title: Work-engaged nurses for a better clinical learning environment: a ward-level analysis.
abstract: OBJECTIVE
  To correlate workgroup engagement in nursing teams and the clinical learning experience of nursing students.
  
  
  BACKGROUND
  Work engagement plays a pivotal role in explaining motivational dynamics. Nursing education is workplace-based and, through their clinical placements, nursing students develop both their clinical competences and their professional identity. However, there is currently a lack of evidence on the role of work engagement related to students' learning experiences.
  
  
  METHODS
  A total of 519 nurses and 519 nursing students were enrolled in hospital settings. The Utrecht Work Engagement Scale (UWES) was used to assess work engagement, and the Clinical Learning Environment and Supervision plus nurse Teacher (CLES+T) scale was used to assess students' learning experience. A multilevel linear regression analysis was performed.
  
  
  RESULTS
  Group-level work engagement of nurses correlated with students' clinical learning experience (β = 0.11, P < 0.001). Specifically, the 'absorption' and 'dedication' factors mostly contributed to enhancing clinical learning (respectively, β = 0.37, P < 0.001 and β = 0.20, P < 0.001).
  
  
  CONCLUSIONS
  Nursing teams' work engagement is an important motivational factor to enhance effective nursing education.
  
  
  CONCLUSIONS
  Nursing education institutions and health-care settings need to conjointly work to build effective organisational climates. The results highlighted the importance of considering the group-level analysis to understand the most effective strategies of intervention for both organisations and nursing education.
authors.affiliation: School of Nursing, University of Udine, Udine, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Tomietto
authors.affiliation: Department of Medicine and Science of Aging, 'G. d'Annunzio' University of Chieti, Italy.
authors.forename: Dania
authors.initials: D
authors.lastname: Comparcini
authors.affiliation: Department of Medicine and Science of Aging, 'G. d'Annunzio' University of Chieti, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Simonetti
authors.affiliation: School of Nursing and Midwifery Sciences, Università Politecnica delle Marche, Ancona, Italy.
authors.forename: Gilda
authors.initials: G
authors.lastname: Pelusi
authors.affiliation: School of Nursing, Università Politecnica delle Marche, Ascoli Piceno, Italy.
authors.forename: Silvano
authors.initials: S
authors.lastname: Troiani
authors.affiliation: Department of Nursing Science, University of Turku, Turku, Finland.
authors.forename: Mikko
authors.initials: M
authors.lastname: Saarikoski
authors.affiliation: Department of Medicine and Science of Aging, 'G. d'Annunzio' University of Chieti, Italy.|SL 02, Abruzzo, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Cicolini
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D003430:Cross-Sectional Studies; D004508:Education, Nursing, Baccalaureate / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D007858:Learning; D008297:Male; D008875:Middle Aged; D013338:Students, Nursing / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D017132:Workplace / Q000592:standards / Q000706:statistics & numerical data
keywords: clinical learning environment; multilevel analysis; nursing; ward-team; work engagement