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Evaluating the learning environment of nursing students: a multisite crosssectional study

Ramsbotham, J, Dinh, H, Truong, H, Huong, N, Dang, T, Nguyen, C, Tran, D and Bonner, A 2019 , 'Evaluating the learning environment of nursing students: a multisite crosssectional study' , Nurse Education Today, vol. 79 , pp. 80-85 , doi: 10.1016/j.nedt.2019.05.016.

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Background: Identifying students' experiences of the university and clinical learning environments informsquality improvement of courses.Objectives: To investigate undergraduate nursing students' perceptions of their education environment and thefacilitators and barriers to learning, during university and clinical experiences.Design: Multi-site cross-sectional survey.Setting: Four universities in Vietnam.Participants: Undergraduate nursing students (n = 891).Methods: Between May and August 2016, Vietnamese versions of the Dundee Ready Education EnvironmentMeasure (Nursing) and the modified Clinical Learning Environment Inventory measured students' perceptions ofuniversity and clinical environments respectively. Two additional open-ended questions elicited perceptions offacilitators and/or barriers to clinical learning.Results: The university environment was rated as needing improvement and significant differences betweenuniversities and year of study detected. University environment mean scores were significantly higher in secondyear students compared with those in the third or fourth years of study. Active teaching and interpersonalrelationships at university were rated positively. Overall, clinical environment scores were mid-range and secondyear students' mean scores were significantly higher than third or fourth years. Clinical placements greater thanfour weeks duration had significantly higher mean score than two week placements.Conclusions: Evaluation of university and clinical experiences assists with identifying potential areas of interruption to nursing students' transfer of learning. In both learning environments, Vietnamese students' experiences were similar to those experienced in Western countries in that interpersonal relationships with teachersand ward staff were key factors perceived to influence learning. A notable difference in this study was thehospital environment in Vietnam had features unique to this country that interrupted students' transfer oflearning. Globally it is a priority for nurse educators to facilitate both on and off campus environments thatpromote students' learning. Assessing these environments is a useful strategy for quality improvement of courses.

Item Type: Article
Authors/Creators:Ramsbotham, J and Dinh, H and Truong, H and Huong, N and Dang, T and Nguyen, C and Tran, D and Bonner, A
Keywords: learning environment, nursing education, clinical placement, students' perceptions, transfer of learning, competence, theory-practice gap
Journal or Publication Title: Nurse Education Today
Publisher: Churchill Livingstone
ISSN: 0260-6917
DOI / ID Number: 10.1016/j.nedt.2019.05.016
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© 2019 Elsevier Ltd. All rights reserved

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