The CLES Scale as a National Quality Tool for Clinical Learning and Teaching

  • Riitta MeretojaEmail author
  • Tiina Tarr
  • Camilla Strandell-Laine


This chapter describes the systematic evaluation of the clinical learning environment in the Finnish HealthCare Services and offers initiatives to increase the quality elements of clinical practicum. The chapter also presents a practical case example from one hospital district.

The continual quality monitoring is important to both parties of the process; a student gets opportunities to evaluate different clinical learning environments—for example, an upcoming workplace—and the healthcare organisation can ensure that the incoming healthcare professionals find the organisation an attractive working environment. Our experiences support a common apprehension that a measurement intervention impacts the process as such; people actively initiate improvements already during measuring interventions and we get the kind of results we have waited for.


Benchmarking Clinical learning environment Evaluation National survey Network Quality control Quality monitoring 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Riitta Meretoja
    • 1
    • 2
    Email author
  • Tiina Tarr
    • 3
  • Camilla Strandell-Laine
    • 2
  1. 1.Helsinki University HospitalHelsinkiFinland
  2. 2.Department of Nursing ScienceUniversity of TurkuTurkuFinland
  3. 3.Hospital District of Southwest FinlandTurkuFinland

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