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Updated: Feb 25, 2026

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Development and Testing of the Collaboration in the Clinical Learning Environment Tool
Journal of Nursing Measurement
|August 10, 2017
Summary
This study developed and tested the Collaboration in the Clinical Learning Environment (CCLE) tool, confirming its reliability and validity for assessing student learning environments. The CCLE tool operationalizes collaboration in nursing education.
Area of Science:
- Nursing Education
- Healthcare Professional Development
- Clinical Learning Environments
Background:
- Collaboration is crucial in clinical learning environments for student development.
- Previous efforts to operationalize collaboration in these settings have been limited.
- Input from staff nurses and nursing faculty was essential for tool development.
Purpose of the Study:
- To develop a psychometrically sound tool to measure collaboration in the clinical learning environment.
- To address the need for operationalizing the construct of collaboration in nursing education.
- To create a reliable instrument for evaluating the quality of clinical learning experiences.
Main Methods:
- The study employed DeVellis's 8-step methodology for tool development.
- A 24-item instrument, the Collaboration in the Clinical Learning Environment (CCLE) tool, was developed.
- Psychometric testing included reliability analysis and exploratory factor analysis.
Main Results:
- The CCLE tool demonstrated high internal consistency, with a Cronbach's alpha of .96.
- Exploratory factor analysis supported the instrument's underlying structure.
- Content expert review and concurrent validity testing further validated the tool.
Conclusions:
- The Collaboration in the Clinical Learning Environment (CCLE) tool is a reliable and valid instrument.
- This tool successfully operationalizes the construct of collaboration in clinical nursing education.
- Findings have implications for enhancing nursing education, practice, and theoretical frameworks.
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