Cent Eur J Nurs Midw 2016, 7(3):470-475 | DOI: 10.15452/CEJNM.2016.07.0017

Factors influencing the effectiveness of clinical learning environment in nursing education

Elena Gurková1,*, Katarína Žiaková2, Silvia Cibríková1, Dagmar Magurová1, Anna Hudáková1, Slávka Mrosková1
1 Department of Nursing, Faculty of Health Care, University of Prešov in Prešov, Slovakia
2 Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Aim: The purpose of the cross-sectional descriptive study was to investigate how nursing students evaluate particular factors of clinical learning environment during their professional placement in hospitals. We explored which factors of clinical environment contribute significantly to students' evaluation of it.

Design: A descriptive cross-sectional study.

Methods: The sample included 503 nursing students in their second or third year of study at six Slovak universities. A valid and reliable questionnaire, the Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale (CLES+T), was used to evaluate the student nurses' experiences and clinical placement. The data were analysed using descriptive statistics, Pearson's chi-square test, multifactorial ANOVA procedure and Pearsons' correlations, and p-value < 0.05 was taken to indicate statistical significance for all comparisons.

Results: A significant proportion of students experienced a traditional model of group supervision. Supervision method, supervisory session frequency, and duration of clinical placement had a significant impact on their evaluation of clinical environments.

Conclusion: Supervision methods are a significant factor influencing student evaluation of their clinical placement environment. Compared to other European studies, we found a less frequent application of individual supervision and that the Slovak university setting is dominated by a traditional group model of supervision. The study offers a valuable insight into the analysis of factors contributing to improvements in clinical learning environment and models of clinical or workplace training.

Keywords: clinical learning, clinical learning environment, supervision, mentorship, CLES+T evaluation scale

Received: April 4, 2016; Accepted: May 2, 2016; Published: September 30, 2016  Show citation

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Gurková E, Žiaková K, Cibríková S, Magurová D, Hudáková A, Mrosková S. Factors influencing the effectiveness of clinical learning environment in nursing education. Central European Journal of Nursing and Midwifery. 2016;7(3):470-475. doi: 10.15452/CEJNM.2016.07.0017.
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