School of Health, Federation University Berwick Campus, 100 Clyde Rd, Berwick, Victoria 3806, Australia.
School of Health, Federation University Gippsland Campus, Northways Rd, Churchill, Victoria 3842, Australia.
Nurse Educ Today. 2021 Nov;106:105050. doi: 10.1016/j.nedt.2021.105050. Epub 2021 Jul 3.
Increasing patient diversity, as a result of growing global interaction, has necessitated that nursing academics better prepare nursing students to provide culturally appropriate and respectful care to their patients, particularly in culturally diverse countries such as Australia. One approach to improve cultural awareness of nursing students is a cultural immersion placement, and this paper describes such an experience which has been embraced by undergraduate participants. Purpose of this paper was to describe experiences, cultural awareness and challenges encountered by final year undergraduate nursing students undertaking a 22-day cultural immersion placement in Nepal. The researchers accompanied one group of students per year on this trip, which was repeated for three consecutive years. Describing and reflecting on the lived experience of nursing students engaged in this cultural immersion placement has helped to discern how this experience affects the cultural awareness of undergraduate nursing students and helps to decrease the challenges for similar placements in the future.
To gain insight into the way this initiative impacted on the development of the participant's cultural competence, a qualitative descriptive design was chosen. Semi-structured interviews were carried out over three consecutive years with final year undergraduate nursing students upon their return from Nepal over three consecutive years. Data analysis followed standard suggestions for a systematic, unbiased approach to dealing with the condensed text, and was analysed using thematic analysis.
The findings suggested that this experience, albeit of limited duration, provided a significant contribution to students' understanding of cross-cultural awareness in the context of providing health care.
There was a strong implication from the outcomes that this cultural immersion placement should be permanently integrated into the undergraduate nursing course. There was, however, indication that there is room for added reflection and advantages to be made from the experience.
由于全球互动的增加，患者的多样性不断增加，这使得护理学术界有必要更好地培养护理学生，以便为患者提供文化上适当和尊重的护理，特别是在像澳大利亚这样的文化多元化国家。提高护理学生文化意识的一种方法是进行文化沉浸安置，本文描述了这种经验，这种经验已被本科参与者所接受。
本文的目的是描述在尼泊尔进行为期 22 天的文化沉浸安置的最后一年本科护理学生的经历、文化意识和遇到的挑战。研究人员每年陪同一组学生进行此旅行，连续三年重复进行。描述和反思参与这种文化沉浸安置的护理学生的生活经历，有助于了解这种经历如何影响本科护理学生的文化意识，并有助于减少未来类似安置的挑战。
为了深入了解这一举措对参与者文化能力发展的影响，选择了定性描述设计。在连续三年的时间里，在学生从尼泊尔返回后，每年对最后一年的本科护理学生进行半结构化访谈。数据分析遵循系统、无偏见地处理浓缩文本的标准建议，并使用主题分析进行分析。
研究结果表明，这种体验（尽管时间有限）为学生在提供医疗保健方面对跨文化意识的理解做出了重要贡献。
研究结果强烈暗示，这种文化沉浸安置应该永久纳入本科护理课程。然而，这表明从经验中进行更多反思和利用优势的空间。
