The document discusses providing nursing students with a global perspective through international education opportunities. It reviews the standards of the National League for Nursing Accreditation Commission (NLNAC) and the Commission on Collegiate Nursing Education (CCNE) and recommends revisions to better promote cultural competency and global awareness for students. The author argues that international education can benefit students individually and ideologically as well as in their practice, profession, and understanding of healthcare policy on a global scale.
Globalization implies an ethical and moral obligation for professional nurses to enter and function in a world wide community – Madeline Leninger (2)N Interdependence among nations has increased significantly (5)N NLN urged nurse educators and researchers to become more internationally focused (3)N
prepare their nursing students for multicultural care (1)N offer international placement opportunities cultural competence attainable through a process (2)N students who will work for the next 30 – 40 years alliances with a broad range of stakeholders world bank, IMF, WHO, UNAIDS Justice
appropriate care for patients from culturally diverse backgrounds (1)N Lack of previous experience with people Chauvinism and bias avoid homogenizing or stereotyping a culture (3)N National Standards for Culturally and Linguistically Appropriate Services can be held liable (5)N
Less than 10% of USA participate in study Rural host schools do not feel the need for cultural competence (5)B Short term vs long term 1-4 weeks, >4 weeks (1)B Significant change attributable to a 2 – 3 week study abroad experience Higher long term impact if the experience was 12 – 16 weeks rather than 3 – 4 (3)B Developed vs undeveloped (1)B (jury’s out) educational not missionary or religious (1)B total cultural immersion are essential blending of western healthcare acquisition of a second language
enhance cultural sensitivity (1)B chance to be minority (1)B expand perception and acceptance as a nurse (1)B developed cognitively personal and professional growth Raise students’ awareness Expose nurses to other cultures (2) Improved cultural self efficacy and competence, More likely for intnl employment, volunteerism, support of international education, or encouragement of children or grandchildren to study in a foreign country (3)B
incorporate a multicultural perspective alternative nursing practice (1)B renewed enthusiasm for practice, increased confidence and self reliance (1)B Changed place of practice from acute care to pub health or medically midwifery, or intnl nursing alternative therapies for areas such as pain management and labour and delivery
first-hand knowledge of midwifery, not prevalent in their home country (1)B Professional staff treated each other more equally than staff in the US (3)B Nurses appeared to have higher levels of self esteem (3)B
increased awareness of local politics and global issues (1)B evaluate the strengths and weakness of health care system (1)B aware of the impact of health policy on health care participate in policy development (3)B
Require cultural competence to be addressed in curriculum
Also applies to practical, diploma and associate programs Key wording
Also applies to Master’s, and post masters cert program
CCNE should revise standards to reflect professional standards of nursing including a specific provision for cultural competency based learning NLNAC should strengthen existing language that addresses multicultural educational standards
Cost to education institutions Impact to shortage Impact to nurse satisfaction