“…[24][25][26] The DREEM has five major domains of student's self-perceptions regarding: learning, teachers, atmosphere, academic, and social climate and it has been used by various nursing educational institutions. [27][28][29][30] Since the integrated nursing educational environment remains to have a crucial influence on the student achievement, behaviors, satisfaction and success, which necessitates, the need to receive a detailed feedback from nursing students regarding their both clinical and academic experiences, especially in highly stressful critical care clinical learning settings, in order to provide a beneficial guide for strategic planning, resource utilization as well as corrective actions of negatively perceived students' concerns for future academic improvement. [15,31] Many researches mainly emphasized on the clinical environment and student perceptions without investigating the relationship between their perceptions and academic outcomes.…”