Date of Award

1-1-2018

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Mark Lazenby

Abstract

Aim: To identify and validate learning domains, competencies, and evaluation tool for experiential nursing global health programs at the graduate level.

Background: Standard competencies have not been synthesized and delineated nor have evaluation tools been developed for global health programs at the graduate level.

Design: An integrative review of the literature to identify evidence-based learning domains, competencies, and evaluation items and expert consensus panels to validate the results.

Method: Used the Whittemore and Knafl (2005) integrative literature review methodology to identify learning domains, competencies, and evaluation items. The NLM and CINAHL databases were searched for articles relevant to graduate-level global health nursing programs. We then used a three-step expert panel to refine and form a statistical representation of consensus on the learning domains, competencies, and evaluation items.

Results: Twenty-six relevant articles were included for the integrative review, 18 concerning learning domains of global health immersion programs and 8 concerning interdisciplinary global health competencies specific to nursing. These learning relationships were then formatted into a table subdivided between learning categories for expert panel consensus. After expert panel review, 7 learning domains, 24 competencies and 113 evaluation items - 38 for students, 36 for faculty, and 39 for host personnel - resulted.

Conclusion: The resulting learning domains, competencies and evaluation items can be used by students, faculty, and host country personnel for planning and bi-directional evaluation of graduate-level nursing global health clinical immersion programs.

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