Around the Corner, Across the Globe
Developing Global Citizens through Civic Engagement
Keywords:Spanish education, cultural competence, service-learning, engaged civic learning, learning abroad
Nursing educators wrestle with preparing the future nursing workforce to meet the needs of underserved, vulnerable populations in marginalized communities who suffer significant health disparities and social injustices. This article illustrates the integration of engaged civic learning (ECL) within a social justice framework that prepares baccalaureate nurses as global citizens to provide culturally congruent health care around the corner in local communities and learning abroad programs across the globe.
Multiple partnerships with local organizations were strengthened, with ECL integrated across the nursing curriculum and aligned with local needs of community housing, schools, churches, shelters, and fitness centers. The nursing faculty collaborated with language professors to develop a Spanish for Health Professions program to increase communication between students and the high percentage of Spanish-speaking populations served locally and globally.
A mixed-methods design evaluated program outcomes using descriptive data, student reflections, and the Global Perspective Inventory (GPI) to assess students’ experiences and global learning related to learning abroad during their college experience. Results from pre-surveys to post-survey results showed significant improvement (p < .05) in global learning in 16 of 35 question items. As students journey from entrance into nursing school until graduation, ECL develops them into engaged global citizens.
Arias, E., Escobedo, L., Kennedy, J., Fu, C., & Cisewki, J. (2018). U.S. Small-area Life Expectancy Estimates Project: Methodology and Results Summary. Vital and Health Statistics. Series 2, Data Evaluation and Methods Research, (181), 1–40. https://www.cdc.gov/nchs/data/series/sr_02/sr02_181.pdf
Baker, J., & Baker, J. (2017). Beyond the bedside: nurses as social justice advocates. Tar Heel Nurse, 79(1), 13–13. http://search.proquest.com/docview/2132740148/
Boutain, D. (2005). Social justice as a framework for professional nursing. The Journal of Nursing Education, 44(9), 404–408. doi.org/10.3928/01484834-20050901-04
Braskamp, L. A., Braskamp, D. C., & Engberg, M. E. (2014). Global Perspective Inventory (GPI): its purpose construction, potential uses, and psychometric characteristics. Global Perspective Institute, Inc., Chicago, IL. https://gpi.central.edu/supportDocs/manual.pdf.
Braveman, P., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L., Manderscheid, R., & Troutman, A. (2011). Health disparities and health equity: the issue is justice. American Journal of Public Health, 101 Suppl 1(S1), S149–55. doi.org/10.2105/AJPH.2010.300062
Buechner, F. (1973). Wishful thinking; a theological ABC. New York: Harper & Row.
Center on an Aging Society (2002). Analysis of data from the 2000 Census, QT-P17, Ability to speak English. Washington, DC: U.S. Bureau of the Census, Census Summary File 3 Sample Data.
Caret, R.L. (2019). Social responsibility and civic readiness as critical higher education outcomes. Metropolitan Universities, 30(4), 9‐16. doi: 10.18060/23551
Ciaccio, J. & Walker, G. (1998). Nursing & service learning: the Kobyashi Maru. Nursing and Health Care Perspectives, 19(4), 175–177. http://search.proquest.com/docview/69254572/
DataUSA. (2017). Camden, NJ. Retrieved from https://datausa.io/profile/geo/camden-nj/.
Edmund Rice Centre. (2000). Social Justice: What is a fair thing.
Faden, R., & Powers, M. (2011). A Social Justice Framework for Health and Science Policy. Cambridge Quarterly of Healthcare Ethics, 20(4), 596–604. doi.org/10.1017/S0963180111000338
Finley, A. (2016). Well-being: an essential outcome for higher education. Change: The Magazine of Higher Learning, 48(2), 14–19. doi.org/10.1080/00091383.2016.1163163
Fiscella, K., Franks, P., Doescher, M. P., & Saver, B. G. 2002. Disparities in health care by race, ethnicity and language among the insured: Findings from a national sample. Medical Care, 40(1), 52-59. doi.org/10.1097/00005650-200201000-00007
Foronda, C., Baptiste, D., Reinholdt, M., Ousman, K. (2017). Cultural humility: a concept analysis. Journal of Transcultural Nursing. 2016;27(3):210-217. doi:10.1177/1043659615592677
Highland Support Group. (n.d.). Our Story. http://highlandsupportproject.org/our-story
Iowa State University. (n.d.). Global Perspectives Inventory.
Hill, D., & Powell, A. (2012). The transformation of metropolitan universities: A case study of Rutgers University-Newark and its community engagement programs, 1967–2010 (ProQuest Dissertations Publishing). http://search.proquest.com/docview/1036695229/
Kelleher, S. (2013). Perceived benefits of study abroad programs for nursing students: an integrative review. Journal of Nursing Education, 52(12), 690-695. doi: 10.3928/01484834-20131118-01
Lewin, R. (2009). The handbook of practice and research in study abroad higher education and the quest for global citizenship. New York: Routledge.
Lin, X. (2001). Designing metacognitive activities. Educational Technology Research and Development, 49(2), 23-40. doi.org/10.1007/BF02504926
Makary, M., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. BMJ, 353, i2139. https://doi.org/10.1136/bmj.i2139
Markus, G. B., Howard, J. P. F., & King, D. C. (1993). Integrating community service and classroom instruction enhances learning: Results from an experiment. Educational Evaluation and Policy Analysis, 15, 410-419. https://doi.org/10.2307/1164538
National Academies of Sciences, Engineering, & Medicine. (2017). The Root Causes of Health in Communities in Action: Pathways to Health Equity. Washington, DC. Doi: 10.17226/24624
Newell, M., & Saxena, S. (2018). The missing link: An exploration of the relationship between civic engagement and grade point average. Journal of Applied Research in the Community College, 25(1), 27–44. http://search.proquest.com/docview/2130721295/
Nickitas, D.M. Fealy, G. M., & DeNatle, M. L. (2016). Psychometric evaluation of the service-learning in nursing inventory. Nursing Education Perspectives, 37(4), 201-208. doi.org/10.1097/01.NEP.0000000000000023
Nokes, K., Nickitas, D., Keida, R., & Neville, S. (2005). Does service-learning increase cultural competency, critical thinking, and civic engagement? The Journal of Nursing Education, 44(2), 65–70. doi.org/10.3928/01484834-20050201-05
Ouma, B., & Dimaras, H. (2013). Views from the global south: exploring how student volunteers from the global north can achieve sustainable impact in global health. Globalization and Health, 9(1), 32. doi.org/10.1186/1744-8603-9-32
Research Institute for Studies in Education (2017). Global Perspective Inventory: Theoretical Foundations and Scale Descriptions. Iowa State University: Ames, IA. https://www.gpi.hs.iastate.edu/documents/GPI%20Theory%20and%20Scales.pdf
Rubenfeld, S., Clément, R., Lussier, D., Lebrun, M., & Auger, R. (2006). Second Language Learning and Cultural Representations: Beyond Competence and Identity. Language Learning, 56(4), 609–631. doi.org/10.1111/j.1467-9922.2006.00390.x
Rutgers-Camden NEWSNOW. (2019). Nursing Graduate from North Camden the First in Her Family to Attend College. https://news.camden.rutgers.edu/2019/05/nursing-graduate-from-north-camden-the-first-in-her-family-to-attend-college/?utm_source=facebook&utm_medium=social&utm_campaign=class-of-2019&utm_content=yahoska-morales&fbclid=IwAR1-IsJIfOx9KxYUtWuppv7UHTATzXtMI5wCq0oi6RFa27RETjCFcmG-BWM
Rutgers University—Camden. (n.d.). Faculty Fellows Program. www.camden.rutgers.edu/civic-engagement/faculty-fellows-program
Sabo, S, deZapien, J., Teufel-Shone, N., Rosales, C. Bergsma, L. & Taren, D. (2015). Service learning: a vehicle for building health equity and eliminating health disparities. American Journal Public Health, 105(Supp 1.), S38-S43. doi.org/10.2105/AJPH.2014.302364
Schuessler, B., Wilder, W., & Byrd, W. (2012). Reflective journaling and development of cultural humility in students. Nursing Education Perspective, 33(2), 96–99. doi.org/10.5480/1536-5026-33.2.96
Schyve P. M. (2007). Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. Journal of General Internal Medicine, 22 Suppl 2(Suppl 2), 360–361. doi:10.1007/s11606-007-0365-3
Sedgwick, A., & Atthill, S. (2019). Nursing Student Engagement in Cultural Humility Through Global Health Service Learning: An Interpretive Phenomenological Approach. Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society, 1043659619870570. doi.org/10.1177/1043659619870570
Sherrill, W., Mayo, R., Truong, K., Pribonic, A., & Schalkoff, C. (2016). Assessing medical student cultural competence: what really matters. International Journal of Medical Education, 7, 248–254. doi.org/10.5116/ijme.578b.687c
Small, P. (2019). Structural justice and nursing: inpatient nurses’ obligation to address social justice needs of patients. Nursing Ethics, 26(7-8), 1928–1935. doi.org/10.1177/0969733018810764
Visovsky, C., Mcghee, S., Jordan, E., Dominic, S., & Morrison-Beedy, D. (2016). Planning and executing a global health experience for undergraduate nursing students: A comprehensive guide to creating global citizens. Nurse Education Today, 40, 29–32. doi.org/10.1016/j.nedt.2016.01.008
Westwood, S. (2019). Ageing, Diversity, & Equality: Social Justice Perspectives (S. Westwood, Ed.). Routledge. https://cnpea.ca/images/ageing_diversity_and_equality.pdf
Yorio, P. & Fe, Y. (2012). A meta-analysis on the effects of service-learning on the social, personal, and cognitive outcomes of learning. Academy of Management, 11(1), 9-27. doi.org/10.5465/amle.2010.0072
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