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Health SA Gesondheid (Online)

versión On-line ISSN 2071-9736
versión impresa ISSN 1025-9848

Health SA Gesondheid (Online) vol.15 no.1 Cape Town  2010




Foreign nursing students: Their profile and perceptions of nursing care in Namibia



Louis Small; Louise Pretorius

Faculty of Health Sciences, School of Nursing and Public Health, University of Namibia, Namibia





A survey was conducted using open and close-ended questions to determine how visiting nursing students in Namibia could be assisted during their visits (cultural encounters). Many students decide to complete their clinical exposure in a foreign country, either for personal reasons or in order to meet the course requirements for transcultural nursing. Since 1998, Namibia has received a number of these students. In discussion and from passing remarks from the students themselves, the question has arisen as to how an optimum placement for each student might be achieved. Aspects of the Campina-Bacote model and The Process of Cultural Competence in the Delivery of Health Care Services were used to answer this question. It was decided to gather both biographical (profile) information and information on perceptions of nursing care in Namibia from such foreign nursing students.
The biographical (profile) information collected indicates a prevalence of certain shared biographical characteristics among international students. Such students tend to be adventurous, caring and sensitive to human rights issues. This finding correlates with the constructs of cultural desire and cultural awareness as described in the model of Campina-Bacote. Based on this finding, specific recommendations were made for clinical allocations.
From the data gathered from the open-ended questions, three themes emerged: firstly, nursing in Namibia has identifiable characteristics; secondly, there is a paternalistic and one-sided communication style among nursing caregivers in Namibia; and finally, nursing care delivery in this country is often characterised by a detached attitude. It was concluded that these themes correlated with a cultural awareness and cultural knowledge among the nursing students. The discovery of these themes was useful for making recommendations for clinical guidelines to help these students adapt, as well as for providing a foundation and substantiation for clinical placement.

Keywords: Namibia; clinical exposure; transcultural nursing; transcultural competence


'n Opname bestaande uit oop en geslote vrae is uitgevoer om te bepaal hoe besoekende verpleegstudente aan Namibië ondersteun kan word (kulturele ervarings). Baie studente besluit om hulle kliniese praktika in die buiteland te voltooi, óf om persoonlike redes óf om aan kursusvereistes in transkulturele verpleging te voldoen. Sedert 1998 het Namibië 'n aantal van hierdie studente ontvang. Uit gesprekke met sowel as spontane kommentaar deur hierdie studente het die vraag ontstaan hoe hulle optimum plasing verseker kan word. Aspekte van die model van Campina-Bacote, naamlik The process of cultural competence in the delivery of health care services, is benut om hierdie vraag te beantwoord. Daarom is besluit om biografiese inligting sowel as inligting oor die studente se persepsies van verpleging in Namibië in te samel.
Die biografiese inligting (profiel) het die voorkoms van sekere biografiese kenmerke onder die internasionale studente getoon: Hulle neig daartoe om avontuurlik, deernisvol en sensitief vir menseregte te wees. Dié bevinding korreleer met die konstrukte van kulturele begeertes en kulturele bewustheid soos beskryf in die model van Campina-Bacote. Op grond van hierdie bevindinge is bepaalde aanbevelings aangaande hulle kliniese plasings gemaak.
Die data deur die oop vrae verkry het drie temas gegenereer, naamlik dat verpleging in Namibië bepaalde identifiseerbare kenmerke openbaar, dat 'n paternalistiese en eensydige kommunikasiestyl onder verpleegkundiges in Namibië voorkom en dat verpleegsorg deur 'n onbetrokke houding gekenmerk word. Die gevolgtrekking was dat hierdie temas met 'n kulturele bewustheid en kulturele kennis onder die verpleegstudente korreleer. Die identifisering van hierdie temas was bruikbaar as basis vir die motivering van kliniese plasings en in die maak van aanbevelings ten opsigte van kliniese riglyne om die studente te help om aan te pas.



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Brathwaite, A.C., 2003, 'Selection of a conceptual model/ framework for guiding research interventions', Internet Journal of Advanced Nursing Practice 6(1), 1-10.         [ Links ]

Burns, N. & Grove, S.K., 2005, The practice of nursing research: Conduct critique, and utilization, St. Louis, Mo., Elsevier Saunders.         [ Links ]

Campina-Bacote, J., 2003, 'Many faces: Addressing diversity in health care', Online Journal of Issues in Nursing 8(1), viewed 10 March 2009, from         [ Links ]

Creswell, J.W., 1998, Research design: Qualitative and quantitative approaches, Sage, California        [ Links ]

Du Toit, D.A. & Van Staden, S.J., 1989, Nursing sociology, Academia, Pretoria.         [ Links ]

George, J.B., 1995, Nursing theories: The base for professional nursing practice, Norwalk, Appleton & Lange.         [ Links ]

Krefting, L., 1991, 'Rigour in qualitative research: Assessment of trustworthiness', American Journal of Occupational Therapy 45(3), 214-222.         [ Links ]

Leininger, M. (ed.), 1991, Culture care diversity & universality: A theory of nursing, New York, National League for Nursing Press, New York.         [ Links ]

Leininger, M. & McFarland, M.R., 2002, Transcultural nursing: Concepts, theories, research & practice, McGraw-Hill, New York.         [ Links ]

Marcinkiw, K.L., 2003, 'A goal for nursing education', Nurse Education Today 23(3), 174-182.         [ Links ]

Meyer, S. & Van Niekerk, S., 2008, Nurse educator in practice, Cape Town, Juta.         [ Links ]

Narayanasamy, A.M. & White, E., 2005, 'A review of transcultural nursing', Nurse Education Today 25(2), 102-111.         [ Links ]

Paige, R.M., Cohen, A.D., Kappler, G., Chi, J.C. & Lassegard, JP., 2004, Maximizing study abroad: A students' guide to strategies for language and culture learning and use, University of Minnesota, Minnesota.         [ Links ]

Papp, I., Markkanen, M. & von Bonsdorff, M., 2003, 'Clinical environment as a learning environment: Student nurses' perceptions concerning clinical learning experiences', Nurse Education Today 23(4), 262-268.         [ Links ]

Payne, H., 2004, December, 'Closing the gap: A journey to cultural safety', Intercultural Nursing, ITHA Transfer Department, viewed 29 March 2009, from         [ Links ]

Polit, D.F. & Beck, C.T., 2006, Essentials of nursing research: Methods, appraisal and utilization, Lippincott Williams & Wilkins, New York.         [ Links ]

Pross, E., 2003, 'International nursing students: A phenomenological perspective', Nurse Education Today 23(6), 396-403.         [ Links ]

Quinn, F.M. & Hughes, S.J., 2007, Quinn's principles and practice of nurse education, 5th edn., Nelson Thornes, London.         [ Links ]

Tortumluoglu, G., 2006, 'The implications of transcultural nursing models in the provision of culturally competent care', ICUS and Nursing Web Journal 25.         [ Links ]

Uys, L.R. & Gwele, N.S., 2005, Curriculum development in nursing: Process and innovation, Routedge, London.         [ Links ]

Weber, J. & Kelley, J., 2007, Health assessment in nursing, 3rd edn., Lippincot Williams & Wilkins, New York.         [ Links ]

Wu Y., 2000, 'Interpersonal communication and caring experiences with clients from the perspective of student nurses', unpublished master's thesis, University of Namibia.         [ Links ]



Louise Pretorius
PO Box 30689
Pioneerspark 9000

Received: 29 Mar. 2009
Accepted: 18 Sept. 2009
Published: 12 July 2010

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