Nursing in a Globalized World: Nursing Students with International Study Experience Report Higher Competence at Graduation
Jan Nilsson1,2*, Marianne Carlsson3,4, Eva Johansson5, Ann-Charlotte Egmar6,7, Jan Florin8, Janeth Leksell8, Christina Lindholm9, Gun Nordström1,10, Kersti Theander1,11, Bodil Wilde- Larsson1,10, Margret Lepp12,13, Ann Gardulf2,14
1Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
2The Japanese Red Cross Institute for Humanitarian Studies, Tokyo, Japan.
3Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
4Gävle University, Gävle, Sweden.
5Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
6The Red Cross University College, Stockholm, Sweden.
7Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
8School of Health and Social Studies, Dalarna University, Falun, Sweden.
9Sophiahemmet University, Stockholm, Sweden.
10Department of Nursing, Hedmark University College, Hedmark, Norway.
11Primary Care Research Unit, County Council of Värmland, Sweden.
12Institute of Health and Care Science, University of Gothenburg, Gothenburg, Sweden.
13Østfold University College, Halden, Norway.
14Unit for Clinical Nursing Research, Immunotherapy and Immunology, Division of Clinical Immunology, Department of Laboratory Medicine, Karolinska Institutet at Karolinska University Hospital, Stockholm, Sweden.
DOI: 10.4236/ojn.2014.412090   PDF    HTML   XML   3,523 Downloads   5,113 Views   Citations


Due to globalization, there is a need for nurses with skills and competence in providing safe, competent and culturally appropriate care. The aim of the study was to investigate whether International Study Experiences (ISE) in other countries during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas—“Legislation in nursing and safety planning”, “Leadership and development of nursing” and “Education and supervision of staff/students”. Background factors that significantly seemed to enhance ISE were living alone, not having children or other commitments in relation to family, international focus at the HEI and previous international experience. Lack of financial means was reported to prevent students from choosing ISE. The study implies that several background factors are of importance whether students choose ISE or not. ISE during basic nursing education might result in better self-reported competence in leading and developing nursing care, including education of future nurses, and in providing safe care.

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Nilsson, J. , Carlsson, M. , Johansson, E. , Egmar, A. , Florin, J. , Leksell, J. , Lindholm, C. , Nordström, G. , Theander, K. , Larsson, B. , Lepp, M. and Gardulf, A. (2014) Nursing in a Globalized World: Nursing Students with International Study Experience Report Higher Competence at Graduation. Open Journal of Nursing, 4, 848-858. doi: 10.4236/ojn.2014.412090.

Conflicts of Interest

The authors declare no conflicts of interest.


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