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International Journal of Nursing Education and Research
Year : 2018, Volume : 6, Issue : 2
First page : ( 173) Last page : ( 178)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2018.00041.8

Undergraduate nursing students’ perception on clinical learning environment

Angelin EA1,*, Emily SD2, Amala R3, Grace R4

1Reader, College of Nursing, Christian Medical College (CMC), Vellore, India

2Professor, College of Nursing, Christian Medical College, India

3Professor and Head of Fundamentals of Nursing Department, College of Nursing, Christian Medical College, India

4Lecturer, Department of Bio-Statistics, Christian Medical College, India

*Corresponding Author E-mail: esthu80@gmail.com

Online published on 21 August, 2018.


Clinical education is a fundamental part of nursing education and forms more than half of Nursing curriculum. The quality of Clinical Learning Environment (CLE) is a valid indicator to show the quality of nursing curriculum. Therefore, assessment of CLE is a duty of nursing education administrators.


The purpose of the study is to assess the undergraduate Nursing students perception of their clinical learning environment and to compare the perception of their clinical learning environment between I, II, III and IV year Nursing students in College of Nursing, Christian Medical College, Vellore to provide feedback on CLE in order to improve the quality of clinical experience.

Material and Methods

The study used Clinical Learning Environment Scale (CLES) to examine 375 undergraduate nursing students’ perception of their CLE. It's a 23 item, 5-point Likert scale that has 5 factors such as staff-student relationships, hierarchy and rituals, nurse manager commitment, patient relationship and student satisfaction. The questionnaire was administered to all Baccalaureate nursing students at the end of their 20 weeks of clinical placement. The statistical program SPSS v 22 was used. Frequency, mean and standard deviation were used to analyse the demographic variables. CLES questionnaire was analysed using factor analysis. One-Way ANOVA and Bonferroni Post hoc tests were used to assess the perception between the groups.


The statistical program SPSS v 22 was used that revealed 32.8% of the students perceived that their CLE was very good and 32.5% of them were highly satisfied with their clinical experience. To assess the difference of perception of their CLE between the groups One-Way ANOVA was used. It showed that there was statistically significant difference between the groups and to define further Bonferroni post hoc test was conducted that showed statically significant difference in the perception of CLE between the I year and other years (p >.05).


Students value and accept a workplace where they have been acknowledged to be a part of health care team and their teachers are available to teach and meet their learning needs. Periodic evaluation of CLE provides feedback to teachers to organize a better clinical experience and to create a positive environment for students to complete their clinical requirements and to practice safely to become competent nurses.



Curriculum, Undergraduate, Nursing students, Perception, Clinical Learning Environment, Nursing education.


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