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International Healthcare Students in Clinical Learning Environments

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Professional Learning in the Work Place for International Students

Abstract

Internationalism is becoming an increasingly prominent phenomenon in healthcare education. Growing evidence suggests that cultural and linguistic differences influence international students’ learning experiences, particularly in clinical learning environments. We suggest that both students and their mentors should be provided with education in culture and communication to prepare them for professional partnerships in the clinical learning environment. Students also require a well-planned orientation and enough time to adapt to cultural and linguistic differences during their clinical placements. Creating a pedagogical atmosphere which is supportive of cultural differences can enhance students’ success in clinical learning. Fostering intercultural sensitivity towards international students enables reciprocal learning to take place between mentors, clinical facilitators and students. Internationalism offers great opportunities for students to receive a richer education and become better professionals. However, educating international students well requires both careful planning of clinical education within the healthcare curriculum and training of clinical mentors to supervise international students effectively.

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References

  • Allen, M., & Ogilvie, L. (2004). Internationalization of higher education: Potentials and pitfalls for nursing education. International Nursing Review, 51, 73–80.

    Article  Google Scholar 

  • Arieli, D. (2013). Emotional work and diversity in clinical placements of nursing students. Journal of Nursing Scholarship, 45(2), 192–201.

    Article  Google Scholar 

  • Brown, J. F. (2008). Developing an English-as-a-second-language program for foreign-born nursing students at an historically black university in the United States. Journal of Transcultural Nursing, 19(2), 184–191.

    Article  Google Scholar 

  • Cutcliffe, J. R., Bajkay, R., Forster, S., Small, R., & Travale, R. (2011). Nurse migration in an increasingly interconnected world: The case for internationalization of regulation of nurses and nursing regulatory bodies. Archives of Psychiatric Nursing, 25(5), 320–328.

    Article  Google Scholar 

  • de Wit, H., Hunter, F., Howard, L., & Egron-Polak, E. (2015). Internationalisation of higher education. European Parliament. Policy Department B. Structural and Cohesion Policies. Retrieved from http://www.europarl.europa.eu/RegData/etudes/STUD/2015/540370/IPOL_STU(2015)540370_EN.pdf

  • Elcigil, A., & Sari, H. Y. (2008). Students’ opinions about and expectations of effective nursing clinical mentors. Journal of Nursing Education, 47(3), 118–123.

    Article  Google Scholar 

  • Eriksson, E., Korhonen, T., Merasto, M., & Moisio, E. L. (2015). The nurse professional competence. Finland: Ammattikorkeakoulujen terveysalan verkosto ja Suomen sairaanhoitajaliitto ry. (in Finnish).

    Google Scholar 

  • Ferrara, L. R. F. (2012). Strategies for success as a clinical preceptor. The Nurse Practitioner, 37(5), 49–53.

    Article  Google Scholar 

  • Grant, E., & McKenna, L. (2003). International clinical placements for undergraduate students. Journal of Clinical Nursing, 12, 529–535.

    Article  Google Scholar 

  • Green, B. F., Johansson, I., Rosser, M., Tengnah, C., & Segrott, J. (2008). Studying abroad: A multiple case study of nursing students’ international experiences. Nurse Education Today, 28, 981–992.

    Article  Google Scholar 

  • Hall-Lord, M. L., Theander, K., & Athlin, E. (2013). A clinical supervision model in bachelor nursing education—Purpose, content and evaluation. Nurse Education in Practice, 13, 506–511.

    Article  Google Scholar 

  • Jeong, S. Y., Hickey, N., Levett-Jones, T., Pitt, V., Hoffman, K., Norton, C. A., & Ohr, S. O. (2011). Understanding and enhancing the learning experiences of culturally and linguistically diverse nursing students in an Australian bachelor of nursing program. Nurse Education Today, 31(3), 238–244.

    Article  Google Scholar 

  • Jokelainen, M., Turunen, H., Tossavainen, K., Jamookeeah, D., & Coco, K. (2011). A systematic review of mentoring nursing students in clinical placements. Journal of Clinical Nursing, 20(19/20), 2854–2867.

    Article  Google Scholar 

  • Koskinen, L., & Tossavainen, K. (2003a). Relationships with undergraduate nursing exchange students—A tutor perspective. Journal of Advanced Nursing, 41(5), 499–508.

    Article  Google Scholar 

  • Koskinen, L., & Tossavainen, K. (2003b). Characteristics of intercultural mentoring—A mentor perspective. Nurse Education Today, 23, 278–285.

    Article  Google Scholar 

  • Mackay, B., Harding, T., Jurlina, L., Scobie, N., & Khan, R. (2012). Utilising the hand model to promote a culturally safe environment for international nursing students. Nurse Education in Practice, 12(2), 120–126.

    Article  Google Scholar 

  • Madhavanpraphakaran, G. K., Shukri, R. K., & Balachandran, S. (2014). Preceptors’ perceptions of clinical nursing education. Journal of Continuing Education in Nursing, 45(1), 28–34.

    Article  Google Scholar 

  • Mattila, L., Pitkäjärvi, M., & Eriksson, E. (2010). International student nurses’ experiences of clinical practice in the Finnish health care system. Nurse Education in Practice, 10(3), 153–157.

    Article  Google Scholar 

  • McIntosh, A., Gidman, J., & Smith, D. (2014). Mentors’ perceptions and experiences of supporting student nurses in practice. International Journal of Nursing Practice, 20, 360–365.

    Article  Google Scholar 

  • Mikkonen, K., & Kääriäinen, M. (2016). Mentoring international students in clinical practice. In T. Saaranen, M. Koivula, H. Ruostalainen, C. Wärnä-Furu, & L. Salminen (Eds.), Healthcare teachers’ manual (pp. 216–223). Tietosanoma: Helsinki. (in Finnish).

    Google Scholar 

  • Mikkonen, K., Kyngäs, H., & Kääriäinen, M. (2015). Nursing students’ experiences of the empathy of their teachers: A qualitative study. Advances in Health Sciences Education, 20, 669–682.

    Article  Google Scholar 

  • Mikkonen, K., Elo, S., Kuivila, H. M., Tuomikoski, A. M., & Kääriäinen, M. (2016a). Culturally and linguistically diverse healthcare students’ experiences of learning in a clinical environment: A systematic review of qualitative studies. International Journal of Nursing Studies, 54, 173–187.

    Article  Google Scholar 

  • Mikkonen, K., Elo, S., Tuomikoski, A. M., & Kääriäinen, M. (2016b). Mentor experiences of international healthcare students’ learning in a clinical environment: A systematic review. Nurse Education Today, 40, 87–94.

    Article  Google Scholar 

  • Myhre, K. (2011). Exchange students crossing language boundaries in clinical nursing practice. International Nursing Review, 58(4), 428–433.

    Article  Google Scholar 

  • O’Reilly, S. L., & Milner, J. (2015). Supporting culturally and linguistically diverse students during clinical placement: Strategies from both sides of the table. BMC Medical Education, 15, 175–181.

    Article  Google Scholar 

  • Omansky, G. L. (2010). Staff nurses’ experiences as preceptors and mentors: An integrative review. Journal of Nursing Management, 18, 697–703.

    Article  Google Scholar 

  • Parker, V., & McMillan, M. (2007). Challenges facing internationalization of nursing practice, nurse education and nursing workforce in Australia. Contemporary Nurse, 24, 128–136.

    Article  Google Scholar 

  • Pitkäjärvi, M., Eriksson, E., & Kekki, P. (2011). Teachers’ experiences of English-language-taught degree programs within health care sector of Finnish polytechnics. Nurse Education Today, 31(6), 553–557.

    Article  Google Scholar 

  • Pitkäjärvi, M., Eriksson, E., Kekki, P., & Pitkala, K. (2012). Culturally diverse nursing students in Finland: Some experiences. International Journal of Nursing Education Scholarship, 9(1), 1–18.

    Article  Google Scholar 

  • Robinson, A., Andrews-Hall, S., Cubit, K., Fassett, M., Venter, L., Menzies, B., & Jongeling, L. (2008). Attracting students to aged care: The impact of a supportive orientation. Nurse Education Today, 28, 354–362.

    Article  Google Scholar 

  • Rogan, F., & San Miguel, C. (2013). Improving clinical communication of students with English as a second language (ESL) using online technology: A small scale evaluation study. Nurse Education in Practice, 13(5), 400–406.

    Article  Google Scholar 

  • Rogan, F., San Miguel, C., Brown, D., & Kilstoff, K. (2006). ‘You find yourself’ perceptions of nursing students from non-English speaking back-grounds of the effect of an intensive language support program on their oral clinical communication skills. Contemporary Nurse, 23(1), 72–86.

    Article  Google Scholar 

  • San Miguel, C., & Rogan, F. (2009). A good beginning: The long-term effects of a clinical communication programme. Contemporary Nurse: A Journal for the Australian Nursing Profession, 33(2), 179–190.

    Article  Google Scholar 

  • San Miguel, C., & Rogan, F. (2012). Clinical expectations: What facilitators expect from ESL students on clinical placement. Nurse Education in Practice, 12(2), 115–119.

    Article  Google Scholar 

  • Sedgwick, M., Oosterbroek, T., & Ponoma, V. (2014). “It all depends”: How minority nursing students experience belonging during clinical experiences. Nursing Education Perspectives, 35(2), 89–93.

    Article  Google Scholar 

  • Seibold, C., Rolls, C., & Campbell, M. (2007). Nurses on the move: Evaluation of a program to assist international students undertaking an accelerated bachelor of nursing program. Contemporary Nurse, 25(1–2), 63–71.

    Article  Google Scholar 

  • Thompson, C. J. (2012). Improving the educational experience for international clinical nurse specialist students, part II: Attending to culturally sensitive communication. Clinical Nurse Specialist, 26(6), 336–340.

    Article  Google Scholar 

  • Thompson, C. J. (2013). Improving the educational experience for international clinical nurse specialist students, part III: Using culturally sensitive teaching strategies. Clinical Nurse Specialist, 27(1), 44–51.

    Article  Google Scholar 

  • Woodley, L. K. (2013). Clinical teaching in nursing. In M. H. Oermann (Ed.), Teaching in nursing and role of the educator. The complete guide to best practice in teaching, evaluation, and curriculum development (pp. 141–161). New York: Springer Publishing Company.

    Google Scholar 

  • Worrall, K. (2007). Orientation to student placements: Needs and benefits. Pediatric Nursing, 19(1), 31–33.

    Article  Google Scholar 

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Correspondence to Kristina Mikkonen .

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Mikkonen, K., Pitkäjärvi, M., Kääriäinen, M. (2017). International Healthcare Students in Clinical Learning Environments. In: Barton, G., Hartwig, K. (eds) Professional Learning in the Work Place for International Students. Professional and Practice-based Learning, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-60058-1_9

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  • DOI: https://doi.org/10.1007/978-3-319-60058-1_9

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