From Context To Validation: Psychometric Evaluation of the Clinical Learning Environment Tool In Pakistan

Authors

  • Ayaz Ul Haq Khyber Medical University, Peshawar
  • Brekhna Jamil Khyber Medical University, Peshawar
  • Nowshad Asim Khyber Medical University, Peshawar
  • Muhammad Ijaz Khyber Medical University, Peshawar
  • Samreen Riaz Khyber Medical University, Peshawar

DOI:

https://doi.org/10.37762/jgmds.12-4.774

Keywords:

Clinical Learning Environment, Student Satisfaction, Nursing Care Quality, Mentor/Preceptor, Nursing Teacher

Abstract

OBJECTIVES

The purpose of this study was to establish the validity and reliability of the Clinical Learning Environment Tool (CLE-T) within the Pakistani culture and context.

METHODOLOGY

A quantitative descriptive study was conducted from June to November 2023. This study was conducted in two phases. Phase one focused on content validation using an online form, while phase two involved field testing and psychometric evaluation. The adapted 34-item tool was then administered to 392 nursing students from government colleges in Khyber Pakhtunkhwa, Pakistan, selected via probability random sampling. Reliability was assessed using Cronbach's alpha and item-total correlations, while construct validity was examined through exploratory factor analysis. Ethical approval and informed consent were obtained prior to the commencement of data collection.

RESULTS
The study prioritizes cultural alignment, content and construct validity, internal consistency, and test-retest reliability. Results demonstrate strong content validity with high Content Validity Index (CVI) and Content Validity Ratio (CVR) scores, supported by a Cronbach's Alpha coefficient of 0.980, indicating reliability. Factor analysis identifies three dimensions: supportive learning, communication, and learning scenario efficacy. The validated CLE-T emerges as a reliable resource for educators and policymakers, fostering effective clinical learning environments and skilled healthcare professionals.

CONCLUSION

The paper suggests broader validation across contexts and longitudinal exploration, affirming the CLE-T as a valuable tool for educators and policymakers.

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Author Biographies

Ayaz Ul Haq, Khyber Medical University, Peshawar

MHPE Scholar,
Institute of Health Professions Education & Research,
Khyber Medical University, Peshawar

Brekhna Jamil, Khyber Medical University, Peshawar

Professor of Medical Education,
Institute of Health Professions Education & Research,
Khyber Medical University, Peshawar

Nowshad Asim, Khyber Medical University, Peshawar

Assistant Professor of Medical Education,
Institute of Health Professions Education & Research,
Khyber Medical University, Peshawar

Muhammad Ijaz, Khyber Medical University, Peshawar

MHPE Scholar,
Institute of Health Professions Education & Research,
Khyber Medical University, Peshawar

Samreen Riaz, Khyber Medical University, Peshawar

MHPE Scholar,
Institute of Health Professions Education & Research,
Khyber Medical University, Peshawar

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Published

2025-09-30

How to Cite

Ayaz Ul Haq, Brekhna Jamil, Asim, N., Muhammad Ijaz, & Samreen Riaz. (2025). From Context To Validation: Psychometric Evaluation of the Clinical Learning Environment Tool In Pakistan. Journal of Gandhara Medical and Dental Science, 12(4), 93–96. https://doi.org/10.37762/jgmds.12-4.774