Process / pipelineclinical-learning-environment

Clinical Learning Environment Scale with Teacher Feedback Subscale (CLES+T)

The CLES+T is a 34-item self-report questionnaire measuring nursing students' perceptions of their clinical learning environment and the quality of supervision received from their clinical preceptor or teacher. Originally developed by Saarikoski and colleagues in 2007 and expanded in 2008 to include a specific teacher feedback dimension, the CLES+T evaluates five key domains: Ward Learning Environment, Supervisory Relationship, Feedback and Evaluation, Nurse Teacher's Pedagogical Competence, and Empowerment. The scale is widely used in nursing education to assess the quality of clinical placements and identify areas for educational improvement.

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Sources

  1. Saarikoski, M., Isoaho, H., Warne, T., & Leino-Kilpi, H. (2008). The nurse teacher in clinical practice: Developing the new sub-dimension for the Clinical Learning Environment Supervision and Nurse Teacher (CLES+T) evaluation scale. Int J Nurs Stud 45(8): 1233–1237. DOI: 10.1016/j.ijnurstu.2007.09.008
  2. Saarikoski, M., Leino-Kilpi, H., & Warne, T. (2007). Clinical learning environments as perceived by nursing students: Factor structure and relationships to learning outcomes. Nurse Educ Today 27(2): 122–128. DOI: 10.1016/j.nedt.2006.03.003

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ScholarGateCLES+T (Clinical Learning Environment Scale with Teacher Feedback Subscale). Retrieved 2026-06-04 from https://scholargate.app/en/health-education/clinical-learning-environment-scale