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Updated: May 3, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Development and reliability testing of the quality clinical placement evaluation tool
Helen Courtney-Pratt1, Mary Fitzgerald, Karen Ford
1Practice Development Unit - Nursing and Midwifery, Southern Tasmanian Area Health Service, Hobart, TAS, Australia.
This study developed and validated a tool to evaluate the quality of nursing clinical placements. The tool measures student and nurse perspectives, showing acceptable reliability and validity for assessing placement experiences.
Area of Science:
- Nursing Education
- Healthcare Quality Assessment
- Clinical Placement Evaluation
Background:
- Clinical experience is crucial for undergraduate nursing degrees.
- Existing evaluation tools often lack multi-perspective input.
- A need exists for a comprehensive tool assessing clinical placement quality from both students and supervising nurses.
Purpose of the Study:
- To develop and test the content validity, face validity, and reliability of a quality clinical placement evaluation tool.
- To create an instrument that captures the experiences of undergraduate nursing students and supervising ward nurses.
- To provide a robust measure for assessing the quality of clinical placements in acute care settings.
Main Methods:
- Cross-sectional study design.
- Expert panel evaluation and modification of an existing instrument for acute care.
- Surveys administered to undergraduate students (n=48) and supervising ward nurses (n=47).
- Factor analysis for theme identification and reliability assessment using Cronbach's alpha and test-retest methods.
Main Results:
- Factor analysis identified three core themes applicable to both students and nurses: welcome and belonging, support for learning needs, and confidence and competence in learning.
- Reliability testing demonstrated good internal consistency.
- Test-retest reliability was moderate to good for students and fair to moderate for nurses.
Conclusions:
- The quality clinical placement evaluation tool exhibits statistically acceptable reliability and validity.
- The tool effectively measures clinical placement quality from the dual perspectives of undergraduates and supervising nurses.
- This instrument enables tertiary institutions and healthcare facilities to capture and compare clinical placement quality data over time and across sites.
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