The Clinical Learning Environment of Intensive Care Unit as Perceived by International Islamic University Malaysia (IIUM) Undergraduate Nursing Students


  • Salizar Mohamed Ludin Kulliyyah of Nursing, International Islamic University Malaysia
  • Nur Arina Arsyad Kulliyyah of Nursing, International Islamic University Malaysia



Clinical Learning Environment, Intensive Care Unit, Nursing Student, Clinical Practicum


Background: Clinical learning environment (CLE) is an environment in which any person who could influence the care of a patient learns. The CLE affects the effectiveness of clinical practicum that is a significant part of the nursing curriculum. However, there are limited studies that focus on the CLE of the Intensive Care Unit (ICU). Objectives: To assess the nursing students’ perception of the clinical learning environment of ICU, and to determine the associated socio-demographic characteristic with the clinical learning environment of ICU. Methods: A cross-sectional study was conducted via purposive sampling at Kulliyyah of Nursing, IIUM Kuantan. The Adopted Students Evaluation of Clinical Education Environment (SECEE) version 3 questionnaire was used to assess the students’ perception of CLE of ICU within three subscales (instructor facilitation of learning (IFL), preceptor/staff nurse facilitation of learning (PFL) and learning opportunities (LO)). Results: A total of 141 nursing students participated in this study. Based on the mean score, the students have a positive perception of the CLE of ICU (79.41%). The subscale IFL was the most positively perceived (84.44%) followed by subscale LO (77.49%) and subscale PFL (75.64%). There was a significant difference seen for subscale LO between gender (p-value=0.008), male students gave a higher score compared to the female student. A significant mean difference was also found for subscale IFL between years of study (p-value=0.002), suggesting that the senior student had a more positive score compared to their junior. No association was found between students’ age and duration of clinical practicum in ICU with the CLE score. Conclusion: The nursing students’ perception of the CLE of ICU is positive. However, the score for subscale PFL is the lowest compared to another subscale. Hence, the nursing faculty should work together with the ward management to enhance the role and engagement of staff nurses in students learning. By doing this, the CLE of ICU will get better and eventually improve the clinical learning outcome. 


Msiska G. Exploring the clinical learning experience?: voices of Malawian undergraduate student nurses. Psychology. 2012. Available from:

Masilaca O, Kumar A, Balekiwai S. Clinical Learning Environment and Clinical Learning Outcomes as Perceived by Final Year Baccalaureate Nursing Students in Fiji National University, the Republic of Fiji . 2018.

Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Najafi Kalyani M. The challenges of nursing students in the clinical learning environment: A qualitative study. Sci World J. 2016.

Papastavrou E, Dimitriadou M, Tsangari H, Andreou C. Nursing students’ satisfaction of the clinical learning environment: A research study. BMC Nurs. 2016;15(1):1–11.

d'Souza MS, Karkada SN, Parahoo K, Venkatesaperumal R. Perception of and satisfaction with the clinical learning environment among nursing students. Nurse Education Today. 2015 Jun 1;35(6):833-40.

Doucette E, Brandys D, Canapi BK, Davis A, DiNardo J, Imamedjian I. The intensive care unit as an untapped learning resource: a student perspective. Dynamics . 2011; 22(1):19–23.

Vatansever N, Akansel N. Intensive Care Unit Experience of Nursing Students during their Clinical Placements: A Qualitative Study. Int J Caring Sci [Internet]. 2016 Sep;9(3):1040–8.

Flott EA, Linden L. The clinical learning environment in nursing education: a concept analysis. J Adv Nurs; 2016 Mar;72(3):501-13. doi: 10.1111/jan.12861. Epub 2015 Dec 9. PMID: 26648579.

Sand-Jecklin EdD MSN RN K. Assessing Nursing Student Perceptions of the Clinical Learning Environment: Refinement and Testing of the SECEE Inventory. J Nurs Meas. 2009;17(3):232–46.

Gemuhay, HM, Kalolo, A, Mirisho, R, Chipwaza, B, Nyangena, E. Gemuhay, HM, Kalolo,A, Mirisho, R, Chipwaza,B, Nyangena,E. "Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania", Nursing Research and Practice, vol. 2019, , 2019.

Watson-Miller S. Student nurses’ perceptions of their hospital placement in Barbados?: a mixed methods approach. Medicine. 2015. 008&site=ehost-live

Shalaby SA, Aljezani AT. Exploring the relationship between perceived educational environment and academic achievement among critical care nursing students. Clin Nurs Stud. 2018 Aug 21;7(1):1.

Truong TH. Vietnamese Nursing Students’ Perceptions Of Their Clinical Learning Environment: A Cross-Sectional Survey. 2015. Master by Research Thesis, QUT

Swinny B, Brady M. The benefits and challenges of providing nursing student clinical rotations in the intensive care unit. Crit Care Nurs Q [Internet]. 2010 Jan;33(1):60–6.

Nabolsi M, Zumot A, Wardam L, Abu-Moghli F. The Experience of Jordanian Nursing Students in their Clinical Practice. Procedia - Soc Behav Sci [Internet]. 2012 Jan 1 [cited 2019 Nov 16];46:5849–57.

Nettleton, P., & Bray, L. Current mentorship schemes might be doing our students a disservice. Nurse Education in Practice, 2008; 8(3), 205-212. doi: 10.1016/j.nepr.2007.08.003

Veeramah, V. What are the barriers to good mentoring? Nursing Times; 2012; 108, 12-15.

Lima KR, de Brito TA, Nunes HM, Rodriguez GC, do Nascimento RA, Henriques LM, et al. Nursing students experience in emergency and intensive care in a reference hospital. Int Arch Med. 2016; 9:9.




How to Cite

Ludin, S. M., & Arsyad, N. A. (2021). The Clinical Learning Environment of Intensive Care Unit as Perceived by International Islamic University Malaysia (IIUM) Undergraduate Nursing Students. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 4(1), 29–35.




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