Evaluation of Nursing Students' Experience of Clinical Placement in a Rural Setting Using CLES+T Scale.
Background: Nursing student experiences in the clinical learning environment have been described in many countries but less is known about student nurses in rural settings. Aim: To explore undergraduate nursing students' experience of clinical placement in a rural setting and identify factors that i...
| Published in: | Nursing Reports Vol. 16; no. 4; pp. 132 - 146 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
MDPI
Apr2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193440312&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193440312 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Apr2026 vid: 16 iid: 4 pid: 97109 pub: MDPI artinfo: ui: 193440312 193440312 193440312 10.3390/nursrep16040132 193440312 ppf: 132 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of Nursing Students' Experience of Clinical Placement in a Rural Setting Using CLES+T Scale. aug: au: Jokwiro, Yangama Wang, Qiumian Bassett, Jennifer Connor, Sandra Zimbudzi, Edward affil: Department of Rural Health Sciences, La Trobe University, Bendigo, VIC 3550, Australia sug: subj: Students, Nursing, Baccalaureate Nurse Attitudes Evaluation Student Placement Rural Areas Australia Scales Utilization Education, Clinical Learning Environment Clinical Supervision Nurse Educators Human Australia Female Male Child Adolescence Adult Middle Age Cross Sectional Studies Nonexperimental Studies Convenience Sample Logistic Regression Odds Ratio Confidence Intervals Quality of Health Care Comparative Studies Chi Square Test T-Tests Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Nursing student experiences in the clinical learning environment have been described in many countries but less is known about student nurses in rural settings. Aim: To explore undergraduate nursing students' experience of clinical placement in a rural setting and identify factors that influence their experience. Methods: A cross-sectional observational study was conducted with a convenience sample of 170 undergraduate nursing students in regional Victoria, Australia, who completed professional experience placements between January and June 2020. Following their placements, participants completed the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale. Data were analysed using logistic regression models. Results: Completing clinical placements in medium to small rural towns or remote and very remote communities were associated with increased odds of high scores in the learning environment [odds ratio (OR) 2.90, 95% CI, 1.32 to 6.37; P = 0.01] and the supervisory relationship domains (OR 3.16, 95% CI, 1.40 to 7.14; P = 0.01). Female gender (OR 3.38, 95% CI, 1.12 to 10.19; P = 0.03), supervision by staff other than an educator (OR 2.71, 95% CI, 1.16 to 6.33; P = 0.02) and increased frequency of ad hoc (extra) supervision with a buddy nurse without the nurse educator (OR 2.55, 95% CI, 1.07 to 4.75; P = 0.03) were associated with increased odds of high scores in the role of nurse educator domain. Conclusions: In this study, nursing students reported valuing their exposure to smaller and more remote communities, the learning environments within rural and remote healthcare facilities, and the relationships they developed with supervising nurses. The findings also suggest that some students perceived greater value in supervision provided by clinical staff who were not in formal nurse educator or nurse facilitator roles. Given the limitations of the study, these observations should be interpreted cautiously and may warrant further investigation in broader contexts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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