title: Long-Term Learning in a Short-Term Study Abroad Program: "Are We Really Truly Helping the Community?".
abstract: OBJECTIVE
  To discover long-term learning outcomes in a short-term study abroad program. Students worked directly with community members to identify health issues, implement educational workshops addressing those issues, and evaluate health outcomes.
  
  
  METHODS
  This is a qualitative, descriptive study. Thematic analysis was conducted using a written questionnaire completed one or more years postimmersion. The sample was 41 nursing students who participated in a 10-day immersion experience in remote Honduras.
  
  
  RESULTS
  Four themes emerged revealing evidence of long-term learning. Three of these themes, Embracing Other, Gaining Cultural Competencies, and Experiencing an Ethnocentric Shift, are supported in the literature. The fourth theme, Negotiating Ethical Dilemmas, offers a new finding.
  
  
  CONCLUSIONS
  Although educators have questioned ethical consequences of study abroad programs, there is a paucity of literature indicating that students are the ones doing the questioning. Implications for educators and community members alike include facilitating dialog about collective worldviews related to global health ethics when designing study abroad programs.
authors.affiliation: School of Nursing, Oregon Health Science University, Portland, Oregon.
authors.forename: Penelope
authors.initials: P
authors.lastname: Caldwell
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, Wyoming.
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Purtzer
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000193:education*; D054521:Cultural Competency; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006721:Honduras; D006801:Humans; D007393:International Educational Exchange; D007858:Learning; D008297:Male; D008875:Middle Aged; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D036301:Qualitative Research; D013338:Students, Nursing / Q000523:psychology* / Q000706:statistics & numerical data; D013997:Time Factors; D055815:Young Adult
keywords: ethics; global health; public health nursing education; qualitative research