Challenges faced in clinical learning environment: a questionnaire survey
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20253685Keywords:
Clinical Learning Evaluation Questionnaire, Learning barriers, NursingAbstract
Background: Clinical learning is a key aspect of healthcare education, offering students hands-on experience in real-world settings. This study explored the challenges faced by nursing students within the clinical learning environment (CLE) at selected private institutions in Himachal Pradesh.
Methods: A descriptive research design was employed with 347 nursing students selected through convenience sampling. Findings indicated several significant challenges.
Results: About 34.2% of students reported limited exposure to unusual clinical cases, while 22.2% noted a lack of opportunities to document in patient medical records. Additionally, 28.6% experienced difficulty in applying a patient-centered approach during clinical practice. Supervision-related concerns were also highlighted, with 18.7% of students reporting inadequate feedback and 19.6% expressing dissatisfaction with their interactions with supervisors. Furthermore, 20.8% felt unprepared for clinical encounters, reflecting a need for better orientation and support. The study revealed a strong positive correlation at the 0.01 level among all domains of the Clinical Learning Evaluation Questionnaire (CLEQ), including Cases, Authenticity of clinical experience, Supervision, Organization of the nurse-patient encounter, and Motivation/learning needs. The maximum CLEQ score recorded was 200, with a mean score of 156.52 and a standard deviation of 14.80. Additionally, a statistically significant association was observed between the type of hospital posting and CLEQ scores (p<0.01), suggesting institutional factors play a role in the student learning experience. However, no significant association was found between CLEQ scores and students’ age or year of study.
Conclusions: These findings underscore the need for improved supervision, better clinical exposure, and enhanced student support.
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References
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