Clinical trial NCT06816290: Being a Nursing Student in a Foreign Country
Official title: Being a Nursing Student in a Foreign Country: a Photovoice Study
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Nursing Education
Cultural Adaptation
Education
Keywords: nursing students
photovoice
Cultural Adaptation
international education
Lead sponsor: Ankara University
Sponsor class: OTHER
First posted: 2025-02-10
Enrollment: 96
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The population consists of foreign students enrolled in the English program of the Nursing Department at a private university.

Brief summary: Understanding the experiences and specific learning needs of international nursing students is crucial for the success of nursing education programs. Providing necessary support and adjustments to facilitate their adaptation process is essential. This study employs the Photovoice method, a qualitative research approach, allowing students to express their educational journey from their own perspectives. Through visual representation, they can communicate their experiences more effectively.

Detailed description: In addition to the advantages of being a nursing student in a foreign country, students may face many challenges that affect both their personal and academic lives. The lack of social networks and support systems, combined with the stress of the educational process, can negatively impact academic success. Studying in a foreign language can be particularly challenging, especially in the early stages. Language barriers can cause difficulties in understanding both theoretical and practical aspects of nursing education, hindering interaction with peers, faculty, and health teams in clinical settings. This can slow down the learning process and lead to communication breakdowns. Adapting to a new culture can also be challenging for some students, leading to anxiety, loneliness, or depression. Additionally, studying abroad brings extra costs such as tuition fees, accommodation, transportation, and health insurance.

This research will use a qualitative research method called the photovoice technique. Students meeting the inclusion criteria will be informed about the study's purpose and method, and invited to participate. Students who agree to participate will first complete an Introductory Information Form. They will then be asked to submit three photos, taken with their smartphones, that they feel reflect their experiences of "living in a foreign country and being a nursing student" within a week. Before photo submission, participants will be provided with the photo-taking procedure and will be required to send their photos along with date and time information and brief descriptions. These photos will be stored by the responsible researcher with a code number on a personal computer, along with transcripts.

The second phase of data collection will involve scheduling interviews in a quiet and secure environment. During face-to-face interviews, open-ended questions from the Structured Individual Interview Form will be asked, and participants will be encouraged to express their feelings and thoughts about the photos they have taken. They will also be asked to choose one photo that best represents their experience of "living in a foreign country and being a nursing student," and explain why they chose it. The two assistant researchers will transcribe the participant's explanations directly during the interview for content analysis.

Eligibility criteria: Inclusion Criteria:

* Being enrolled in the English program of the Nursing Department at a university during the 2024-2025 academic year.
* Being registered in the nursing department with the international student quota.
* Having completed at least one semester of nursing education.
* Owning a smartphone capable of taking photos.
* Volunteering to participate in the study

Exclusion Criteria:

* Students who wish to withdraw from the study at any stage will not be included in the research.

Primary outcomes:
measure: Semi-structured Questions
timeFrame: Within 1 week after participating in the study and submitting the photos to the researcher
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Ankara Medipol University
name: Gamze Acavut, Assist. Prof.
role: STUDY_CHAIR
References:
citation: Merry L, Vissandjee B, Verville-Provencher K. Challenges, coping responses and supportive interventions for international and migrant students in academic nursing programs in major host countries: a scoping review with a gender lens. BMC Nurs. 2021 Sep 18;20(1):174. doi: 10.1186/s12912-021-00678-0.
citation: Tanrıkulu, F., Öner, Ö., Gürcay, B., & Akgül, E. (2024). A Qualitative Study of Foreign Nursing Students' Experiences of Educational Process. Journal of Qualitative Research in Education, (39), 1-18. https://doi.org/10.14689/enad.39.1732
citation: Kol E, Arikan F, Arikan C, Yabarow F, Gunbayi I. Being an international nursing student in Turkey: A qualitative study. Perspect Psychiatr Care. 2021 Jan;57(1):66-72. doi: 10.1111/ppc.12525. Epub 2020 May 8.