Shaw Louise, Turick Michelle, Kiegaldie Debra
Centre for Digital Transformation of Health, Faculty of Medicine, University of Melbourne, Parkville, Victoria, 3052, Australia.
Nursing Education & Health Studies, Northwestern Polytechnic Health Education Centre, Grande Prairie, AB T8V 4B1 Canada.
Nurse Educ Today. 2025 May;148:106602. doi: 10.1016/j.nedt.2025.106602. Epub 2025 Feb 5.
In an increasingly globalised and interconnected healthcare landscape, the development of intercultural competence among healthcare professionals is essential. Collaborative Online International Learning (COIL) presents a promising solution for offering international learning experiences without the physical barriers posed by traditional international education programs. This scoping review explored the existing literature on the implementation, effectiveness, and challenges of COIL in pre-registration health professions education.
A comprehensive scoping review was conducted using Arksey and O'Malley's five-stage framework, refined by the Joanna Briggs Institute (JBI) methodology for scoping reviews. A detailed search strategy covered multiple databases from January 2014 to July 2024. Two independent reviewers screened the papers, and data extraction was carried out systematically to ensure accuracy and consistency.
A total of 35 publications were included. Key trends, gaps, and outcomes associated with COIL programs were identified. Findings indicated that COIL enhances students' cultural competence, communication skills, and global health awareness, though challenges included technological barriers, time zone coordination, and curriculum alignment. The review identified the need for standardised assessment methods and suggests long-term evaluations of COIL's impact on healthcare education.
By mapping the current landscape, this review provides insights into how COIL can be leveraged to prepare future healthcare professionals for a diverse and globalised workforce. An implementation framework derived from this review, supports institutions in establishing similar COIL programs.
在日益全球化和相互关联的医疗保健格局中，医疗保健专业人员跨文化能力的培养至关重要。协作式在线国际学习（COIL）为提供国际学习体验提供了一个有前景的解决方案，消除了传统国际教育项目所带来的物理障碍。本范围综述探讨了关于COIL在注册前卫生专业教育中的实施、有效性和挑战的现有文献。
使用阿克斯利和奥马利的五阶段框架进行了全面的范围综述，并由乔安娜·布里格斯研究所（JBI）的范围综述方法进行了完善。详细的检索策略涵盖了2014年1月至2024年7月的多个数据库。两名独立评审员筛选论文，并系统地进行数据提取以确保准确性和一致性。
共纳入35篇出版物。确定了与COIL项目相关的主要趋势、差距和成果。研究结果表明，COIL提高了学生的文化能力、沟通技巧和全球健康意识，不过挑战包括技术障碍、时区协调和课程调整。该综述确定了对标准化评估方法的需求，并建议对COIL对医疗保健教育的影响进行长期评估。
通过描绘当前的格局，本综述提供了关于如何利用COIL为未来医疗保健专业人员准备多样化和全球化劳动力的见解。从本综述中得出的实施框架支持各机构建立类似的COIL项目。
