Development of the Clinical Learning Environment Comparison Survey

Abstract Background Nursing educators and regulatory bodies need to better understand how well learning needs are met in traditional and simulated clinical environments. Method The Clinical Learning Environment Comparison Survey was developed for this purpose. A 103-item tool was designed and analyzed for reliability and validity. Results Expert panel, two pilot studies, and analysis of 422 completed surveys further refined the tool and six subscales: Holism, Teaching–Learning Dyad, Communication, Nursing Process, Self-Efficacy, and Critical Thinking. Conclusion This valid and reliable tool can be used to determine how to improve the simulated clinical environment, as well as for individual, course, and program evaluation.