Clinical learning environment, supervision and nurse teacher evaluation scale: psychometric evaluation of the Swedish version

Research output: Contribution to journalArticle


Aim. This article is a report of the development and psychometric testing of the
Swedish version of the Clinical Learning Environment, Supervision and Nurse
Teacher evaluation scale.
Background. To achieve quality assurance, collaboration between the healthcare
and nursing systems is a pre-requisite. Therefore, it is important to develop a tool
that can measure the quality of clinical education. The Clinical Learning Environment,
Supervision and Nurse Teacher evaluation scale is a previously validated
instrument, currently used in several universities across Europe. The instrument has
been suggested for use as part of quality assessment and evaluation of nursing
Methods. The scale was translated into Swedish from the English version. Data
were collected between March 2008 and May 2009 among nursing students from
three university colleges, with 324 students completing the questionnaire. Exploratory
factor analysis was performed on the 34-item scale to determine construct
validity and Cronbach’s alpha was used to measure the internal consistency.
Results. The five sub-dimensions identified in the original scale were replicated in
the exploratory factor analysis. The five factors had explanation percentages of
60Æ2%, which is deemed sufficient. Cronbach’s alpha coefficient for the total scale
was 0Æ95, and varied between 0Æ96 and 0Æ75 within the five sub-dimensions.
Conclusion. The Swedish version of Clinical Learning Environment, Supervision
and Nurse Teacher evaluation scale has satisfactory psychometric properties and
could be a useful quality instrument in nursing education. However, further
investigation is required to develop and evaluate the questionnaire.


  • Unn-Britt Johansson
  • Päivi Kaila
  • Marianne Ahlner-Elmqvist
  • Janeth Leksell
  • Hannu Isoaho
  • Mikko Saarikoski
External organisations
  • Malmö University
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Nursing


  • clinical education, instrument development, learning environment, nurse teachers, psychometrics, Swedish version
Original languageEnglish
Pages (from-to)2085-2093
JournalJournal of Advanced Nursing
Issue number9
Publication statusPublished - 2010
Publication categoryResearch
Externally publishedYes

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