement of cervical collars in nursing students in a low-fidelity clinical simulation environment. Methods: A quasi-experimental, cross-sectional study was conducted with 186 undergraduate nursing students, organised into 61 groups, over three academic years (2021\u20132024). An eight-item rubric was applied, with a four-level Likert scale (1\u20134). Interrater reliability was analysed using Cohen\u2019s Kappa index (0.418\u20130.796), internal consistency using Cronbach\u2019s alpha (alpha = 0.753), and the internal structure of the instrument using exploratory factor analysis, applying Varimax orthogonal rotation. Results: Inter-rater reliability showed values ranging from moderate to substantial, with greater agreement observed in items related to the selection of the collar and the position of the medical team, and moderate agreement in those related to technical manoeuvres and immobilisation. The rubric showed adequate overall internal consistency (\u03b1 = 0.76), with good to very good consistency values in six of the eight items. Exploratory factor analysis identified a two-dimensional structure with a dominant procedural factor (four items) and a second factor associated with clinical judgement (four items). Conclusions: The validated rubric has adequate levels of reliability and internal consistency for evaluating the placement of cervical collars by nursing students. Its application can promote more objective and structured evaluation processes in clinical simulation for nursing students, contributing to the development of essential skills in the care of polytrauma patients.<\/jats:p>","DOI":"10.3390\/nursrep16070250","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T02:32:08Z","timestamp":1784514728000},"page":"250","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validity and Internal Consistency of a Rubric for Cervical Collar Placement in Nursing Students"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4194-2064","authenticated-orcid":false,"given":"Jose Miguel","family":"Diez-Fernandez","sequence":"first","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Le\u00f3n, 24071 Leon, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9049-3026","authenticated-orcid":false,"given":"Tania","family":"Fernandez-Villa","sequence":"additional","affiliation":[{"name":"Research Group on Gene-Environment Interactions and Health (GIIGAS), Institute of Biomedicine (IBIOMED), University of Le\u00f3n, 24071 Leon, Spain"},{"name":"Biomedical Research Network Centre for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaia","family":"Rodriguez-Badiola","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Le\u00f3n, 24071 Leon, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6459-8107","authenticated-orcid":false,"given":"Elba","family":"Mauriz","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Le\u00f3n, 24071 Leon, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Crespo-Martinez","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Le\u00f3n, 24071 Leon, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0360-5262","authenticated-orcid":false,"given":"Ana","family":"Vazquez-Casares","sequence":"additional","affiliation":[{"name":"Department of Nursing and Physiotherapy, University of Le\u00f3n, 24071 Leon, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"ref_1","unstructured":"Benner, P., Sutphen, M., Leonard, V., and Day, L. (2010). Educating Nurses: A Call for Radical Transformation, Jossey-Bass."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.nepr.2017.08.012","article-title":"The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis","volume":"27","author":"Cant","year":"2017","journal-title":"Nurse Educ. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Kim, J., Park, J.H., and Shin, S. (2016). Effectiveness of simulation-based nursing education depending on fidelity: A meta-analysis. BMC Med. Educ., 16.","DOI":"10.1186\/s12909-016-0672-7"},{"key":"ref_4","first-page":"120","article-title":"A critical review of simulation-based mastery learning with translational outcomes","volume":"52","author":"McGaghie","year":"2018","journal-title":"Med. Educ."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/j.nedt.2010.03.005","article-title":"The role of simulation in nursing education","volume":"30","author":"McCaughey","year":"2010","journal-title":"Nurse Educ. Today"},{"key":"ref_6","first-page":"2317","article-title":"Valoraci\u00f3n prenatal: Evaluaci\u00f3n de habilidades cl\u00ednicas en alumnado universitario de Enfermer\u00eda a trav\u00e9s de lista de cotejo","volume":"5","author":"Becerril","year":"2024","journal-title":"Latam Rev. Latinoam. Cienc. Soc. Humanid."},{"key":"ref_7","first-page":"119","article-title":"Design and content validation of rubrics to assess practical competencies in nursing students","volume":"29","year":"2015","journal-title":"Educ. Med. Super."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kreinest, M., Goller, S., Rauch, G., Frank, C., Gliwitzky, B., W\u00f6lfl, C.G., Matschke, S., and M\u00fcnzberg, M. (2015). Application of cervical collars\u2014An analysis of practical skills of professional emergency medical care providers. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0143409"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1136\/emermed-2013-202500","article-title":"Biomechanical analysis of spinal immobilisation during prehospital extrication: A proof of concept study","volume":"31","author":"Dixon","year":"2014","journal-title":"Emerg. Med. J."},{"key":"ref_10","unstructured":"Brookhart, S.M. (2018). How to Create and Use Rubrics for Formative Assessment and Grading, ASCD."},{"key":"ref_11","first-page":"99","article-title":"The use and design of rubrics to support assessment for learning","volume":"Volume 24","author":"Jonsson","year":"2018","journal-title":"Scaling up Assessment for Learning in Higher Education"},{"key":"ref_12","first-page":"100434","article-title":"Effects of self-assessment on self-regulated learning and self-efficacy: Four meta-analyses","volume":"35","author":"Panadero","year":"2022","journal-title":"Educ. Res. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"100968","DOI":"10.1016\/j.edumed.2024.100968","article-title":"Una herramienta para evaluar la ense\u00f1anza basada en simulaci\u00f3n en el entrenamiento de habilidades t\u00e9cnicas","volume":"26","author":"Latugaye","year":"2025","journal-title":"Educ. M\u00e9d."},{"key":"ref_14","first-page":"e198","article-title":"Instruments for measuring nursing competencies: A systematic review","volume":"6","year":"2021","journal-title":"SANUS"},{"key":"ref_15","unstructured":"QuestionPro (2021, March 15). Sample Size Calculator. Available online: https:\/\/www.questionpro.com\/es\/calculadora-de-muestra.html."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The Measurement of Observer Agreement for Categorical Data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int. J. Med. Educ."},{"key":"ref_18","first-page":"1","article-title":"What do we know about rubrics in higher education?","volume":"12","year":"2015","journal-title":"Int. J. Educ. Technol. High. Educ."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"104876","DOI":"10.1016\/j.nedt.2021.104876","article-title":"Development of the competency assessment scale for clinical nursing teachers: Results of a Delphi study and validation","volume":"101","author":"He","year":"2021","journal-title":"Nurse Educ. Today"},{"key":"ref_20","unstructured":"University of Murcia, Department of Internal Medicine (2025, February 02). Placement of Cervical Immobilisation Collar. Degree in Medicine, Clinical Simulation and Skills. Available online: https:\/\/aulavirtual.um.es\/access\/content\/group\/COLLAB-xqw70tdqnmxznw8h4m9qspw\/Colocaci%C3%B3n%20de%20collar%C3%ADn%20cervical%20y%20retirada%20de%20casco\/Colocaci%C3%B3n%20de%20collar%C3%ADn%20de%20inmovilizaci%C3%B3n%20cervical.pdf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s11092-008-9068-5","article-title":"Developing the theory of formative assessment","volume":"21","author":"Black","year":"2009","journal-title":"Educ. Assess. Eval. Account."},{"key":"ref_22","unstructured":"Wiliam, D. (2011). Embedded Formative Assessment, Solution Tree Press."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1080\/01421590500046924","article-title":"Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review","volume":"27","author":"Issenberg","year":"2005","journal-title":"Med. Teach."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/S0121-4381(14)70004-9","article-title":"Aprendizaje basado en la evaluaci\u00f3n mediante r\u00fabricas en educaci\u00f3n superior","volume":"21","year":"2014","journal-title":"Suma Psicol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.nepr.2012.01.014","article-title":"Implementation and evaluation of peer assessment of clinical skills for first year student nurses","volume":"12","author":"Rush","year":"2012","journal-title":"Nurse Educ. Pract."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s41077-016-0025-y","article-title":"Reporting guidelines for health care simulation research: Extensions to the CONSORT and STROBE statements","volume":"1","author":"Cheng","year":"2016","journal-title":"Adv. Simul."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/7\/250\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T04:10:39Z","timestamp":1784866239000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/7\/250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":26,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["nursrep16070250"],"URL":"https:\/\/doi.org\/10.3390\/nursrep16070250","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]}}}