Nursing Students and Clinical Instructors’ Perceptions of Clinical Learning Environments, Supervision, and Teaching (CLES-T)
DOI:
https://doi.org/10.31436/ijcs.v1i1.38Keywords:
Clinical learning environment, supervision, teaching, CLES-T.Abstract
Objectives: This study aimed to investigate the perceptions of International Islamic University Malaysia (IIUM) Kuantan nursing students, clinical nurse instructors, and staff nurses of the support offered to student nurses during learning in a clinical setting. Methodology: A cross-sectional study was carried out on undergraduate nursing students (n=118), and clinical instructors (n=8) at the faculty or Kulliyyah of Nursing, IIUM, using the Clinical Learning Environment, Supervision and Nurse Teacher (CLES-T) survey. Descriptive analysis was used to investigate the sociodemographic data, and further statistical tests were conducted with regard to their levels of perception. Results: Overall, the participants perceived the clinical learning environment to be good. There was no difference in perception between nursing students and the clinical nurse instructors (p>0.05). There was no significant difference in terms of gender and levels of perception (p>0.05). This study did find a significant relationship between level of study and area of posting for students and perception levels (p<0.05). Conclusion: This study showed that the majority of the students had positive perceptions of the clinical learning environment, supervision, and nurse teachers. The school provided sufficient support within the clinical learning environment in term of supervision and nurse teachers. These results will help the nursing school in terms of upgrading the clinical learning environment and encouraging collaboration with hospital management to provide a good clinical learning experience for students.
References
2. Barnett, T., Namasivayam, P., & Narudin, D., A., A. (2010). A Critical Review of The Nursing Shortage in Malaysia. International Nursing Review 57, 32–39.
3. Chan, D. (2002). Development of the clinical learning environment inventory: Using the theoretical framework of Learning Environment Studies to Assess Nursing Students’ Perception of the Hospital as a Learning Environment. Journal of Nursing Education, 41(2), 69.
4. Roff, S. (2005). The Dundee Ready Educational Environment Measure (DREEM) – a generic instrument for measuring students’ perceptions of undergraduate health professions curricula. Medical Teacher, 27(4), 322–325. http://doi.org/10.1080/01421590500151054
5. Saarikoski M. (2002). Clinical learning environment and supervision. Developmentand validation of the CLES evaluation scale. Doctoral dissertation, University of Turku, Annales Universitatis Turkuensis, Ser. D 525, Summary available: https://www.doria.fi/bitstream/handle/10024/5820/D525.pdf?sequence=1
6. Saarikoski M & Leino-Kilpi H. (2002). The clinical learning environment and supervision by staff nurses: developing the instrument. International Journal of Nursing Studies 39: 259-267.
7. Saarikoski, M., Leino-kilpi, H., & Warne, T. (2002). Clinical learning environment andsupervision: testing a research instrument in an international comparative study, 340–349. http://doi.org/10.1054/nedt.2001.0715.
8. Papp, I., Markkanen, M., & Bonsdorff, M. Von. (2003). Clinical environment as alearning environment: student nurses’ perceptions concerning clinical learning experiences, 6917, 23, 262–268. http://doi.org/10.1016/S0260-6917(02)00185-5
9. Ahmad N. (2008). Experiences and Perceptions of Clinical Practice among NursingStudents of International Islamic University Malaysia. [Unpublished Degree Thesis]. International Islamic University Malaysia, Kuantan, Malaysia.
10. Baraz, S., Memarian, R. & Vanaki, Z. (2015). Learning Challenges of Nursing Students in Clinical Environments: A Qualitative Study in Iran. Journal of Education and Health Promotion, 4:52. http://doi.org/10.4103/22779531.162345
11. Chuan, O., L., & Barnett, T. (2012). Student, tutor and staff nurse perceptions of the clinical learning environment. Nurse Education in Practice, 12(4), 192–197. http://doi.org/10.1016/j.nepr.2012.01.003
12. Henderson, A., & Eaton, E. (2013). Assisting nurses to facilitate student and new graduate learning in practice settings: What “support†do nurses at the bedside need? Nurse Education in Practice, 13(3), 197–201. http://doi.org/10.1016/j.nepr.2012.09.005
13. Antohe, I., Riklikiene, O., Tichelaar, E., & Saarikoski, M. (2016). Clinical Education and Training of Student Nurses in Four Moderately New European Union Countries: Assessment of Students’ Satisfaction with The Learning Environment. Nurse Education in Practice, 17, 139–144. http://doi.org/10.1016/j.nepr.2015.12.005
14. Rudin, N. M. N. (2016). Nurses’ Perception on Specific Criteria, Performance and Potential Problems following Mentorship Program in Clinical Area: A Mixed Method Study. [Unpublished Degree Thesis]. International Islamic University Malaysia, Kuantan, Malaysia
15. Traynor, M. & Mehigan, S. (2014). Education in Clinical Practice: Practice Learning, Mentorship And Supervision: A Scoping Literature Review. (July), 1–40. Retrieved on March 28, 2017 from https://www.mdx.ac.uk/__data/assets/pdf_file/0026/198017/5.-education-in-clinical-practice-review.pdf.
16. Saarikoski M., Isoaho H., Warne T. & Leino-Kilpi H. (2008). The nurse teacher in clinical practice: Developing the new sub-dimension to the Clinical Learning Environment and Supervision (CLES) scale. International Journal of Nursing Studies 45: 1233-1237.
17. Lawal, J., Weaver, S., Bryan, V., & Lindo, J. L. (2015). Factors that influence the clinical learning experience of nursing students at a Caribbean school of nursing. Journal of Nursing Education and Practice, 6(4). http://doi.org/10.5430/jnep.v6n4p32
18. Cleary, M., & Happell, B. (2005). Recruitment and retention initiatives: Nursing students’ satisfaction with clinical experience in the mental health field. Nurse Education in Practice, 5(2), 109–116. http://doi.org/10.1016/j.nepr.2004.06.001
19. Moran, L. (2000). A Phenomenological Study of How Students Nurses Learn Critical Thinking in the Nursing Clinical Practice Setting. PhD Proposal, 9(December), 202. http://doi.org/10.16953/deusbed.74839
