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Updated: Aug 9, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Validation of the clinical learning environment and supervision scale
Mikko Saarikoski1, Hannu Isoaho, Helena Leino-Kilpi
1Turku Polytechnic, Finland. mikko.saarikoski@turkuamk.fi
This study validated a new instrument for assessing nursing students' clinical learning environments and supervision quality. Findings indicate a positive supervisory relationship, supported by good leadership, is crucial for effective clinical placements.
Area of Science:
- Nursing Education
- Healthcare Quality Improvement
Background:
- Evaluating the clinical learning environment (CLE) and supervision is vital for nursing student development.
- Existing instruments may not fully capture the nuances of student experiences in diverse healthcare settings.
Purpose of the Study:
- To validate a novel research instrument designed to assess the quality of the clinical learning environment.
- To evaluate the quality of supervision provided to nursing students by qualified staff nurses.
Main Methods:
- A validation study employing concurrent criterion-related validity using Dunn's and Burnett's (1995) CLE scale.
- Data collected from 416 nursing students across four Finnish Nursing Colleges during hospital clinical placements.
Main Results:
- Students rated their clinical placements favorably on both the new instrument and the concurrent measure.
- The supervisory relationship emerged as the most significant factor, contingent upon a positive atmosphere and effective leadership.
- High congruence between the instruments was observed, suggesting robust validation.
Conclusions:
- The validated instrument effectively measures the quality of the clinical learning environment and nursing supervision.
- Effective clinical supervision is strongly linked to positive leadership and a supportive learning atmosphere.
- The study provides a reliable tool for enhancing nursing education quality assessment.
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