Significant health care disparities exist in the United States. Nurses can play an important role eliminating these disparities. International immersion experiences for undergraduate nursing students may provide long-lasting enhancements in cultural competency and improvements in professional practice. The purpose of this descriptive qualitative study is to explore how a faculty-led international immersion experience for undergraduate nursing students in public health nursing has influenced cultural competency and how this is perceived to have impacted the individuals' current professional practice. Campinha-Bacote's (2002) Process of Cultural Competence in the Delivery of Health Care Services served as a theoretical framework for the study. Participants were sampled based on their experiences in either Bangladesh or Uganda from 2011 to 2013 as part of an international immersion program for undergraduate nursing students. Participants were asked to provide a written response to three prompts. Analysis was guided by the method developed by Colaizzi (Polit & Beck, 2012). Seven individuals agreed to participate. The data collected was somewhat limited in terms of depth, but it did reveal the themes of positive personal and professional development as well as the self-perceived enhancement of one's cultural competency. These findings are discussed within the context of the literature reviewed. Finally, the methodology of this study is reflected upon and recommendations are made for a follow-up study. This study supports the idea that an international immersion experience for undergraduate nursing students is an overall positive experience and can benefit professional practice as well as enhance one's cultural competency. However, more research is still needed to assess specifically how professional practice is benefited and to what extent these benefits are maintained overtime.

BACKGROUND: Rapid changes in healthcare and science have enhanced the need for international educational experiences (IEE). Despite the importance of IEE in healthcare, there is a lack of literature in this area of research specifically relating to respiratory therapy. Therefore, it is important to assess the perceived impact of IEE in the United States on RT students in order to evaluate the need for developing international educational opportunities in the field of respiratory therapy. PURPOSE: The aim of this study was to assess Saudi RT international students’ perception of the impact of IEE on their lives experiences. METHODS: Data were collected through a descriptive survey using a modified version of the international education survey (IES). The survey was emailed to all RT members of the Saudi Society for Respiratory Care (SSRC). Four main dimensions were assessed: Professional RT role, global understanding, personal development, and intellectual development. Excluded from the study were non-Saudi RTs and RTs with no IEE from the United States. RESULTS: Nineteen responses met the exclusion criteria of the study and were excluded. The total adjusted number of participants was sixty-two (n=62) out of (N=534) emailed surveys. The study response rate was 15.17%. Just over half of participants hold a graduate degree in RT while 48.4% hold an undergraduate degree in RT. Female participants accounted for 12.9% of all participants while male participants accounted for 87.1%. The study revealed that “professional RT role” was the most impacted area of IEE for RT undergraduate students (M 5.48, ± 1.4). The study showed that “global understanding” was the most impacted area of IEE for graduate RT students (M 5.4, SD of ± 0.84). The study findings showed that there is a moderately significant positive correlation between the duration of IEEs and the impact of RT professional role (r=0.426; p=0.001). Moreover, the study findings indicated that IEEs had a higher but insignificant influence on former international RT students’ perceptions of impact than current students. Conclusion: IEE had a large overall impact on participant’s lives experiences. The study findings support the value of promoting IEEs in the United States for RT students due to its perceived positive impact on internationalization of healthcare. Further studies with higher number of participants, different cultural backgrounds, and different IEE destinations is recommended.