Clinical learning environment, supervision and nurse teacher scale (CLES+T): Psychometric evaluation of the Chinese version. (November 2021)

• Record Type: Journal Article
• Authors: Zhao, Rong; Xiao, Lu; Watson, Roger; Chen, Yanhua
• Is Part Of: Nurse education today. Volume 106(2021)
• Publication Date: 2021-11
• Subjects: Clinical learning environment -- Nursing students -- Psychometric -- Validation study; Nursing -- Study and teaching -- Periodicals; Education, Nursing -- Periodicals; Soins infirmiers -- Étude et enseignement -- Périodiques; Nursing -- Study and teaching; Periodicals; 610.7307
• DOI: 10.1016/j.nedt.2021.105058
• Languages: English
• ISSNs: 0260-6917

Abstract

Abstract: Background: Clinical learning environment plays a vital role in nursing clinical education. The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale is a reliable and valid instrument to evaluate the quality of the clinical learning process in international nursing education contexts. Objectives: To validate the Chinese version of the CLES+T scale that is in line with the Chinese culture and educational context. Design: A cross-sectional survey. Setting: Data were collected from nursing students in six provinces in different parts of China between September and October 2018. Participants: Six hundred and ninety-four nursing students participated in this study. Methods: Purposeful sampling was used, and students completed online survey to explore the structure of the CLES+T scale. Internal consistency reliability was tested on the total scale and its sub-dimensions using Cronbach's alpha. Results: An exploratory factorial analysis identified a three-component solution, with 11 items, and explained 60.01% of the variance. Confirmatory factor analysis supported the factor structure. Cronbach's alpha coefficient for the scale was 0.82, and those of the three subscales were 0.79, 0.71, and 0.70. Conclusions: The unique, stable and relatively concise Chinese version of CLES+T scale instrument could be a useful instrument for using as an assessment scale in Chinese-speaking countries. Highlights: A three-factor model of clinical learning environment in Chinese students (Pedagogical atmosphere, Supervisory relationship, Leadership style of the ward manager) was identified. The Chinese version of the CLES+T has a unique, relatively stable and concise factor structure. The "premises of nursing on the ward" factors was not present. The main factor in Chinese sample is "Pedagogical atmosphere" which had the lowest mean value.