Cent Eur J Nurs Midw 2020, 11(1):19-24 | DOI: 10.15452/cejnm.2020.11.0004
Experiences of healthcare students and the challenges posed by their clinical learning environment
- 1 Pak-Swiss Nursing College Swat, Pakistan
- 2 Department of Academics, School of Nursing Bannu, Pakistan
- 3 Department of Nursing, Northwest Institute of Health Sciences, Peshawar, Pakistan
- 4 Department of Zoology, University of Swat, Pakistan (student)
Aim: The aim of the study was to identify the challenges and problems faced by student nurses and paramedic students during the clinical practice stage of their education.
Design: The current study utilized a cross-sectional research design.
Methods: A sample of 259 students was selected through convenience sampling, comprising 127 student nurses and 132 paramedic students. An adapted self-administered questionnaire, the Clinical Learning Environment Supervision and Nurse Teacher (CLES+T) evaluation scale was used to collect data, with the permission of the author. Socio-demographic characteristics were shown in the form of frequency and percentages. Findings concerning the evaluation of clinical learning were calculated in the context of descriptive statistical analysis, such as mean and standard deviation. An independent sample t-test was applied to compare the findings.
Results: The mean age of respondents was 21.39 years, of whom 60 (61.8%) were male and 99 (32.2%) were female. The highest mean score (3.87 ± 0.77) was awarded to Nursing Care Provided on the Ward, while the lowest mean score was achieved for Supervisory Relationships on the Ward (3.71 ± 0.84).
Conclusion: The study showed overall satisfaction with the clinical environment. Male and paramedic students were least satisfied. Considerable improvement is needed in the context of Pedagogical Atmosphere and Supervisory Relationships on the ward.
Keywords: challenges, CLES+T, clinical learning, paramedic student, student nurse
Published: March 9, 2020 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Ahmad, N., & Anwar N. H. K. (2018). Nursing students and clinical instructors' perceptions of clinical learning environments, supervision, and teaching (CLES-T). International Journal of Care Scholars, 1(1):1-4.
Go to original source...
- AlHaqwi, A. I., & Taha, W. S. (2015). Promoting excellence in teaching and learning in clinical education. Journal of Taibah University Medical Sciences, 10(1):97-101. https://doi.org/10.1016/j.jtumed.2015.02.005
Go to original source...
- Brynildsen, G., Bjørk, I. T., Berntsen, K., & Hestetun, M. (2014). Improving the quality of nursing students' clinical placements in nursing homes : an evaluation study. Nurse Education in Practice, 14(6):722-728. https://doi.org/10.1016/j.nepr.2014.09.004
Go to original source...
Go to PubMed...
- Chan, C. K. L., So, W. K. W., & Fong, D. Y. T. (2009). Hong Kong baccalaureate nursing students' stress and their coping strategies in clinical practice. Journal of Professional Nursing, 25(5):307-313. https://doi.org/10.1016/j.profnurs.2009.01.018
Go to original source...
Go to PubMed...
- Cremonini, V., Ferri, P., Artioli, G., Sarli, L., Piccioni, E., & Rubbi, I. (2015). Nursing students' experiences of and satisfaction with the clinical learning environment : the role of educational models in the simulation laboratory and in clinical practice. Acta Bio-Medica, 86(3):194-204.
- Dimitriadou, M., Papastavrou, E., Efstathiou, G., & Theodorou, M. (2015). Baccalaureate nursing students' perceptions of learning and supervision in the clinical environment. Nursing and Health Sciences & Health Sciences, 17(2):236-242. https://doi.org/10.1111/nhs.12174
Go to original source...
Go to PubMed...
- Gemuhay, H. M., Kalolo, A., Mirisho, R., Chipwaza, B., & Nyangena, E. (2019). Factors affecting performance in clinical practice among preservice diploma nursing students in Northern Tanzania. Nursing Research and Practice, ID 3453085, 9 pages. https://doi.org/10.1155/2019/3453085
Go to original source...
Go to PubMed...
- Gurková, E., ®iaková, K., Cibríková, S., Magurová, D., Hudáková, A., & Mrosková, S. (2016). Factors influcing the effectiveness of clinical learning environment in nursing education. Central European Journal of Nursing and Midwifery, 7(3):470-475. https://doi.org/10.15452/CEJNM.2016.07.0017
Go to original source...
- Johansson, U. B., Kaila, P., Ahlner-Elmqvist, M., Leksell, J., Isoaho, H., & Saarikoski, M. (2010). Clinical learning environment, supervision and nurse teacher evaluation scale: psychometric evaluation of the Swedish version. Journal of Advanced Nursing, 66(9):2085-2093. https://doi.org/10.1111/j.1365-2648.2010.05370.x
Go to original source...
Go to PubMed...
- Kapucu, S. & Bulut, H. (2011). Turkish nursing students' views of their clinical learning environment: a focus group study. Pakistan Journal of Medical Sciences, 27(5):1149-1153.
- Kurian, R. N. & James, M. M. (2017). Assessment of level of satisfaction of student nurses with their clinical learning environment in a selected college of nursing in New Delhi, India. International Journal of Current Research, 9(12):62589-62592.
- Levett-Jones, T., & Lathlean, J. (2008). Belongingness: A prerequisite for nursing students' clinical learning. Nurse Education in Practice, 8(2):103-111. https://doi.org/10.1016/j.nepr.2007.04.003
Go to original source...
Go to PubMed...
- Liu, Z. X., Liu, X. S., Liu, H., & Song, Y. L. (2017). Nursing undergraduates' satisfaction of the clinical learning environment in China. International Conference on Information, Computer and Education Engineering (ICICEE), 143-149. https://doi.org/10.12783/dtcse%2Ficicee2017%2F17136
Go to original source...
- Makhlof, E. H. A., & El-Saman, S. E. A. (2017). Internship nurses' satisfaction with clinical learning environment in intensive care unit. IOSR Journal of Nursing and Health Science, 6(2):112-119. https://doi.org/10.9790/1959-060205112119
Go to original source...
- Meyer, G. M., Nel, E., & Downing, C. (2016). Basic student nurse perceptions about clinical instructor caring. Health SA Gesondheid, 21:444-452. https://doi.org/10.4102/hsag.v21i0.1007
Go to original source...
- Nabolsi, M., Zumot, A., Wardam, L., & Abu-Moghli, F. (2012). The experience of Jordanian nursing students in their clinical practice. Procedia - Social and Behavioral Sciences, 46:5849-5857. https://doi.org/10.1016/j.sbspro.2012.06.527
Go to original source...
- Papastavrou, E., Lambrinou, E., Tsangari, H., Saarikoski, M. & Leino-Kilpi, H. (2010). Student nurses experience of learning in the clinical environment. Nurse Education in Practice, 10(3):176-182. https://doi.org/10.1016/j.nepr.2009.07.003
Go to original source...
Go to PubMed...
- Phuma-Ngaiyaye, E., MCur, T. B., & Chipeta, M. C. (2017). Using preceptors to improve nursing students' clinical learning outcomes : a Malawian students' perspective. International Journal of Nursing Sciences, 4(2):164-168. https://doi.org/10.1016/j.ijnss.2017.03.001
Go to original source...
Go to PubMed...
- Saarikoski, M., Leino-Kilpi, H., & Warne, T. (2002). Clinical learning environment and supervision: testing a research instrument in an international comparative study. Nurse Education Today, 22(4):340-349. https://doi.org/10.1054/nedt.2001.0715
Go to original source...
Go to PubMed...
- Stenberg, M., & Carlson, E. (2015). Swedish student nurses' perception of peer learning as an educational model during clinical practice in a hospital setting - an evaluation study. BMC Nursing, 14:48. https://doi.org/10.1186/s12912-015-0098-2
Go to original source...
Go to PubMed...
- Sundler, A. J., Björk, M., Bisholt, B., Ohlsson, U., Engström, A. K., & Gustafsson, M. (2014). Student nurses' experiences of the clinical learning environment in relation to the organization of supervision: a questionnaire survey. Nurse Education Today, 34(4):661-666. https://doi.org/10.1016/j.nedt.2013.06.023
Go to original source...
Go to PubMed...
- Terzioğlu, F., Yücel, Ç., Koç, G., ªimºek, ª., Yaºar, B. N., ªahan, F. U., Akin, R., Öçal, S. E., Akdağ, C., Elçin, M., Mert, M., & Yildirim, S. (2016). A new strategy in nursing education: from hybrid simulation to clinical practice. Nurse Education Today Journal, 39:104-108. https://doi.org/10.1016/j.nedt.2016.01.009
Go to original source...
Go to PubMed...
- Warne, T., Johansson, U. B., Papastavrou, E., Tichelaar, E., Tomietto, M., Van de Bossche, K., Moreno, M. F. V., & Saarikoski, M. (2010). An exploration of the clinical learning experience of nursing students in nine European countries. Nurse Education Today, 30(8):809-815. https://doi.org/10.1016/j.nedt.2010.03.003
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.