Collaborative Online International Learning (COIL): A Teaching and Learning Experience in Nursing
Abstract
:1. Introduction
1.1. Clinial Simulation in Nursing Studies
1.2. Description of the Organization of the COIL Activity
2. Methods
2.1. Design
2.2. Sample Recruitment and Data Collection
- (a)
- Self-knowledge: Participants described their perceptions, attitudes, emotions, and reactions during the COIL activity.
- (b)
- Learning experience: Participants contrasted their prior knowledge and stereotypes about other cultures, commented on their participation and collaboration within the group, and identified both facilitating elements and challenges encountered during the activity.
- (c)
- Self-reflection in the learning process: Participants identified positive and negative aspects of the COIL activity, pinpointed areas for improvement, and discussed the potential personal and professional impact of their learning.
- (d)
- Self-regulation of learning: Participants analyzed their planning strategies during the activity and described how they resolved difficulties or challenges that arose.
2.3. Data Analysis
2.4. Ethical Considerations
3. Results
3.1. Initial Attitude towards the COIL Activity
“…I was really excited about the opportunity to meet people from different countries.”[Participant 3]
“I was curious because I didn’t know how it would unfold”[Participant 11]
“When we were presented with the opportunity …I signed up. I was motivated to exchange experiences and common practices with people from other countries, in this case, England.”[Participant 1]
“…I saw it as an opportunity to develop communication skills.”[Participant 2]
“…I was afraid of not being able to actively participate or to follow the conversation fully.”[Participant 3]
“Having to speak in a different language than our own about nursing topics didn’t seem easy to me.”[Participant 5]
“I had never participated…I had doubts”[Participant 11]
3.2. Main Learning through the COIL Activity
3.2.1. Cross-Cultural Understanding and Awareness
“…I used to think that the role of nursing was the same in all countries, that it was universal. But now I have realized that it’s not the case.”[Participant 5]
“I found it interesting the uniform and apron they were wearing because it is not common here to wear a uniform in a colour other than white, and it is also not common to use a protective apron like that.”[Participant 10]
“Thanks to the implementation of COIL, we were able to observe all those aspects that we have in common with English students when performing different nursing procedures.”[Participant 7]
“I have questioned the different ways of performing a technique.”[Participant 4]
“During the activity, we observed that the English students followed a stricter handwashing protocol”[Participant 3]
“…despite the differences between English and Catalan culture when performing the same technique, the goal and final outcome are the same.”[Participant 11]
“Also, this experience helped to improve my attitude towards working with different people from different cultural backgrounds.”[Participant 12]
“I was expecting to encounter a very robotic, distant, and impersonal attendance (referring to the participation of the students from Coventry). To my surprise, it was quite the opposite.”[Participant 2]
“The students from Coventry keep more distance, they don’t get as close to the patient.”[Participant 6]
3.2.2. Acquisition of New Knowledge and Skills
“The COIL has helped us review how to prepare a sterile field and perform an intramuscular injection.”[Participant 7]
“I have been able to learn and improve my English.”[Participant 4]
“You have the opportunity to gain vocabulary in English regarding the materials to be used in each practice… and thus speak fluently.”[Participant 3]
“By sharing knowledge and working as a team, in the end, we were able to achieve it.”[Participant 8]
“Where one couldn’t reach, the other would do it, we learned it together.”[Participant 4]
3.2.3. Self-Reflection and Personal Growth
“…I think it is a great way to encourage essential attitudes for everyday life, such as critical thinking.”[Participant 9]
“We stepped a little further out of our comfort zone, we opened ourselves up to discover what lies beyond, and we saw areas where we could improve.”[Participant 9]
“It has helped me feel confident in myself.”[Participant 1]
“I have realized the importance of being able to express oneself well in English and of learning this language.”[Participant 3]
“Engaging in this activity makes me consider the possibility of participating in Problem-Based Learning in English in the coming academic year.”[Participant 11]
“Having participated in the activity has also opened doors in my mind when considering doing internships abroad or even going to work there.”[Participant 1]
3.3. Positive Aspects of the Proposed COIL Activity
“I was pleased with how it was organized and dynamized.”[Participant 10]
“I think being in a group of 3 has been useful”[Participant 7]
“It has become easier with the provided timetables (referring to the schedules for recording the practice at the simulation laboratory).”[Participant 1]
“The professors share anecdotes and facilitate student expression.”[Participant 8]
“There was a climate of trust and respect, and that made me feel very good.”[Participant 10]
“…the assistance of the fourth-year nursing students, as they provided us with advice that we wouldn’t have thought of ourselves. In addition to tips for making the COIL video, we also had discussions about the nursing career in general.”[Participant 1]
“In the icebreaker, I shared traditions from Catalonia. Sharing the traditions of your country with others is something I find very positive and a good way to get to know people and break the ice.”[Participant 8]
“Very interesting activity as we acted as teachers and evaluated based on our own knowledge and the provided rubric.”[Participant 8]
3.4. Weaknesses of the COIL Activity and Proposals for Improvement
“They were discussing some topics that were unrelated to COIL, and I couldn’t follow them very well.”[Participant 1]
“It would have been more enriching, despite requiring more time and coordination, if the groups were composed of students from both universities.”[Participant 2]
“I wanted to have a couple more sessions with the students and professors from Coventry… it felt too short.”[Participant 3]
“Incorporating some additional activities… a good option would be to have some small group assignments with students from different countries.”[Participant 5]
“I didn’t have much time to prepare the script for the video due to clinical placements and exam resits… it should have been done at another time.”[Participant 10]
“Difficulty in planning arose from my group members not being in Girona to perform tasks like script preparation and editing.”[Participant 3]
“The negative aspects… and lastly, that it was a simulation and not a real case.”[Participant 4]
“I think we would learn even more if it were real.”[Participant 9]
“I would suggest altering the technique to be performed, where there may be more differences between Catalonia and England.”[Participant 5]
“I would repeat it with more complex techniques to compare the protocols of each country.”[Participant 8]
“I missed face to face contact.”[Participant 4]
“It would have been easier and more profitable to be able to carry out the activities in a more face-to-face manner.”[Participant 7]
“One of the negative aspects of COIL is the fact that it has to be done online, since on different occasions it makes it difficult to exchange opinions and/or understanding”[Participant 3]
“The problem is that being online, there are some network errors”[Participant 6]
“We encountered technical difficulties throughout the activity, primarily due to issues with our devices, browsers, and video uploading.”[Participant 9]
3.5. Overall Evaluation of the COIL Activity
“…Is a very enriching experience.”[Participant 6]
“…I found it to be a good way to motivate and encourage essential attitudes.”[Participant 9]
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Public Involvement Statement
Guidelines and Standards Statement
Use of Artificial Intelligence
Acknowledgments
Conflicts of Interest
References
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Topic 1 | Topic 2 | Topic 3 | Topic 4 | Topic 5 |
---|---|---|---|---|
Initial Attitude towards the COIL Activity | Main Learning from the COIL Activity | Positive Aspects of the COIL Activity | Weaknesses of the COIL Activity and Improvement Proposals | Overall Evaluation of the COIL Activity |
Excitement | Cross-cultural understanding and awareness | Organization and dynamics | Inclusion of unrelated topics | Enriching |
Motivation | Personal growth and self-reflection | Professors’ role | Mixed-country student groups could improve groups composed of students from the same country | Motivator |
Interest | Acquisition of new knowledge and skills | Respectful and trusting atmosphere | Few synchronous sessions | Exciting |
Uncertainty | Mentorship of fourth-year nursing students | Lack of contact that could be improved by sharing research projects | Satisfactory | |
Curiosity | The theme for the icebreaking activity | Lack of student planning | ||
Self-assessment and peer assessment | Students residing in different localities and timing of the activity, which could improve if the students reside in the same town and scheduling outside internship period | |||
Simulated case. The activity could improve if a real case was proposed instead of a simulated one | ||||
Similar nursing techniques between the two countries It could be improved by proposing different and more complex techniques | ||||
Online format. The experience would improve with face-to-face interaction Technical problems and incompatibility between e-learning platforms |
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Roqueta-Vall-llosera, M.; Malagón-Aguilera, M.d.C.; Reig-Garcia, G.; Masià-Plana, A.; Serrat-Graboleda, E.; Bonmatí-Tomàs, A. Collaborative Online International Learning (COIL): A Teaching and Learning Experience in Nursing. Nurs. Rep. 2024, 14, 2355-2369. https://doi.org/10.3390/nursrep14030175
Roqueta-Vall-llosera M, Malagón-Aguilera MdC, Reig-Garcia G, Masià-Plana A, Serrat-Graboleda E, Bonmatí-Tomàs A. Collaborative Online International Learning (COIL): A Teaching and Learning Experience in Nursing. Nursing Reports. 2024; 14(3):2355-2369. https://doi.org/10.3390/nursrep14030175
Chicago/Turabian StyleRoqueta-Vall-llosera, Marta, Maria del Carmen Malagón-Aguilera, Gloria Reig-Garcia, Afra Masià-Plana, Eva Serrat-Graboleda, and Anna Bonmatí-Tomàs. 2024. "Collaborative Online International Learning (COIL): A Teaching and Learning Experience in Nursing" Nursing Reports 14, no. 3: 2355-2369. https://doi.org/10.3390/nursrep14030175