Background: Nursing students hesitate to choose aged care as a career, and the aged care sectors are on an edge regarding nursing positions. Clinical learning environments may influence nursing students’ career choices. Few studies have explored learning environments in nursing homes, although students increasingly have placements there. Objectives: The aim was to produce information for developing nursing students’ learning opportunities in nursing homes. Design: A cross-sectional survey design was used. Settings: The study was conducted at a university college in southeast Norway. Participants: Students in two cohorts of a bachelor degree program in nursing participated, N = 499. Methods: Data were collected on nursing students’ perceptions of clinical learning environments during placements in five nursing homes. A 42-item validated questionnaire with the subscales personalization, individualization, involvement, task orientation, innovation, and satisfaction was used. Data analysis used descriptive statistics, t-tests, and linear regression analysis. Results: Total scores showed overall satisfaction with clinical learning environments in nursing homes. However, innovation subscale scores were very low. First year students had significantly higher scores than third year students on the total scale, and most subscales. Age was significantly associated with total scale scores and subscale satisfaction scores. Higher education and work experience before entering nursing education were significantly associated with involvement subscale scores. Conclusions: Students are more positive than negative about their clinical learning environments. Low valuation of innovation seems to be a consistent finding in studies in both nursing homes and hospitals internationally. For innovative learning strategies to function they must be anchored at the organizational level. Future research should develop and test more innovative learning strategies for nursing students.
Lane, A.M. and Hirst, S.P. (2012) Placement of Undergraduate Students in Nursing Homes: Careful Consideration versus Convenience. Journal of Nursing Education, 51, 145-149. https://doi.org/10.3928/01484834-20120127-04
Meloche, F. and Freeman, M. (2014) A Win-Win for Residents, Nursing Students and the Long-Term Care Sector: A Literature Review of Precepted Clinical Placements in Long-Term Care Homes for Pre-Graduate Students. Perspectives, 37, 23-27.
Xiao, L.D., Paterson, J., Henderson, J. and Kelton, M. (2008) Gerontological Education in Undergraduate Nursing Programs: An Australian Perspective. Educational Gerontology, 34, 763-781. https://doi.org/10.1080/03601270802016424
Brown, J., Nolan, M., Davies, S., Nolan, J. and Keady, J. (2008) Transforming Students’ Views of Gerontological Nursing: Realising the Potential of “Enriched” Environments of Learning and Care: A Multi-Method Longitudinal Study. International Journal of Nursing Studies, 45, 1214-1232.
Skaalvik. M.W., Normann, K. and Henriksen, N. (2010) To What Extent Does the Oral Shift Report Stimulate Learning among Nursing Students? A Qualitative Study. Journal of Clinical Nursing, 19, 2300-2308. https://doi.org/10.1111/j.1365-2702.2010.03217.x
Berntsen, K. and Bjørk, I.T. (2010) Nursing Students’ Perceptions of the Clinical Learning Environment in Nursing Homes. Journal of Nursing Education, 49, 17-22. https://doi.org/10.3928/01484834-20090828-06
Kolb, D.A., Boyatzis, R. and Mainemelis, C. (2000) Perspectives on Cognitive Learning, and Thinking Styles in Experiential Learning Theory-Previous Research and New Directions. Department of Organizational Behaviour, Weatherhead School of Management, Case Western Reserve University, Cleveland.
Skaalvik. M.W., Normann, K. and Henriksen, N. (2011) Clinical Learning Environment and Supervision: Experiences of Norwegian Nursing Students. A Questionnaire Survey. Journal of Clinical Nursing, 20, 2294-2304. https://doi.org/10.1111/j.1365-2702.2011.03727.x
Chan, D.S.K. (2002) Associations between Student Learning Outcomes from Their Clinical Placement and Their Perceptions of the Social Climate of the Clinical Learning Environment. International Journal of Nursing Studies, 39, 517-524.
Saarikoski, M., Leino-Kilpi, H. and Warne, T. (2002) Clinical Learning Environment and Supervision: Testing a Research Instrument in an International Comparative Study. Nurse Education Today, 22, 340-349. https://doi.org/10.1054/nedt.2001.0715
Vågan, O., Erichsen, A. and Larsen, K. (2014) Sykepleierstudenters Syn på Kunnskap og Læring. Sykepleien Forskning, 9, 170-181. (In Norwegian) https://doi.org/10.4220/sykepleienf.2014.0087
Saarikoski, M., Isoaho, H., Warne, T. and Leino-Kilpi, H. (2008) The Nurse Teacher in Clinical Practice: Developing the New Sub-Dimension to the Clinical Learning Environment and Supervision (CLES) Scale. International Journal of Nursing Studies, 45, 1233-1237.
Vallie, S., Morodi, G., Khaledi, S. and Garibi, F. (2016) Nursing Students’ Perspectives on Clinical Instructors’ Effective Teaching Strategies: A Descriptive Study. Nursing Education in Practice, 16, 258-264.
McCracken, A., Fitzwater, E., Lockwood, M. and Bjørk, T. (1995) Comparison of Nursing Students’ Attitudes toward the Elderly in Norway and the United States. Educational Gerontology, 21, 167-180. https://doi.org/10.1080/0360127950210205
Bergland, Å. and Lærum, H. (1999) Hvem vil Arbeide med Eldre? En undersøkelse blant Norske Sykepleierstudenter, Who Wants to Care for the Elderly? A Study among Norwegian Student Nurses. Vård i Norden, 19, 4-10. (In Norwegian) https://doi.org/10.1177/010740839901900302
Bergland, Å. and Lærum, H. (2002) Norske Sykepleiestudenters Syn på Eldreomsorgen som Arbeidsplass etter Endt Utdanning. Student Nurses’ Attitudes towards Pursuing a Career in Geriatric Nursing after Graduation. Vård i Norden, 22, 21-26. (In Norwegian) https://doi.org/10.1177/010740830202200204
Smedley, A. and Morey, P. (2010) Improving Learning in the Clinical Nursing Environment: Perceptions of Senior Australian Bachelor of Nursing Students. Journal of Research in Nursing, 15, 75-88. https://doi.org/10.1177/1744987108101756
McKenna, L., McCall, L. and Wray, N. (2010) Clinical Placements and Nursing Students’ Career Planning: A Qualitative Exploration. International Journal of Nursing Practice, 16, 176-182. https://doi.org/10.1111/j.1440-172X.2010.01827.x
Bjørk, 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. https://doi.org/10.1111/jocn.12532
Hegenbarth, M., Rave, S., Murray, L., Arnaert, A. and Chamber-Evans, J. (2015) Establishing and Maintaining the Clinical Learning Environment for Nursing Students: A Qualitative Study. Nursing Education Today, 35, 304-309.
Henderson, A., Twentyman, M., Heel, A. and Lloyd, B. (2006) Students’ Perception of the Psycho-Social Clinical Learning Environment: An Evaluation of Placement Models. Nurse Education Today, 26, 564-571.
Abbey, J., Abbey, B., Bridges, P., Elder, R., Lemke, P., Liddle, J. and Thornton, R. (2006) Clinical Placements in Residential Aged Care Facilities: The Impact on Nursing Students’ Perception of Aged Care and the Effect on Career Plans. Australian Journal of Advanced Nursing, 23, 14-19.