Adaptation and validation of the instrument Clinical Learning Environment and Supervision for medical students in primary health care

Öhman, Eva; Alinaghizadeh, Hassan; Kaila, Päivi; Hult, Håkan; Nilsson, Gunnar H.; Salminen, Helena

doi:10.1186/s12909-016-0809-8

Table 2 CLES validation for medical students in PHC with exploratory factor analysis confirmed with confirmatory factor analysis. The table shows factor loadings for both EFA and CFA and results of Cronbach’s Alpha

From: Adaptation and validation of the instrument Clinical Learning Environment and Supervision for medical students in primary health care

Items nr^a	Item^b	EFA^c	CFA^d	Cronbach’s alpha^e
D1	Supervisor relationship (Dimension)
Item 1	My supervisor showed a positive attitude towards supervision	0.60	0.93	0.95
Item 2	I felt that I received individual supervision	0.50	0.85	0.95
Item 3	I continuously received feedback from my supervisor	0.61	0.84	0.95
Item 4	Overall I am satisfied with the supervision I received at the PHC centre	0.55	0.96	0.95
Item 5	The supervision was based on a relationship of equality and promoted my learning	0.83	0.89	0.95
Item 6	There was a mutual interaction in the supervisory relationship	0.86	0.92	0.95
Item 7	Mutual respect and approval prevailed in the supervisory relationship	0.87	0.90	0.95
Item 8	The supervisory relationship was characterized by a sense of trust	0.85	0.85	0.95
D2	Pedagogical atmosphere on the PHC centre
Item 9	The staffs was easy to approach	0.53	0.84	0.95
Item 10	I felt comfortable going to the PHC centre every day of my practice	0.69	0.81	0.95
Item 11	During staff meetings I felt comfortable taking part in the discussions	0.44	0.62	0.95
Item 12	There was a positive atmosphere at the PHC centre	0.61	0.79	0.95
Item 13	The staff was generally interested in student supervision	0.57	0.84	0.95
Item 14	The staff learned to know the students by their personal names	0.77	0.65	0.95
Item 15	There were sufficient meaningful learning situations at the PHC centre	0.74	0.84	0.95
Item 16	The learning situation were multidimensional in terms of content	0.61	0.75	0.95
Item 17	The PHC centre can be regarded as a good learning environment	0.66	0.88	0.95
D3	Leadership style of the manager of the PHC centre
Item 27	The manager of the PHC centre regarded the staff at their PHC centre as a key resource	0.81	0.82	0.95
Item 28	The manager of the PHC centre was a team member	0.87	0.68	0.95
Item 29	Feedback from the manager of the PHC centre could easily be considered as a learning situation	0.76	0.75	0.95
Item 30	The effort of individual employees was appreciated	0.65	0.74	0.95
Item 31	The PHC centre has a clearly defined vision and mission statement for the patient care that is clearly described	0.60	0.71	0.95
D4	Premises of the patient
Item 32	Patients received individualised care	0.43	0.86	0.95
Item 33	There were no problems in the information flow related to patient care (Discussions about individual patients and the transmission of information about individual patient cases to other colleagues and team members were handled respectfully)	0.74	0.67	0.95
Item 34	Documentation of patient care (e.g. medical records and other medical procedures etc.) was clear	0.72	0.57	0.95

^aItem numbered in the original CLES
^bItem translated for PHC
^cExploratory Factor Analysis
^dSecond-order Confirmatory Factor Analysis
^eCronbach’s alpha when item was deleted

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ISSN: 1472-6920

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