Research Information System
International Journal of Caring Science, vol.15, no.2, pp.1211-1217, 2022 (Peer-Reviewed Journal)
Background: Primary care Learning Environment and Nurse Teacher effectiveness is vital for quality of
education. Various cultural studies comprise a background for student education evaluation in both clinical and
primary care learning environments.
Aim: The aim of this methodological cross-sectional study was to test the validity and reliability of the Clinical
Learning Environment, Supervision, and Nurse Teacher (CLES+T) evaluation scale for primary care practices in
public health nursing education.
Methodology: This study had a methodological design, where study reporting was supported by the STROBE
checklist. To make sure that there would be around five times as many participants as the number of items, the
sample consisted of 135 junior students plus 17 senior students taking part in a public health nursing internship
program. In total, 152 students participated in the study. Helsinki Declaration ethical principles were considered
throughout the process. For the data analyses quantitative parametric measures were applied. The data analysis
involved Kendall’s W, Cronbach’s alpha, and confirmatory factor analysis. The scale was subject to expert
judgment, and it was piloted with a group of nursing students.
Results: The content validity analysis of expert judgement was statistically significant. Cronbach’s alpha
coefficients varied between 0.48 and 0.94 for five sub-dimensions of factor loading, according to confirmatory
factor analysis. The overall scale had a Cronbach’s alpha of 0.86. The five-factor construct of the Turkish
version of the CLES+T evaluation scale was confirmed and demonstrated adequate reliability and validity.
Conclusions: The scale can now be used by managers and teachers for evaluating the quality of education in
primary care practices. It gives an opportunity to Turkish student nurses and teachers to evaluate their practice.
Keywords: nursing students, public health education, evaluation, primary health care, CLES+T