title: Nursing students' experiences of and satisfaction with the clinical learning environment: the role of educational models in the simulation laboratory and in clinical practice.
abstract: OBJECTIVE
  Student satisfaction is an important element of the effectiveness of clinical placement, but there is little consensus in the literature as to the preferred model of clinical experience for undergraduate nursing students. The aim of this study was assess, for each academic year, students' perception of the roles of nurse teachers (NT) and clinical nurse supervisors (CNS) who perform tutoring in both apprenticeship and laboratories and to identify and evaluate students' satisfaction with the environment of clinical learning.
  
  
  METHODS
  This analytic cross-sectional study was conducted in a sample of 173 nursing students in the Northern Italy. The research instrument used is the Clinical learning environment, supervision and nurse teacher (CLES+T) evaluation scale. Data were statistically analysed.
  
  
  RESULTS
  94% of our sample answered questionnaires. Students expressed a higher level of satisfaction with their training experiences. The highest mean value was in the sub-dimension "Pedagogical atmosphere on the ward". Third year students expressed higher satisfaction levels in their relationship with the CNS and lower satisfaction levels in their relationship with the NT. This result may be due to the educational model that is adopted in the course, in which the simulation laboratory didactic activities of the third year are conducted by CNS, who also supervises experiences of clinical learning in the clinical practice.
  
  
  CONCLUSIONS
  The main finding in this study was that the students' satisfaction with the supervisory relationship and the role of NT depend on how supervision in the clinical practice and in the simulation laboratory is organized.
authors.affiliation: PhD, MSN, RN, School of Nursing, ASL Romagna and University of Bologna, Italy. paola.ferri@unimore.it.
authors.forename: Valeria
authors.initials: V
authors.lastname: Cremonini
authors.forename: Paola
authors.initials: P
authors.lastname: Ferri
authors.forename: Giovanna
authors.initials: G
authors.lastname: Artioli
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Sarli
authors.forename: Enrico
authors.initials: E
authors.lastname: Piccioni
authors.forename: Ivan
authors.initials: I
authors.lastname: Rubbi
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D017145:Models, Educational; D010549:Personal Satisfaction; D013338:Students, Nursing