International Nursing Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Japan.
Institute of Global Affairs, Tokyo Medical and Dental University, Japan.
Nurse Educ Today. 2023 Sep;128:105870. doi: 10.1016/j.nedt.2023.105870. Epub 2023 Jun 8.
Globalization has highlighted the importance of being competent in communicating with people of various cultural backgrounds.
To evaluate the effect of international courses for nursing students through online education in terms of intercultural sensitivity and perceived English proficiency.
A one-group pretest-posttest quasi-experimental design with an online self-reported questionnaire was conducted.
Participants were second-, third-, and fourth-year nursing students at a medical university in Tokyo in the spring term of 2021.
Measurements were performed before and after the international nursing courses, which consisted of 1) nursing communication English, taught by native English instructors to second- and third-year students; and 2) international health nursing, taught by overseas-experienced faculty members to fourth-year students. Furthermore, there is an elective Collaborative Online International Learning course, where students discuss, collaborate, and complete common assignments with students from a university in the United States. Intercultural sensitivity was measured using the Japanese version of the Intercultural Sensitivity Scale. The pre- and post-test intercultural sensitivity were compared using a paired t-test. Content analysis was employed to analyze the open-ended questions.
A total of 104 students' data were analyzed. Students' intercultural sensitivity mean improved significantly from 79.88 ± 8.47 (pre) to 83.04 ± 8.63 (post). Participants in the elective course (n = 7) showed significantly higher intercultural sensitivity levels than non-participants. The self-evaluated English proficiency of second- and third-year students who took English courses significantly improved after the courses. Themes extracted by elective course participants revealed students' perceptions toward learning about diverse cultures, resilience, and intercultural communication skills, which they can utilize for nursing practice in the future.
Taking international nursing courses can increase nursing students' intercultural sensitivity. Universities are encouraged to provide international nursing courses to help enhance their cultural sensitivity and competency for their future nursing careers.
全球化凸显了与不同文化背景的人进行沟通的能力的重要性。
通过在线教育评估护理学生国际课程对跨文化敏感性和英语水平感知的影响。
一项采用在线自我报告问卷的单组前后测试准实验设计。
参与者为东京一所医科大学的二年级、三年级和四年级护理学生，于 2021 年春季学期参加。
在国际护理课程前后进行测量，包括 1）护理沟通英语，由母语为英语的教师教授给二、三年级学生；2）国际卫生护理，由有海外经验的教师教授给四年级学生。此外，还有一门选修的在线国际合作学习课程，学生与美国一所大学的学生进行讨论、合作和完成共同作业。使用跨文化敏感性量表的日语版来衡量跨文化敏感性。使用配对 t 检验比较前后测试的跨文化敏感性。对开放式问题进行内容分析。
共分析了 104 名学生的数据。学生的跨文化敏感性均值从 79.88±8.47（前测）显著提高到 83.04±8.63（后测）。选修课程的参与者（n=7）的跨文化敏感性水平明显高于非参与者。参加英语课程的二、三年级学生的自我评估英语水平在课程结束后显著提高。选修课程参与者提取的主题揭示了学生对学习不同文化、适应能力和跨文化沟通技巧的看法，这些技巧他们可以在未来的护理实践中运用。
参加国际护理课程可以提高护理学生的跨文化敏感性。鼓励大学提供国际护理课程，以帮助提高学生的文化敏感性和能力，为他们未来的护理职业做好准备。
