Ying, Zhexi, Kondo, Akiko, De, Diana  ORCID: https://orcid.org/0000-0002-0182-2837 and Roberts, Seren ORCID: https://orcid.org/0000-0001-9678-9357
2026.
Enhancing intercultural sensitivity through collaborative online international learning among three countries: A mixed-method study.
Journal of Transcultural Nursing
10.1177/10436596261452389
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Abstract
Introduction: We evaluated a Collaborative Online International Learning (COIL) programme in enhancing nursing students’ intercultural sensitivity and understanding of cultural safety. Methods: From April to May 2024, nursing students in Japan, the United Kingdom, and New Zealand completed a COIL module integrating Virtual Empathy Museum exploration, Padlet discussions, and live debriefings. A convergent mixed-methods design was adopted. Multi-source qualitative data were thematically analysed and integrated with pre/post Intercultural Sensitivity Scale (ISS) scores compared using Wilcoxon signed-rank tests. Results: Students reported a deeper understanding of cultural safety, appreciated diverse perspectives in nursing care, and valued the opportunity for cross-cultural learning. ISS scores showed no significant change, although Intercultural Attentiveness significantly improved among Japanese students. Discussion: This programme has the potential to develop intercultural sensitivity, cultural safety awareness, and support culturally congruent learning across continents. Further studies with larger samples and longer follow-up are needed to assess scalability and longer-term outcomes.
| Item Type: | Article |
|---|---|
| Date Type: | Published Online |
| Status: | In Press |
| Schools: | Schools > Healthcare Sciences |
| Additional Information: | RRS policy applied |
| Publisher: | SAGE Publications |
| ISSN: | 1043-6596 |
| Date of First Compliant Deposit: | 11 June 2026 |
| Last Modified: | 11 Jun 2026 14:00 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/187492 |
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