The relationship between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment
Dominic Shan Kit Chan
School of Nursing, Australian Catholic University St Patricks campus
PP: 149 - 158
Abstract
Rationale:
Clinical learning is an integral part of nursing education; yet, clinical education has been problematic. Various studies have suggested that not all practice settings are able to provide nursing students with a positive learning environment. In order to maximize nursing students' clinical learning outcomes, there is a need to examine the clinical learning environment.
Aim:
To investigate the relationship between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment.
Method:
The Clinical Learning Environment Inventory was used to collect data in the survey study. Returning of the completed questionnaires implied consent to participate. The final sample group consisted of 108 second-year nursing students undertaking clinical placement in 14 metropolitan hospitals in South Australia.
Results:
Findings from the study suggested that students' perceptions of the outcomes of their clinical placement are strongly associated with all five scales of the CLEI namely; Individualisation, Innovation, Involvement, Personalisation and Task Orientation. It is interesting to note that students who perceived the outcomes of their clinical placement as greatly positive, have placed high expectations on the scale, Task Orientation. The study also found that there were significant differences between students' perceptions of the actual clinical learning environment with their preferred clinical learning environment.
Implications:
The value of this study lies in the resulting implication for nursing education and future research. A better understanding of what constitutes quality clinical education from the students' perspective would be valuable in providing better educational experiences.
Keywords
clinical learning; nurse education; social climate; perception; outcomes
References
Ashworth P., & Morrison, P. (1989) Some ambiguities of the student's role in undergraduation nurse training. Journal of Advanced Nursing 14, 1009-1015.
Benner P.E. (1984) From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison Wesley.
Campbell I.E., Larrivee L., Field P.A., Day R.A., Reutte, L. (1994) Learning to nurse in the clinical setting. Journal of Advanced Nursing 20, 1125-1131.
Chan D.S.K. (2001) Development of an innovative tool to assess hospital learning environments. Nurse Education Today 21, 624-631.
Chan D.S.K. (2002) Development of the Clinical Learning Environment Inventory: Using the theoretical framework of learning environment studies to assess nursing students' perceptions of the hospital as a learning environment. Journal of Nursing Education 41(2)69-75.
Cohen J. (1988) Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates, Inc., Publishers.
Davis B.D. (1990) How nurses learn and how to improve the learning environment. Nurse Education Today 10(6), 405-9.
Dunn S.V., & Hansford, B. (1997) Undergraduate nursing students' perception of their clinical learning environment. Journal of Advanced Nursing 25, 1299-1306.
Fraser B.J. (1994) Research on classroom and school climate. In: Gabel, D. (Ed.), Handbook of research on science teaching and learning. New York: Macmillan, pp 492-541.
Fraser B.J., & Fisher D.L. (1983) Student achievement as a function of person-environment fit: A regression surface analysis. British Journal of Educational Psychology 53, 89-99.
Fraser B.J., & Walberg, H.J. (Ed). (1991) Educational environments: Evaluation, antecedents and consequences. Oxford, England: Pergamon Press.
Glover P.A. (2000) 'Feedback. I listened, reflected and utilized': Third year nursing students' perceptions and use of feedback in the clinical setting. International Journal of Nursing Practice 6(5), 247-252.
Hart G., & Rotem, A. (1995) The clinical learning environment: Nurses' perceptions of professional development in clinical settings. Nurse Education Today 15, 3-10.
Jones M.L., & Akehurst R. (1999) The cost and value of pre-registration clinical placement for Project 2000 students. Journal of Advanced Nursing 30(1), 169-178.
Jones M.L., & Akehurst R. (2000) Should service providers be paid for providing preregistration clinical placement? Journal of Advanced Nursing 32(2), 432-436.
Kirk R.E. (1996) Practical significance: A concept whose time has come. Educational and Psychological Measurement 56, 746-759.
Knowles M. (1990) The Adult Learner: A Neglected Species. 4th edition, Houston: Gulf Publishing Co.
Kushnir T. (1986) Stress and social facilitation: the effects of the presence of an instructor on student nurses' behaviour. Journal of Advanced Nursing 11, 13-19.
Massarweh L.J. (1999) Promoting a positive clinical experience. Nurse Educator 24(3), 44-47.
McCabe B,W. (1985) The improvement of instruction in the clinical area: a challenge waiting to be met. Journal of Nursing Education, 24, 255-257.
Melia K. (1987) Learning and Working: The Occupational Socialisation of Nurses. Tavistock, London.
Moos R.H. (1987) The social climate scales: A user's guide. Palo Alto, California: Consulting Psychologists Press.
Ogier M.E. (1981) Ward sisters and their influence upon nurse learners. Nursing Times 77(11), 41-44.
Orton H.D. (1981) Ward learning climate. Royal College of Nursing, London.
Polit D.F., & Hungler B.P. (1999) Nursing Research: Principles and Methods. 6th ed. New York: Lippincott.
Rennie L.J. (1998) Improving the interpretation and reporting of quantitative research. Journal of Research in Science Teaching 35(3), 237-248.
Thorell-Ekstrand I., & Bjorvell H. (1995) Nursing students' experience of care planning activities in clinical education. Nursing Education Today 15, 196-203.
Windsor A. (1987) Nursing students' perceptions of clinical experience. Journal of Nursing Education 26(4), 150-154.

eContent Home




