title: Development and psychometric testing of the Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale (CLES+T): the Spanish version.
abstract: BACKGROUND
  The Clinical Learning Environment, Supervision and Nurse Teacher scale is a reliable and valid instrument to evaluate the quality of the clinical learning process in international nursing education contexts.
  
  
  OBJECTIVE
  This paper reports the development and psychometric testing of the Spanish version of the Clinical Learning Environment, Supervision and Nurse Teacher scale.
  
  
  METHODS
  Cross-sectional validation study of the scale.
  
  
  METHODS
  10 public and private hospitals in the Alicante area, and the Faculty of Health Sciences (University of Alicante, Spain).
  
  
  METHODS
  370 student nurses on clinical placement (January 2011-March 2012).
  
  
  METHODS
  The Clinical Learning Environment, Supervision and Nurse Teacher scale was translated using the modified direct translation method. Statistical analyses were performed using PASW Statistics 18 and AMOS 18.0.0 software. A multivariate analysis was conducted in order to assess construct validity. Cronbach's alpha coefficient was used to evaluate instrument reliability.
  
  
  RESULTS
  An exploratory factorial analysis identified the five dimensions from the original version, and explained 66.4% of the variance. Confirmatory factor analysis supported the factor structure of the Spanish version of the instrument. Cronbach's alpha coefficient for the scale was .95, ranging from .80 to .97 for the subscales.
  
  
  CONCLUSIONS
  This version of the Clinical Learning Environment, Supervision and Nurse Teacher scale instrument showed acceptable psychometric properties for use as an assessment scale in Spanish-speaking countries.
authors.affiliation: Faculty of Health Sciences, University of Alicante, Spain. Electronic address: flores.vizcaya@me.com.
authors.forename: M Flores
authors.initials: MF
authors.lastname: Vizcaya-Moreno
authors.affiliation: Faculty of Health Sciences, University of Alicante, Spain. Electronic address: rm.perez@ua.es.
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Pérez-Cañaveras
authors.affiliation: Faculty of Sciences, University of Alicante, Spain. Electronic address: jdj@ua.es.
authors.forename: Joaquín
authors.initials: J
authors.lastname: De Juan
authors.affiliation: Department of Nursing Science, University of Turku, Finland. Electronic address: mikko.saarikoski@turkuamk.fi.
authors.forename: Mikko
authors.initials: M
authors.lastname: Saarikoski
mesh_terms: D003430:Cross-Sectional Studies; D005181:Faculty, Nursing / Q000592:standards*; D006801:Humans; D007858:Learning; D011594:Psychometrics; D013030:Spain
keywords: Instrument construction; Learning environment; Psychometrics; Student placement; Undergraduate students