• clinical education;
  • instrument development;
  • learning environment;
  • nurse teachers;
  • psychometrics;
  • Swedish version

johansson u.-b., kaila p., ahlner-elmqvist m., leksell j., isoaho h. & saarikoski m. (2010) Clinical learning environment, supervision and nurse teacher evaluation scale: psychometric evaluation of the Swedish version. Journal of Advanced Nursing66(9), 2085–2093.


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 education.

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 60·2%, which is deemed sufficient. Cronbach’s alpha coefficient for the total scale was 0·95, and varied between 0·96 and 0·75 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.