University of Oulu

Mikkonen K., Riklikiene O. (2018) New Ways and Environments for Using the CLES Framework. In: Saarikoski M., Strandell-Laine C. (eds) The CLES-Scale: An Evaluation Tool for Healthcare Education. Springer, Cham

New ways and environments for using the CLES framework

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Author: Mikkonen, Kristina1; Riklikiene, Olga2
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2Faculty of Nursing, Lithuanian University of Health Sciences, Kaunas, Lithuania
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0 MB)
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Language: English
Published: Springer Nature, 2017
Publish Date: 2019-11-21


Clinical Learning Environment and Supervision (CLES) scale has been used and validated in many countries (see Chap. 4). Most commonly, the validation studies have been carried out in a hospital environment and the samples have consisted of general nursing students. An interesting enquiry was raised concerning the validity and implications of the CLES framework in other fields of healthcare services and healthcare student groups including medical students. This chapter presents new ways and environments for implementing the CLES scale, with healthcare students in general, and international nursing students in particular. The examples come from healthcare and medical education. The section dealing with challenges relating to international students’ clinical practicum also introduces a new scale Cultural and Linguistic Diversity scale (CALDs). This scale is developed for international nursing students and can be used together with the CLES+T scale.

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ISBN: 978-3-319-63649-8
ISBN Print: 978-3-319-63648-1
Pages: 103 - 103
DOI: 10.1007/978-3-319-63649-8_10
Host publication: The CLES-Scale : An Evaluation Tool for Healthcare Education
Host publication editor: Saarikoski, Mikko
Strandell-Laine, Camilla
Type of Publication: A3 Book chapter
Field of Science: 316 Nursing
Copyright information: © Springer International Publishing AG 2018. This is a post-peer-review, pre-copyedit version of an book chapter published in The CLES-Scale : An Evaluation Tool for Healthcare Education. The final authenticated version is available online at: