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We thank the Office of Research and Sponsored Programs for supporting this research, and Learning & Technology Services for printing this poster.
The Needs of Students and Faculty Participating in Intercultural Clinical Immersion ExperiencesAmanda Houle SN; Leah Mott SN; and Karen Nakano SN; Rosemary Jadack PhD, RN; Debra Jansen PhD, RN
College of Nursing and Health Sciences University of Wisconsin – Eau Claire
At our university, undergraduate nursing students are able to
take part in the following 7-10 day immersive nursing clinical
experiences.
� Hospital/public health, Indian Reservation in South Dakota
� Perinatal clinic in Texas, on the border with Mexico
� Palliative care hospital and orphanage in El Salvador
� Community Healthcare on migrant farms in Wisconsin
Experiences such as these have been shown to:
� Increase knowledge of specific cultures
� Increase confidence in caring for clients from diverse
backgrounds
Demographic data:
� Pertinent demographic data: age, prior travel abroad experience, and
language fluency
17 questions in which participants describe:
� Clinical and cultural experience
� Perceived needs before, during, and after the immersion
� Recommendations for future immersion participants
� Impact of clinical immersion on participants’ worldview
INTRODUCTION
PURPOSE
PROCEDURE
Purnell Model for Cultural Competence (Purnell, 2003):
� Provides a framework to assist in understanding and learning
about culture and in providing culturally competent and holistic
care.
� Assumes that learning a culture is an ongoing process that
primarily occurs through encounters with the culture.
THEORETICAL FRAMEWORK
CONTENT ANALYSIS
� Researchers will segment the transcribed interviews into themes.
� Themes will be reviewed and categories created based on similarities in
the data.
� Interrater reliability for development of the themes and categories will
be calculated.
CONCLUSIONS� We will continue to collect and analyze data.
� Findings will be useful to students and faculty when preparing for,
enhancing, and designing future intercultural immersion experiences.
SAMPLE& SETTING
METHOD
Convenience Sample
N = *18 undergraduate nursing students
n = 12 to Indian reservation in South Dakota
n = 6 to perinatal clinic in Texas
n = 6 to hospital/orphanage in El Salvador
n = 2 to migrant farms in Wisconsin
N = 2 faculty
Participants recruited via e-mail.
*Some students participated in more than one
immersion experience.
Identify the unique needs of students and faculty before, during, and
after participation in nursing clinical immersion experiences.
INSTRUMENTS
ACKNOWLEDGMENT
Financial support was provided through a University of Wisconsin – Eau Claire Faculty/Student Research Collaboration Grant
PRELIMINARY FINDINGS
� Semi-structured interviews were conducted by the undergraduate
student researchers
� Informed consent given as per the IRB-approved protocol
� Interviews were audio recorded with permission and transcribed
Preparation:
� “They prepared us in the fact that there’s really no way to prepare.”
� “I guess just having an open mindset like I said, because you won’t have
any ability to know what to expect because we all had different
experiences.”
� “What might have been better was to have students from previous
groups…talk about some of the things that might happen.”
Culture:
� “I liked the people a lot down there. Their culture is so much more
open and friendly and welcoming. I just like interacting with the people
and being able to teach them and have them be appreciative of what
we’re teaching them. The host families and everybody around there is
just amazing.”
� “Don’t let a language barrier hinder you from going.”
� “It was difficult. The language barrier was just really difficult in both
clinicals.”
� “I think it’s important for everyone to get together and sort of talk
about their experiences…in order to get people to kind of realize how
important it is for us to be doing things for the less privileged people.”
Self-Discovery:
� “Just being out of my comfort zone and growing from that I think was
the best.”
� “It was a lot to process. And some of it was really sad, some of it was
really happy, I learned a lot.”
� “I’m so privileged here that I have a house, I have water, I have family, I
have parents even, it just makes me really open my eyes and I’m like
thankful that I have all these things, but also I wanna like do more for
them. I wanna keep traveling.”
� “I think I connected spiritually in a new way when I attended the sweat.
That was beautiful and very moving.”
Application in Future Clinicals:
� “How you approach people of different cultures than yours, I learned
how to do that when I was in these immersion clinicals, rather than
being shocked when I look at the chart and it’s someone who you’re
not expecting to see.”
� “It definitely opened my eyes to a lot of things I wasn’t aware of before
with culture and with the whole birthing process.”