Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 15;22(1):548.
doi: 10.1186/s12909-022-03609-y.

The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study

Juxia Zhang  1 , Linda Shields  2 , Bin Ma  3 , Yuhuan Yin  4 , Jiancheng Wang  5 , Rong Zhang  4 , Xueke Hui  6
Affiliations

The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study

Juxia Zhang et al. BMC Med Educ. .

Abstract

Background: Clinical practice is a core component of nurse education. It is believed that nursing students' clinical placement experiences can affect their learning outcomes, satisfaction, as well as influence their choice of future career. To examine nursing students' perception of clinical learning environment and mentoring in hospital where they perform their clinical placement and the connection of these factor with intention to work as a nurse once graduated.

Methods: Nursing students enrolled in clinical practice at least 6 months in hospitals in China were surveyed between January-March 2021. Percentages, frequencies, mean, standard deviation, t-test, ANOVA, and regression analysis were used to analyse the data.

Results: Of the five scales in the CLES+T, 'Leadership style of the ward manager' scored the highest mean while 'Pedagogical atmosphere at the ward' scored the lowest. Nursing students with lower educational level, those supervised by fixed preceptor, and those intent to be a nurse in the future were significantly more satisfied with the CLES+T. Most of the nursing students are intent to work as a nurse in the future. CLES+T total scores and sub-dimensions (Premises of nursing on the ward) have significantly effectiveness on the intention to be a nurse in the future.

Conclusions: Given the significant correlation of between learning environments and nursing students intention to be a nurse in the future, ward managers need to build a good clinical teaching atmosphere and promote opportunities for theoretical and practical connections among students through effective feedback mechanisms, which can enable students to experience a better clinical learning environment and meaningful experiences to build their professional roles and competencies, thus helping to enhance students' willingness to pursue nursing careers in the future.

Keywords: CLES+T; Intention; Nursing students.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Arkan B, Ordin Y, Yılmaz D. Undergraduate nursing students' experience related to their clinical learning environment and factors affecting to their clinical learning process. Nurse Educ Pract. 2018;29:127–132. doi: 10.1016/j.nepr.2017.12.005. - DOI - PubMed
    1. Öhman E, Alinaghizadeh H, Kaila P, Hult H, Nilsson GH, Salminen H. Adaptation and validation of the instrument clinical learning environment and supervision for medical students in primary health care. BMC Med Educ. 2016;16(1):308. doi: 10.1186/s12909-016-0809-8. - DOI - PMC - PubMed
    1. Jackson D, Mannix J. Clinical nurses as teachers: insights from students of nursing in their first semester of study. J Clin Nurs. 2001;10(2):270–277. doi: 10.1046/j.1365-2702.2001.00471.x. - DOI - PubMed
    1. Woo MWJ, Li W. Nursing students' views and satisfaction of their clinical learning environment in Singapore. Nurs Open. 2020;7(6):1909–1919. doi: 10.1002/nop2.581. - DOI - PMC - PubMed
    1. Sundler AJ, Björk M, Bisholt B, Ohlsson U, Engström AK, Gustafsson M. Student nurses' experiences of the clinical learning environment in relation to the organization of supervision: a questionnaire survey. Nurse Educ Today. 2014;34(4):661–666. doi: 10.1016/j.nedt.2013.06.023. - DOI - PubMed

LinkOut - more resources