Nurse Researchers need to explore study abroad programs and identify their impact on the development of cultural competence and global perspectives in nursing students. The purpose of this study was to explore the lived experience of nursing students who study abroad and to identify benefits and impediments that may be used to spawn future research and shape existing and future study abroad programs. The research question for this phenomenological study was “What is the lived experience of nursing students who study abroad?” A purposive sample of nursing students was obtained and included participants who completed an elective study abroad nursing course to either England or Dominica between 2006 and 2008. Data collection was obtained from two sources: semi-structured interviews and written reflective travel journals. Four themes became evident as a result of becoming immersed in students’ written and spoken words. Those themes were recognizing, encountering, adapting, and mastering. Findings from this study suggest that there are vast benefits of study abroad programs for nursing students including, but not limited to, increased personal growth, awareness of diverse cultures, adapting despite an unfamiliar environment, and increased self-efficacy. These findings have strong implications for nursing education, practice, and research.
Abrums, M., & Leppa, C. ( 2001, September). Beyond cultural competence: Teaching about race, gender, class, and sexual orientation. Journal of Nursing Education, 40, 270-276.
2.
Bandura, A. ( 1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
3.
Berrios, C. ( 2003, July-September). Culturally competent mental health care for Puerto Rican children. Journal of Child and Adolescent Psychiatric Nursing, 16(3), 112-122.
4.
Betancourt, J., Green, A., Carrillo, J., & Park, E. ( 2005). Cultural competence and health care disparities: Key perspectives and trends. Health Affairs, 24, 499-505.
5.
Caffrey, R., Neander, W., Markle, D., & Stewart, B. ( 2005, May). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. Journal of Nursing Education, 44, 234-241.
6.
Campinha-Bacote, J. ( 2003). The process of cultural competence in the delivery of healthcare services: A culturally competent model of care. Cincinnati, OH: Transcultural C.A.R.E.
7.
Carlson, J., Burn, B., Useem, J., & Yachimowicz, D. (1990). Study abroad: The experience of American undergraduates. Westport, CT: Greenwood Press.
8.
Colling, J., & Wilson, T. ( 1998). Short-term reciprocal international academic exchange program. Journal of Nursing Education, 37(1), 34-37.
9.
Creswell, J. ( 1998). Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage.
10.
DeDee, L.S., & Stewart, S. ( 2003, July). The effect of student participation in international study. Journal of Professional Nursing, 19, 237-242.
11.
Dennis, B., & Small, E. ( 2003, January/February). Incorporating cultural diversity in nursing care: An action plan. Association of Black Nursing Faculty (ABNF) Journal, 14(1), 17-26.
12.
Dogra, N., & Carter-Pokras, O. (2005). Stakeholder views regarding cultural diversity teaching outcomes: A qualitative study. BioMed Central, 5(37), 1-12.
13.
Flowers, D. ( 2004, August). Culturally competent nursing care: A challenge for the 21st century. Critical Care Nurse, 24(4), 48-52.
14.
Formicola, A., Stavisky, J., & Lewy, R. ( 2003, August). Cultural competency: Dentistry and medicine learning from one another. Journal of Dental Education, 67, 869-875.
15.
Grant, L., & Letzring, T. ( 2003). Status of cultural competence in nursing education: A literature review. Journal of Multicultural Nursing and Health , 9(2), 6-13.
16.
Grant, E., & McKenna, L. ( 2003). International clinical placements for undergraduate students . Journal of Clinical Nursing, 12, 529-535.
17.
Inglis, A., Rolls, C., & Kristy, S. ( 1998). The impact of participation in a study abroad programme on students’ conceptual understanding of community health nursing in a developing country. Journal of Advanced Nursing, 28, 911-917.
18.
Institute of International Education. (n.d.). Open doors 2008 report. Retrieved April 1, 2010 from http://opendoors.iienetwork.org
19.
Johanson, L. ( 2006, May/June). The implementation of a study abroad course for nursing. Nurse Educator, 31(3), 129-131.
20.
Juckett, G. ( 2005, December). Cross-cultural medicine. American Family Physician, 72, 2267-2274.
21.
Kim-Godwin, Y., Clarke, P., & Barton, L. ( 2001). A model for the delivery of culturally competent community care. Journal of Advanced Nursing, 35, 918-925.
22.
Koskinen, L., & Tossavainen, K. (2003). Benefits/problems of enhancing students’ intercultural competence. British Journal of Nursing, 12, 369-377.
23.
Koskinen, L., & Tossavainen, K. (2004). Study abroad as a process of learning intercultural competence in nursing. International Journal of Nursing Practice, 10, 111-120.
24.
Leininger, M. ( 1997). Overview and reflection of the theory of culture care and the ethnonursing research method. Journal of Transcultural Nursing, 8(2), 32-51.
25.
Leinonen, S. ( 2006, January/February). International nursing exchange programs . The Journal of Continuing Education in Nursing, 37(1), 16-20.
26.
Lewis, T., & Niesenbaum, R. (2005). The benefits of short-term study abroad. The Chronicle of Higher Education, 51(39), B.20.
27.
Munhall, P. ( 2007). Nursing research: A qualitative perspective. Sudbury, MA: Jones and Bartlett.
28.
Oberg, K. ( 1960). Cultural shock: Adjustment to new cultural environments . Practical Anthropology, 7, 177-182.
29.
Owens, A., & Randhawa, G. ( 2004). "It’s different from my culture; They’re very different": Providing community-based, "culturally competent" palliative care for South Asian people in the UK. Health and Social Care in the Community, 12, 414-421.
30.
Peterson, S., & Bredow, T. ( 2004). Middle range theories: Application to nursing research . Philadelphia: Lippincott Williams & Wilkins.
31.
Purnell, L., & Paulanka, B. (Eds.). (2003). Transcultural diversity and health care. A culturally competent approach (7th ed.). Philadelphia: F. A. Davis .
32.
Ruddock, H., & Turner, D. ( 2007). Developing cultural sensitivity: Nursing students’ experiences of a study abroad programme. Journal of Advanced Nursing, 59, 361-369.
33.
Sandin, I., Grahn, K., & Kronvall, E. ( 2004, July). Outcomes of Swedish nursing students’ field experiences in a hospital in Tanzania. Journal of Transcultural Nursing, 15, 225-230.
34.
Smith, J. (Ed). (2003). Qualitative psychology: A practical guide to research methods. London: Sage.
35.
St Clair,. A., & McKenry, L. ( 1999, May). Preparing culturally competent practitioners. Journal of Nursing Education, 38, 228-235.
36.
Steves, R. ( 2007). The art of journaling as you travel. Retrieved September 28, 2008, from http://www.cnn.com/2008/TRAVEL/09/26/journaling/index.html
37.
Suh, E.E. ( 2004, April). The model of cultural competence through an evolutionary concept analysis. Journal of Transcultural Nursing, 15(2), 93-102.
38.
Sullivan Commission on Diversity in the Healthcare Workforce. (2004, September). Missing persons: Minorities in the health professions. Washington, DC: Author. Retrieved March 9, 2008, from http://www.aacn.nche.edu/Media/pdf/SullivanReport.pdf
39.
Sutherland, L. ( 2002). Ethnocentrism in a pluralistic society. Journal of Transcultural Nursing, 13, 274-281.
40.
Tabi, M., & Mukherjee, S. ( 2003, April). Nursing in a global community: A study abroad program. Journal of Transcultural Nursing, 14(2), 134-138.
41.
Taylor, S., & Lurie, N. ( 2004). The role of culturally competent communication in reducing ethnic and racial healthcare disparities. American Journal of Managed Care, 10, SP1-SP4.
42.
van Manen, M. ( 1990). Researching lived experience: Human science for an action sensitive pedagogy. New York: State University of New York Press.
43.
Walsh, L., & DeJoseph, J. ( 2003, June). "I saw it in a different light": International learning experiences in baccalaureate nursing education. Journal of Nursing Education, 42, 266-272.
44.
Webb, E., & Sergison, M. ( 2003). Evaluation of cultural competence and antiracism training in child health services. Archives of Disabled Children, 88, 291-294.
45.
Wilson, S., & Dorne, R. ( 2005). Impact of culture on the education of the geriatric patient . Topics in Geriatric Rehabilitation, 21, 282-294.
46.
Zambrana, R., Molnar, C., Munoz, H., & Lopez, D. ( 2004, September). Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations . American Journal of Managed Care, 10, SP37-SP44.
47.
Zorn, C.R. ( 1996, March). The long-term impact on nursing students participating in international education. Journal of Professional Nursing , 12(2), 106-110.
