American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Nursing Research. 2017, 5(4), 104-108
DOI: 10.12691/ajnr-5-4-1
Open AccessArticle

Nursing Students’ Satisfaction with Their Clinical Learning Environments

Naglaa Mohamed EL Mokadem1, and Shimaa EL-Sayed Ibraheem1

1Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Shebin AL Khom, Egypt

Pub. Date: June 29, 2017

Cite this paper:
Naglaa Mohamed EL Mokadem and Shimaa EL-Sayed Ibraheem. Nursing Students’ Satisfaction with Their Clinical Learning Environments. American Journal of Nursing Research. 2017; 5(4):104-108. doi: 10.12691/ajnr-5-4-1


Clinical placement is a vital part of nursing students’ education. The clinical learning environments consider the first place of professional practice for nurses and student opinion contribute to its improvement. The aim of the current study was to assess nursing student's level of satisfaction with their clinical learning environment. A descriptive, cross sectional research design was used. A convenient sample of 400 nursing students enrolled from Faculty of Nursing. This study was conducted at the Faculty of Nursing, Menoufia University. Clinical Learning Environment Inventory (CLEI) used to measure nursing student's satisfaction with their clinical learning environments. The mean score of the total CLEI scale was 118.90 (54.86) which indicate a medium level of satisfaction. The satisfaction subscale perceived by the nursing students as the most important domain 23.68(9.98) of clinical learning environment. While, the least important domain perceived by nursing students was individualization subscale 14.42 (7.87). Nursing students have a medium level of satisfaction with their clinical learning environments. Assessment of nursing student's level of satisfaction plays an important role in the education process, thus it is necessary to assess the learning environment from different perceptions. Collaboration between the nursing educational institutions and health care agencies is essential to ensure the availability of effective clinical learning environment, which meet the needs of undergraduate nursing students.

clinical learning environment nursing students level of satisfaction

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Henderson, A., Twentyman, M., Heel, A. and Lioyd, B. Students Perception of the Psycho-Social Clinical Learning Environment: An Evaluation of Placement Models. Nurse Education Today, (2006) 26: 564-571.
[2]  Ramani S, Leinster S. AMEE Guide no. 34: Teaching in the clinical environment. Medical Teacher (2008)30(4):347-64.
[3]  Brown, T., Williams, B., & Lynch, M. Relationship between clinical fieldwork educator performance and health professional students' perceptions of their practice education learning environments. Nursing & Health Sciences (2013) 15(4), 510-517.
[4]  Maclellan D.L. & Lordly D. The socialization of dietetic students: influence of the preceptor role. Journal of Allied Health (2008) 37(2), 81E–92E.
[5]  Courtney-Pratt, H., FitzGerald, M., Ford, K., Marsden, K., & Marlow, A. Quality clinical placements for undergraduate nursing students: a cross-sectional survey of undergraduates and supervising nurses. Journal of Advanced Nursing (2012) 68(6), 1380-1390.
[6]  Brown, T., Williams, B., Mckenna, L., Palermo, C., Mccall, L., Roller, L., Hewitt, L., Molloy, L., Baird, M. & Aldabah, L. Practice education learning environments: The mismatch between perceived and preferred expectations of undergraduate health science students. Nurse Education Today (2010). 31(8), e22-28.
[7]  Chuan, O. L. & Barnett, T. Student, tutor and staff nurse perceptions of the clinical learning environment. Nurse Education in Practice (2012) 12(4), 192-97.
[8]  Papathanasiou I, Tsaras K, Sarafis P. Views and perceptions of nursing students on their clinical learning environment: teaching and learning. Nurse Education Today (2014)34(1):57-60
[9]  Rezaee, R., & Ebrahimi, S. Clinical learning environment at Shiraz Medical School. Acta Medica Iranica, (2013). 51(1), 62-65.
[10]  Rahmani, A., Zamanzadeh, V., Abdullah-Zadeh, F., Lotfi, M., Bani, S., & Hassanpour, S. Clinical learning environment in viewpoint of nursing students in Tabriz University of Medical Sciences. Iranian Journal of Nursing and Midwifery Research, (2011). 16(3), 253-256.
[11]  Fretwell J.E. An enquiry into the ward learning environment. Nursing Times (1980) .76(16), 69-75.
[12]  Ogier M.E. Ward sisters and their influence upon nurse learners. Nursing Times (1981). 77(11), 41-44.
[13]  Chan, D. S. K. 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 (2002). 41(2), 69-75.
[14]  De Witte, N., Labeau, S., & De Keyzer, W. The clinical learning environment and supervision instrument (CLES): Validity and reliability of the Dutch version (CLES + NL). International Journal of Nursing Studies (2011). 48(5), 568-572.
[15]  O'Mara, L., McDonald, J., Gillespie, M., Brown, H., & Miles, L. Challenging clinical learning environments: Experiences of undergraduate nursing students. Nurse Education in Practice (2014). 14(2), 208.
[16]  Sundler, A. J., Björk, M., Bisholt, B., Ohlsson, U., Engström, A. K., & Gustafsson, M. Student nurses' experiences of the clinical learning environment in relation to the organization of supervision: A questionnaire survey. Nurse Education Today (2014) 34(4): 661-6.
[17]  Williams, B; Brown, T and Winship, C. The Mismatch Between Perceived and Preferred Expectations of Undergraduate Paramedic Students. The Internet Journal of Allied Health Sciences and Practice (2012), 10 (4).
[18]  Boyle, MJ., Williams, B., Cooper, J., Adams, B. & Alford, K. Ambulance clinical placement, a pilot study of students’ experience. BMC Medical Education. (2008), 8 (19): 1-8.
[19]  Dale, B., Leland, A., & Dale, J. G. What factors facilitate good learning experiences in clinical studies in nursing: bachelor students' perceptions. ISRN nursing, (2013). 628-679.
[20]  Serena P and Anna, B. Italian nursing students' perception of their clinical learning environment as measured with the CLEI tool. Nurse Education Today (2009). 29(8): 886-890.
[21]  Watson, P. B., Seaton, P., Sims, D., Jamieson, I., Mountier, J., Whittle, R., & Saarikoski, M. Exploratory factor analysis of the Clinical Learning Environment, Supervision and Nurse Teacher Scale (CLES+T). Journal of Nursing Measurement, (2014). 22(1): 164-180.