ABSTRACT:
Introduction: The clinical learning environment (CLE) is an interactive network of forces within the clinical setting, i.e., staff, the patient, the preceptor, and the nurse educator, that influence the clinical learning outcomes and have impact on student behaviours. Hence, clinical experiences are important for student learning and professional development. Nursing as a profession has evolved in response to society's needs for well-prepared, caring practitioners during clients’ episodes of illness and promote health among all age groups. Clinical education is an essential part of nursing education. It provides students with the opportunity to put the knowledge, skills and concepts they acquire from classes into practice Experience gained in clinical learning environments makes a major contribution to students' professional development by enabling them to think in new ways. The aim of the study is to assess the perception of clinical learning environment among the students in selected nursing colleges. Method: Quantitative, descriptive cross-sectional design was used to evaluate the nursing students' perceptions at college of nursing, sir J J Hospital, Mumbai by using structured questionnaires. Probability simple random lottery method used to select 200 nursing students. Descriptive analysis done with frequency and percentages and fisher exact test used to find out association between between the perception of clinical learning environment among the students with their selected demographic variables. Result: In this study, 88(44%) nursing students were in 21-22 year of age group and majority 106(53%) of the participants were female. 31%Nursing student were studying in third year while 69(34.5%) had clinical experiences 536 to 1702 hours. Perception of clinical environment among nursing students was good 109(54.5%) where 86(43%) having excellent. Discussion: The study showed association between selected demographic year of nursing degree, type of supervision with the perception of clinical learning environment among the students. The nursing students were oriented to unit settings/ wards by clinical instructor/teacher, they felt that they receive individualized supervision and continuous feedback, round clock supervision frequent visit and suggestions of improvement from clinical instructors.
Cite this article:
Aparna B. Sankhe. A Descriptive Study to Assess the Perception of Clinical Learning Enviroment among the students in selected Nursing Colleges of Metroplitan City. International Journal of Advances in Nursing Management. 2025;13(4):247-2. doi: 10.52711/2454-2652.2025.00045
Cite(Electronic):
Aparna B. Sankhe. A Descriptive Study to Assess the Perception of Clinical Learning Enviroment among the students in selected Nursing Colleges of Metroplitan City. International Journal of Advances in Nursing Management. 2025;13(4):247-2. doi: 10.52711/2454-2652.2025.00045 Available on: https://ijanm.com/AbstractView.aspx?PID=2025-13-4-9
REFERENCES:
1. Jahanpour F, Azodi P, Azodi F, Khansir AA. Barriers to practical learning in the field: a qualitative study of Iranian nursing students’ experiences. Nurs Midwifery Stud. 2016; 5(2):4–6.
2. Mabuda BT, Potgieter E, Alberts UU. Student nurses’ experiences during clinical practice in the Limpopo Province. Curationis. 2008; 31(1): 19–27.
3. Arkan B, Ordin Y, Yılmaz D. Undergraduate nursing students’ experience related to their clinical learning environment and factors affecting their clinical learning process. Nurse Educ Pract. 2018; 29: 127–32. doi:10.1016/j.nepr.2017.12.005.
4. Ă–hman E, Alinaghizadeh H, Kaila P, Hult H, Nilsson GH, Salminen H. Adaptation and validation of the instrument clinical learning environment and supervision for medical students in primary health care. BMC Med Educ. 2016; 16(1): 308.
5. Jackson D, Mannix J. Clinical nurses as teachers: insights from students of nursing in their first semester of study. J Clin Nurs. 2001; 10(2): 270–7. doi:10.1046/j.1365-2702.2001.00471.x.
6. Dunn SV, Burnett P. The development of a clinical learning environment scale. J Adv Nurs. 1995; 22(6): 1166–73. doi:10.1111/j.1365-2648.1995.tb03119.x.
7. Flott EA, Linden L. The clinical learning environment in nursing education: a concept analysis. J Adv Nurs. 2016; 72(3): 501–13. doi:10.1111/jan.12861.
8. Gardner A, Gardner G, Coyer F, Gosby H. Educating for health service reform: clinical learning, governance and capability—a case study protocol. BMC Nurs. 2016; 15: 32. doi:10.1186/s12912-016-0152-8.
9. Levett-Jones T, Lathlean J, Higgins I, McMillan M. Staff–student relationships and their impact on nursing students' belongingness and learning. J Adv Nurs. 2009; 65(2): 316–24. doi:10.1111/j.1365-2648.2008.04865.
10. Mikkonen K, Tomietto M, Cicolini G, Kaucic BM, Filej B, Riklikiene O, et al. Development and testing of an evidence-based model of mentoring nursing students in clinical practice. Nurse Educ Today. 2020; 85:104272. doi:10.1016
11. Kurt E, Eskimez Z. Examining self-regulated learning of nursing students in clinical practice: a descriptive and cross-sectional study. Nurse Educ Today. 2022; 109: 105242. doi:10.1016/j.nedt.2021.105242.
12. Brown J, Nolan M, Davies S, Nolan J, Keady J. Transforming students' views of gerontological nursing: realising the potential of 'enriched' environments of learning and care: a multi-method longitudinal study. Int J Nurs Stud. 2008; 45(8): 1214–32. doi:10.1016/j.ijnurstu.2007.07.002.
13. Papastavrou E, Dimitriadou M, Tsangari H. Psychometric testing of the Greek version of the clinical learning environment-teacher (CLES+T). Glob J Health Sci. 2015; 8(5): 59–71. doi:10.5539/gjhs.v8n5p59.
14. Pitkänen S, Kääriäinen M, Oikarainen A, Tuomikoski AM, Elo S, Ruotsalainen H, et al. Healthcare students' evaluation of the clinical learning environment and supervision—a cross-sectional study. Nurse Educ Today. 2018; 62: 143–9. doi:10.1016/j.nedt.2017.12.020.
15. Glatz, Kaila P, Ahlner Elmqvist M, Leksell J, Isoaho H, Saarikoski M; students' evaluation of the clinical learning environment; Int J Nurs Stud. 2015; 45(8)
16. Soemantri D, Herrera C, Riquelme A. Measuring the educational environment in health professions studies: a systematic review. Med Teach. 2010; 32(12): 947–52. doi:10.3109/0142159X.2010.507709.
17. Saarikoski M, Isoaho H, Warne T, Leino Kilpi H. The nurse teacher in clinical practice: developing the new sub dimension to the Clinical Learning Environment and Supervision (CLES) scale. Int J Nurs Stud. 2008; 45(8): 1233–7. doi:10.1016/j.ijnurstu.2007.07.009
18. Johansson UB, Kaila P, Ahlner Elmqvist M, Leksell J, Isoaho H, Saarikoski M. Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale: psychometric evaluation of the Swedish version. J Adv Nurs. 2010; 66(9): 2085–93. doi:10.1111/j.1365-2648.2010.05370.
19. Chan DSK. Combining qualitative and quantitative methods in assessing hospital learning environments. Int J Nurs Stud. 2001; 38(5).
20. Chan DSK. Associations between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. Int J Nurs Stud. 2002; 39(3)
21. Papp I, Markkanen M, von Bonsdorff M. Clinical environment as a learning environment: student nurses’ perceptions concerning clinical learning experiences. Nurse Educ Today. 2003; 23(4): 262–8. doi:10.1016/S0260-6917(02)00309-1
22. Thorell Ekstrand I, Nilsson M, Bendermacher R, Berglund J, Stahlberg I. Nursing students’ experience of care planning activities in clinical education. Nurse Educ Today. 1995; 15(3).
23. Ashworth P, et al. Some ambiguities of the student's role in undergraduate nurse training. J Adv Nurs. 1989; 14(7).
24. Benner PE. From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Prentice Hall; 1984.
25. Campbell IE, et al. Learning to nurse in the clinical setting. J Adv Nurs. 1994; 20(2).
26. Chan S. Nursing education reform in Hong Kong—a look at the history. Int J Nurs Stud. 2002; 39(7).
27. Chan DSK. Validation of the Clinical Learning Environment Inventory. West J Nurs Res. 2003; 25(4).
28. Chan DS, et al. Perception of hospital learning environment: a survey of Hong Kong nursing students. Nurse Educ Today. 2007; 27(6).
29. Elcigil A, et al. Determining problems experienced by student nurses in their work with clinical educators in Turkey. Nurse Educ Today. 2007; 27(4).
30. Graneheim UH, et al. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ. Today. 2004; 24(2).