University of Oulu

Heidi Korhonen, Anna-Maria Tuomikoski, Ashlee Oikarainen, Maria Kääriäinen, Satu Elo, Helvi Kyngäs, Eeva Liikanen, Kristina Mikkonen, Culturally and linguistically diverse healthcare students’ experiences of the clinical learning environment and mentoring: A qualitative study, Nurse Education in Practice, Volume 41, 2019, 102637, ISSN 1471-5953,

Culturally and linguistically diverse healthcare students’ experiences of the clinical learning environment and mentoring : a qualitative study

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Author: Korhonen, Heidi1; Tuomikoski, Anna-Maria2; Oikarainen, Ashlee2;
Organizations: 1Lapland University of Applied Sciences, Kemi, Finland
2Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
3Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
4Northern Ostrobothnia Hospital District, Finland
5Biomedical Laboratory Science, Degree Programme in Biomedical Laboratory Science, Tampere University of Applied Science, Tampere, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.1 MB)
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Language: English
Published: Elsevier, 2019
Publish Date: 2020-10-10


Development of educators’ and students’ global competence in higher education is increasingly important due to internationalization. Internationalization significantly influences healthcare education through an increase in the mobility of students. When conducting clinical practice in healthcare education, culturally and linguistically diverse healthcare students face the challenges of having limited learning opportunities and social isolation. Further investigation is required of students’ experiences in this area while asking them to share their experiences. This study aimed to describe students’ experiences of clinical learning environment and mentoring. A qualitative research design was used during 2013–2016. Data were collected from 133 culturally and linguistically diverse healthcare students, including exchange students and students studying in English language-taught degree programmes at eight Universities of Applied Sciences in Finland. Data were analysed using inductive content analysis. Students’ experiences were related to their mentors’ competence in mentoring, culturally diverse pedagogical atmosphere, and aspects of diversity that influence clinical learning. Students reported that they had experienced social isolation, discrimination, bullying, sexual harassment and prejudice during their clinical placements. These issues related to mistreatment of students need to be addressed. Also, structured clinical environments should be developed in which competent mentors assist students in reaching their clinical placement goals.

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Series: Nurse education in practice
ISSN: 1471-5953
ISSN-E: 1873-5223
ISSN-L: 1471-5953
Volume: 41
Pages: 1 - 7
Article number: 102637
DOI: 10.1016/j.nepr.2019.102637
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: We acknowledge Oulu University Scholarship Foundation for providing financial support for the cost of data collection.
Copyright information: © 2019 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license