Sv. Dunn et B. Hansford, UNDERGRADUATE NURSING-STUDENTS PERCEPTIONS OF THEIR CLINICAL LEARNING-ENVIRONMENT, Journal of advanced nursing, 25(6), 1997, pp. 1299-1306
The clinical learning environment (CLE) is an interactive network of f
orces influencing student learning outcomes in the clinical setting. T
his study used mixed methods to identify factors characterizing studen
ts' perceptions of the CLE. The sample consisted of 229 undergraduate
students in the second or third year of their biophysical nursing stra
nd. The five subscales of the Clinical Learning Environment Scale, 'st
aff-student relationships', 'nurse manager commitment', 'patient relat
ionships', 'student satisfaction' and 'hierarchy and ritual', were sup
ported by qualitative data obtained from student interviews. Interpers
onal relationships between the participants in the CLE were crucial to
the development of a positive learning environment. Student satisfact
ion with the CLE was both a result of, and influential in creating, a
positive learning environment. Nurse educators, clinical venues, and a
ll others participating in the undergraduate nursing students' clinica
l education, must collaborate in order to create a CLE which promotes
the development of well-educated registered nurses capable of providin
g safe, cost-effective patient care.