• Asta Mažionienė Klaipeda State University of Applied Sciences
  • Vida Staniulienė Klaipeda State University of Applied Sciences
  • Vitalija Gerikienė Klaipeda State University of Applied Sciences and Šiauliai State College
Keywords: clinical placement, clinical learning environment, student nurses, CLES, Lithuania


The research sought to determine the attitude of student nurses towards their clinical placement: clinical learning environment, communication with supervisor – mentor, and their satisfaction with the recently completed clinical placement. The research was performed by 283 students of the first to third study year from two Northwest regional higher education institutions for nurses in Lithuania. The students have recently completed their clinical placement at regional hospitals. A quantitative descriptive correlational design was used. The research instrument used was the paper version of the CLES (Clinical Learning Environment and Supervision) questionnaire. The research results revealed that more than half of the students were satisfied with their recently completed clinical placement. Their satisfaction was related to the study year. The student nurses were the most positive about the possibility to approach the members of staff during clinical placement and the fact that there were sufficient meaningful learning cases and situations during clinical placement. Clinical placement of the student nurses was supervised and assessed by supervisors – registered nurses (N=133) and ward managers (N=135). The student nurses assessed their personal contribution in clinical placement as good and very good. Those, who specified the highest personal contribution in their clinical placement, assessed the clinical learning environment the best. The most satisfied students were supervised individually during their clinical placements.


Ali, P.A. and Panther, W. Professional development and the role of mentorship. Nursing Standard. 2008; 22: 35-39. PMid:18649718.

Antohe, I., Riklikiene, O., Tichelaar, E., Saarikoski, M. (2016). Clinical education and training of student nurses in four moderately new European Union countries: Assessment of students' satisfaction with the learning environment. Nurse Education in Practice. 2016 Mar;17:139-144.

Bjork, I. T., Berntsen, K, Brynildsen, G. And Hestetun, M. (2014). Nursing students’ perceptions of their clinical learning environment in placements outside traditional hospital settings. Journal of Clinical Nursing, 23, 2958-2967, doi: 10.1111/jocn.12532.

Dimitriadou, M., Papastavrou, E., Efstathiou, G. And Theodorou, M. (2015). Baccalaureate nursing students’ perceptions of learning and supervision in the clinical environment. Nursing and Health Sciences, (2015), 17, 236-242.

European Parliament. Directive 2013/55/EU of the European Parliament and of the council of 20 November 2013 amending Directive 2005/36/EC on the recognition of professional qualifications and Regulation (EU) No 1024/2012 on administrative cooperation through the Internal Mark. Off J Eur Union. 2013:132–170.

Flott, E. A., Linden, L. (2016). The clinical learning environment in nursing education: a concept analysis. Journal of Advanced Nursing 72(3), 501-513..

Gaberson, KB, Oermann, MH. (2010). Clinical Teaching Strategies in Nursing, (3rd edn). New York, NY: Springer, 2010; 1-12.

Gurkova, E., Žiakova, K., Cibrikova, S., Magurova, D., Hudakova, A., Mroskova, S. (2016). Factors influencing the effectiveness of clinical learning environment in nursing education. Central European Journal of Nursing and Midwifery, 7(3), 470-475, doi: 10.15452/CEJNM.2016.07.0017.

Holland, K., Lauder, W.A. review of evidence for the practice learning environment: enchanging the context for nursing and midwifery care in Scotland. Nurse Educ. Pract. 2012; 12: 60-64.

Johansson, U.-B., Kaila, P., Ahlner-Elmqvist, M., Leksell, J., Isoaho, H. & Saarikoski, M. (2010). Clinical learning environment, supervision and nurse teacher evaluation scale: psychometric evaluation of the Swedish version. Journal of Advanced Nursing 66(9), 2085-2093. doi: 10.1111/j.1365-2648.2010.05370.x

Jokelainen, M., Jamookeeah, Tossavainen, K., Turunen, H. (2013). Mentorship provision for student nurses: Conceptions of Finnish and British mentors in healthcare placements. Journal of Nursing Education and Practice, 2013, Vol. 3, No. 2.

Kaphagawani, N.C., Useh, U. (2013). Analysis of Nursing Students Learning Experiences in Clinical Practice: Literature Review. Ethno Med, 7(3): 181-185.

Myall, M., Levett-Jones, T. And Lathlean, J. Mentorship in contemporary practice: the experiences of nursing students and practice mentors. Journal of Clinical Nursing. 2008; 17: 1834-1842.

Newton, JM., Jolly, BC., Ockerby, CM & Cross, WM (2010). A Clinical Learning Environment Scale: a factor analysis, Journal of Advanced Nursing 66, 1371-1481.

Papastavrou, E., Dimitriadou, M., Tsangari, H., Andreou, C. Nursing students’ satisfaction of the clinical learning environment: a research study. BMC Nursing. 2016; 15:44. Doi 10.1186s12912-016-0164-4.

Papastavrou, E., Lambrinou, E., Tsangari, H., Saarikoski, M. and Leino-Kilpi, H. (2013). Student nurses experience of learning in the clinical environment. Nurse Education in Practice. 2010; 10: 176-182.

Papp, I. Markkanen, M., Von Bonsdorff, M. Clinical environment as a learning environment: student nurses’ perceptions concerning clinical learning experiences. Nurse. Educ. Today 2003; 23: 262-268.

Riklikiene, O., Nalivaikiene, R. (2013). Student Nurses’ Assessment of Pedagogical Atmosphere on the Ward During Practical Placement at a University Hospital in Lithuania. NERP;5:182-8.

Saarikoski, M., Leino-Kilpi, H., Warne, T. Clinical learning environment and supervision: testing a research instrument in an international comparative study. Nurs Educ Today. 2002; 22(4):340-349.

Steven, A., Magnusson, C., Smith, P., Pearson, PH. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014; 34:277-84.

Tomietto, M., Comparcini, D., Saarikoski, M., Simonetti, V., Cicolini,G. (2014). Multilevel perspectives in clinical learning environments’ assessment: An insight on levels involved in planning nursing. Journal of Nursing Education and Practice, Vol, No 12,