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Evaluation of the Clinical Learning Experience of Nursing Students: a Cross-Sectional Descriptive Study

  • Elena Gurková EMAIL logo and Katarína Žiaková
Published/Copyright: May 18, 2018

Abstract

The purpose of the cross-sectional descriptive study was to explore and compare the students’ experiences of the clinical environment and supervision in Slovakia. Students’ clinical learning experience were measured by the valid and reliable clinical learning instrument. A higher frequency of successful supervisory experience was found in the universities which provided accredited mentor preparation programmes or courses and individualised supervisory approaches. Frequency of supervision meetings, the occupational title of a supervisor and mainly the supervision model have an association with students ‘perceptions of different domains of clinical learning environment. The duration of the placement was not related to students’ experience and perceptions of the learning environment. Slovak students reported higher score regarding the quality of nursing care or ward culture than in the supervisory relationships between students, clinical and school staff. Further studies in this field, extended to different Eastern European countries and clinical settings, may help us to understand factors affecting workplace training.

Funding statement: Evaluation of clinical learning enviroment in nursing pre-gradual education, Funder Id:, Grant Number: Grant KEGA: 016PU-4/2015

Acknowledgements

The study was supported by Grant KEGA: Evaluation of clinical learning enviroment in nursing pre-gradual education (016PU-4/2015).

References

Antohe, I., O. Riklikiene, E. Tichelaar, & M. Saarikoski. 2015. Clinical Education and Training of Student Nurses in Four Moderately New European Union Countries: Assessment of Students’ Satisfaction with the Learning Environment. Nurse Education in Practice, 17, 139–144. doi: 10.1016/j.nepr.2015.12.005Search in Google Scholar

Bergjan, M., & F. Hertel. 2013. Evaluating Students’ Perception of Their Clinical Placements - Testing the Clinical Learning Environment and Supervision and Nurse Teacher Scale (CLES+T Scale) in Germany. Nurse Education Today, 33(11), 1393–1398. doi: 10.1016/j.nedt.2012.11.002Search in Google Scholar

Bjørk, I. T., K. Berntsen, G. Brynildsen, & M. Hestetun. 2014. Nursing Students’ Perceptions of Their Clinical Learning Environment in Placements outside Traditional Hospital Settings. Journal of Clinical Nursing, 23(19-20), 2958–2967. doi: 10.1111/jocn.12532Search in Google Scholar

Bos, E., H. Alinaghizadeh, M. Saarikoski, & P. Kaila. 2012. Validating the ‘Clinical Learning Environment, Supervision and Nurse Teacher’ CLES+T Instrument in Primary Healthcare Settings Using Confirmatory Factor Analysis. Journal of Clinical Nursing, 21(11‐12), 1785–1788. doi: 10.1111/j.1365-2702.2011.04030.xSearch in Google Scholar

Burnard, P., D. Edwards, K. Bennett, H. Thaibah, V. Tothova, D. Baldacchino, … J. Mytevelli. 2008. A Comparative, Longitudinal Study of Stress in Student Nurses in Five Countries: Albania, Brunei, the Czech Republic, Malta and Wales. Nurse Education Today, 28(2), 134–145. doi: 10.1016/j.nedt.2007.04.002Search in Google Scholar

Chan, D. 2002. Development of the Clinical Learning Environment Inventory: Using the Theoretical Framework of Learning Environment Studies to Assess Nursing Students’ Perceptions of the Hospital as a Learning Environment. The Journal of Nursing Education, 41(2), 69–75.10.3928/0148-4834-20020201-06Search in Google Scholar

Chan, D. S. K. 2001. Combining Qualitative and Quantitative Methods in Assessing Hospital Learning Environments. International Journal of Nursing Studies, 38(4), 447–459. doi: 10.1016/S0020-7489(00)00082-1Search in Google Scholar

Chuan, O. L., & T. Barnett. 2012. Student, Tutor and Staff Nurse Perceptions of the Clinical Learning Environment. Nurse Education in Practice, 12(4), 192–197. doi: 10.1016/j.nepr.2012.01.003Search in Google Scholar PubMed

D’Souza, M., S. Karkada, K. Parahoo, & R. Venkatesaperumal. 2015. Perception of and Satisfaction with the Clinical Learning Environment among Nursing Students. Nurse Education Today, 35(6), 833–840. doi: 10.1016/j.nedt.2015.02.005Search in Google Scholar PubMed

Dobrowolska, B., I. McGonagle, R. Kane, C. Jackson, B. Kegl, M. Bergin, … A. Palese. 2016. Patterns of Clinical Mentorship in Undergraduate Nurse Education: A Comparative Case Analysis of Eleven EU and non-EU Countries. Nurse Education Today, 36, 44–52. doi: 10.1016/j.nedt.2015.07.010Search in Google Scholar PubMed

Dunn, S. V., & P. Burnett. 1995. The Development of a Clinical Learning Environment Scale. Journal of Advanced Nursing, 22(6), 1166–1173. doi: 10.1111/j.1365-2648.1995.tb03119.xSearch in Google Scholar PubMed

Dunn, S. V., & B. Hansford. 1997. Undergraduate Nursing Students’ Perceptions of Their Clinical Learning Environment. Journal of Advanced Nursing, 25(6), 1299–1306. Retrieved from http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.1997.19970251299.x/pdf.10.1046/j.1365-2648.1997.19970251299.xSearch in Google Scholar PubMed

Flott, E. A., & L. Linden. 2016. The Clinical Learning Environment in Nursing Education: A Concept Analysis. Journal of Advanced Nursing, 72(3), 501–513. doi: 10.1111/jan.12861Search in Google Scholar PubMed

Gurková, E., & J. Kollárová. 2017. Clinical Learning Environment from Nursing Students’ Perspectives – A Qualitative Study. Ošetrovateľstvo: Teória, Výskum, Vzdelávanie [Online], 2017, 7(2), 45–52. Retrieved from http://www.osetrovatelstvo.eu/archiv/2017-rocnik-7/cislo-2/klinicke-prostredie-z-perspektivy-studentov-osetrovatelstva-kvalitativna-studia.Search in Google Scholar

Henderson, A., M. Cooke, D. K. Creedy, & R. Walker. 2012. Nursing Students’ Perceptions of Learning in Practice Environments: A Review. Nurse Education Today, 32(3), 299–302. doi: 10.1016/j.nedt.2011.03.010Search in Google Scholar PubMed

Henriksen, N., H. K. Normann, & M. W. Skaalvik. 2012. Development and Testing of the Norwegian Version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) Evaluation Scale. International Journal of Nursing Education Scholarship, 9(1). doi: https://doi.org/10.1515/1548-923X.2239.Search in Google Scholar PubMed

Hosoda, Y. 2006. Development and Testing of a Clinical Learning Environment Diagnostic Inventory for Baccalaureate Nursing Students. Journal of Advanced Nursing, 56(5), 480–490. doi: 10.1111/j.1365-2648.2006.04048.xSearch in Google Scholar PubMed

Jimenez, C., P. M. Navia-Osorio, & C. V. Diaz. 2010. Stress and Health in Novice and Experienced Nursing Students. Journal of Advanced Nursing, 66(2), 442–455. doi: 10.1111/j.1365-2648.2009.05183.xSearch in Google Scholar PubMed

Johansson, U., P. Kaila, M. Ahlner-Elmqvist, J. Leksell, H. Isoaho, & M. Saarikoski. 2010. Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale: Psychometric Evaluation of the Swedish Version. Journal of Advanced Nursing, 66(9), 2085–2093. doi: 10.1111/j.1365-2648.2010.05370.xSearch in Google Scholar PubMed

Lambert, V., & M. Glacken. 2005. Clinical Education Facilitators: A Literature Review. Journal of Clinical Nursing, 14(6), 664–673. doi: 10.1111/j.1365-2702.2005.01136.xSearch in Google Scholar PubMed

Lave, J., & E. Wenger. 1999. Situated Learning: Legitimate Peripheral Participation. Cambridge, UK: Cambridge University Press.Search in Google Scholar

Lazarus, R.S., & S. Folkman. 1984. Stress Appraisal and Coping. New York: Springer.Search in Google Scholar

Levett-Jones, T., J. Lathlean, I. Higgins, & M. McMillan. 2009. Staff - Student Relationships and Their Impact on Nursing Students’ Belongingness and Learning. Journal of Advanced Nursing, 65(2), 316–324. doi: 10.1111/j.1365-2648.2008.04865.xSearch in Google Scholar PubMed

Mansutti, I., L. Saiani, L. Grassetti, & A. Palese. 2017. Instruments Evaluating the Quality of the Clinical Learning Environment in Nursing Education: A Systematic Review of Psychometric Properties. International Journal of Nursing Studies, 68, 60–72. doi: 10.1016/j.ijnurstu.2017.01.001Search in Google Scholar

Melincavage, S. M. 2011. Student Nurses’ Experiences of Anxiety in the Clinical Setting. Nurse Education Today, 31(8), 785–789. doi: 10.1016/j.nedt.2011.05.007Search in Google Scholar

Melo, K., B. Williams, & C. Ross. 2010. The Impact of Nursing Curricula on Clinical Practice Anxiety. Nurse Education Today, 30(8), 773–778. doi: 10.1016/j.nedt.2010.02.006Search in Google Scholar

Midgley, K. 2006. Pre-Registration Student Nurses Perception of the Hospital-Learning Environment during Clinical Placements. Nurse Education Today, 26(4), 338–345. doi: 10.1016/j.nedt.2005.10.015Search in Google Scholar

Papastavrou, E., M. Dimitriadou, & H. Tsangari. 2016. Psychometric Testing of the Greek Version of the Clinical Learning Environment-Teacher (CLES+T). Global Journal of Health Science, 8(5). doi: 10.5539/gjhs.v8n5p59.Search in Google Scholar

Papastavrou, E., E. Lambrinou, H. Tsangari, M. Saarikoski, & H. Leino-Kilpi. 2010. Student Nurses Experience of Learning in the Clinical Environment. Nurse Education in Practice, 10(3), 176–182. doi: 10.1016/j.nepr.2009.07.003Search in Google Scholar

Pollock, S. E. 1983. The Stress Response. Critical Care Quarterly, 6(4), 1–14.Search in Google Scholar

Pulido‐Martos, M., J. M. Augusto‐Landa, & E. Lopez‐Zafra. 2012. Sources of Stress in Nursing Students: A Systematic Review of Quantitative Studies. International Nursing Review, 59(1), 15–25. doi: 10.1111/j.1466-7657.2011.00939.xSearch in Google Scholar

Saarikoski, M., H. Isoaho, T. Warne, & H. Leino-Kilpi. 2008. The Nurse Teacher in Clinical Practice: Developing the New Sub-Dimension to the Clinical Learning Environment and Supervision (CLES) Scale. International Journal of Nursing Studies, 45(8), 1233–1237. doi: 10.1016/j.ijnurstu.2007.07.009Search in Google Scholar

Saarikoski, M., P. Kaila, E. Lambrinou, R. M. Pérez Cañaveras, E. Tichelaar, M. Tomietto, & T. Warne. 2013. Students’ Experiences of Cooperation with Nurse Teacher during Their Clinical Placements: An Empirical Study in a Western European Context. Nurse Education in Practice, 13(2), 78–82. doi: 10.1016/j.nepr.2012.07.013Search in Google Scholar

Saarikoski, M., & H. Leino-Kilpi. 2002. The Clinical Learning Environment and Supervision by Staff Nurses: Developing the Instrument. International Journal of Nursing Studies, 39(3), 259–267. doi: 10.1016/S0020-7489(01)00031-1Search in Google Scholar

Saarikoski, M., T. Warne, P. Kaila, & H. Leino-Kilpi. 2009. The Role of the Nurse Teacher in Clinical Practice: An Empirical Study of Finnish Student Nurse Experiences. Nurse Education Today, 29(6), 595–600. doi: 10.1016/j.nedt.2009.01.005Search in Google Scholar

Sand-Jecklin, K. 2009. Assessing Nursing Student Perceptions of the Clinical Learning Environment: Refinement and Testing of the SECEE Inventory. Journal of Nursing Measurement, 17(3), 232–246. doi: 10.1891/1061-3749.17.3.232Search in Google Scholar

Sharif, F., & S. Masoumi. 2005. A Qualitative Study of Nursing Student Experiences of Clinical Practice. BMC Nursing, 4(1), 6–6. doi: 10.1186/1472-6955-4-6Search in Google Scholar

Sheu, S., H. Lin, & S. Hwang. 2002. Perceived Stress and Physio-Psycho-Social Status of Nursing Students during Their Initial Period of Clinical Practice: The Effect of Coping Behaviors. International Journal of Nursing Studies, 39(2), 165–175. doi: 10.1016/S0020-7489(01)00016-5Search in Google Scholar

Sirkka, A., S. Olli, & A. M. Kanerva. 2015. Clinical Placement Audit as Quality Assurance Measure in Nursing Education. In Z. Mikšová (Eds.), Profesionalita V Ošetřovatelství II (S. 110-117). Olomouc: Univerzita Palackého v Olomouci.Search in Google Scholar

Spouse, J. 2001. Workplace Learning: Pre-Registration Nursing Students’ Perspectives. Nurse Education in Practice, 1(3), 149–156. doi: 10.1054/nepr.2001.0024Search in Google Scholar PubMed

Turner, K., & V. McCarthy. 2017. Stress and Anxiety among Nursing Students: A Review of Intervention Strategies in Literature between 2009 and 2015. Nurse Education in Practice, 22, 21–29. doi: 10.1016/j.nepr.2016.11.002Search in Google Scholar PubMed

Vizcaya-Moreno, M., R. Perez-Canaveras, J. De Juan, & M. Saarikoski. 2015. Development and Psychometric Testing of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale (CLES Plus T): The Spanish Version. International Journal of Nursing Studies, 52(1), 361–367. doi: 10.1016/j.ijnurstu.2014.08.008Search in Google Scholar PubMed

Warne, T., U. Johansson, E. Papastavrou, E. Tichelaar, M. Tomietto, K. V. Den Bossche, M.F.V. K., Moreno, & M. Saarikoski. 2010. An Exploration of the Clinical Learning Experience of Nursing Students in Nine European Countries. Nurse Education Today, 30(8), 809–815. doi: 10.1016/j.nedt.2010.03.003Search in Google Scholar PubMed

Yildirim, N., A. Karaca, S. Cangur, F. Acikgoz, & D. Akkus. 2017. The Relationship between Educational Stress, Stress Coping, Self-Esteem, Social Support, and Health Status among Nursing Students in Turkey: A Structural Equation Modeling Approach. Nurse Education Today, 48, 33–39. doi: 10.1016/j.nedt.2016.09.014Search in Google Scholar PubMed

Zanovitová, M., M. Lepiešová, R. Kurucová, K. Žiaková, & I. Farský. 2014. Hodnotenie Výučby a Supervízie V Klinickej Ošetrovateľskej Praxi. In I. Bóriková, I. Farský & K. Žiaková (Eds.), Teória, Výskum a Vzdelávanie V Ošetrovateľstve (S. 343–353). Martin: Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine.Search in Google Scholar

Received: 2017-07-14
Revised: 2018-04-20
Accepted: 2018-05-02
Published Online: 2018-05-18

© 2018 Walter de Gruyter GmbH, Berlin/Boston

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