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The development of a clinical learning environment scale

S V Dunn1, P Burnett

  • 1School of Nursing, Queensland University of Technology, Brisbane, Australia, S. Dunn/qut.edu.au.

Journal of Advanced Nursing
|December 1, 1995
PubMed
Summary

The Clinical Learning Environment (CLE) scale identifies factors influencing nursing student outcomes. This valid and reliable instrument helps educators optimize the clinical learning environment for better student success and resource allocation.

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Area of Science:

  • Nursing Education
  • Healthcare Quality Improvement

Background:

  • High-quality, cost-effective clinical education is crucial in nursing.
  • The clinical learning environment (CLE) significantly impacts student learning outcomes.
  • Identifying CLE factors can improve educational strategies and student success.

Purpose of the Study:

  • To introduce and validate the Clinical Learning Environment (CLE) scale.
  • To assess factors within the CLE that influence nursing student learning.
  • To provide educators with a tool for evaluating and enhancing the CLE.

Main Methods:

  • Development of a 23-item instrument, the CLE scale.
  • The scale comprises five subscales: staff-student relationships, nurse manager commitment, patient relationships, interpersonal relationships, and student satisfaction.

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  • Confirmatory factor analysis was used to establish construct validity; reliability coefficients were calculated.

    • Main Results:

    • The CLE scale demonstrated strong substantive face validity and construct validity.
    • Reliability coefficients ranged from 0.63 to 0.85 across subscales.
    • The scale effectively measures affectively relevant factors within the CLE.

    Conclusions:

    • The CLE scale is a valid and reliable instrument for evaluating the clinical learning environment in nursing education.
    • Educators can use the CLE scale to identify areas for improvement and foster positive learning experiences.
    • The scale supports cost-effective resource allocation to enhance nursing student learning outcomes.