title: Reflections from Dutch advanced nursing practice students on psychiatric mental healthcare in the United States.
abstract: BACKGROUND
  An international clinical learning experience is a unique opportunity to witness another nursing and healthcare system. The Master of Advanced Nursing Practice (MANP) program at Rotterdam University of Applied Sciences in the Netherlands, mandates an international experience.
  
  
  METHODS
  Semi-structured qualitative interviews, a focus group session and written reflections were used for data collection with 6 Dutch MANP nursing students who specialized in psychiatric mental healthcare.
  
  
  RESULTS
  Five major themes were revealed from the data. The themes identified were as follows: (1) pride and passion for mental health profession (2) role diversity within psychiatric mental health nursing (3) nursing leadership at the organization level (4) comparable Westernized approaches to mental healthcare and (5) differences in access to care.
  
  
  CONCLUSIONS
  Incorporating a mandatory international clinical experience is a beneficial tool to promote a global understanding of the unique advanced practice nursing student's academic and professional development.
  
  
  CONCLUSIONS
  The international clinical learning experience is considered a highlight of the 2-year MANP program. The students are able to gain a new and broader vision of the APN role and a greater appreciation for the Dutch healthcare system.
authors.affiliation: Rottedam University of Applied Sciences, Rotterdam, the Netherlands. Electronic address: l.maas@hr.nl.
authors.forename: Lillian Garcia
authors.initials: LG
authors.lastname: Maas
authors.affiliation: University of Texas Harris County Psychiatric Center, Houston, TX.
authors.forename: Ifeoma Ezebuiro
authors.initials: IE
authors.lastname: Ezeobele
mesh_terms: D057179:Advanced Practice Nursing / Q000193:education*; D001291:Attitude of Health Personnel; D003431:Cross-Cultural Comparison; D003479:Curriculum; D006801:Humans; D007393:International Educational Exchange; D009426:Netherlands; D011568:Psychiatric Nursing / Q000193:education*; D014481:United States