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A Collaborative Online International Learning (COIL) experience was designed for prelicensure nursing students taking a pediatric course in the United States and in Brazil, to teach family-centered care to develop inclusive, global nursing practices. The purpose of this study is to describe prelicensure nursing student learning of family-centered care concepts facilitated by COIL. For data collection, six focus groups with 37 students were conducted across both universities. Data were analyzed using inductive qualitative analysis by each country separately and as a global team. Major themes included understanding the needs of families of children with chronic conditions as impacted by health systems, assigning meanings to family care of children with chronic conditions, applying concepts of family-centered care and self-reflection. Results suggest COIL is a feasible way for prelicensure nursing students to learn family-centered nursing care by operationalizing concepts, from real experiences and increasing cultural awareness. [ABSTRACT FROM AUTHOR]

This article presents a Collaborative Online International Learning (COIL) project conducted over four academic semesters, involving more than 500 undergraduate nursing students from the United States and Brazil. Guided by the Cross-Cultural Alignment Model, the project aimed to evaluate whether COIL enhanced students' self-reported efficacy in applying key global nursing concepts when working with pediatric patients with chronic conditions and their families across both countries. Additionally, the study explored potential differences in satisfaction and self-reported efficacy among different student groups. Data were collected using an online, retrospective, prepost survey that included Likert-scale items and demographic information. Data analysis was conducted using Stata/MP 18.0. The results provide valuable insights into the impact of COIL on nursing students' competencies and perceptions, particularly in the context of pediatric nursing and global health. COIL was found to significantly improve students' cultural responsiveness, ability to provide family-centered care, awareness of health disparities and social determinants of health, and perceptions of the nursing role. Results also identified notable differences in the impact of COIL among student groups. Future research should include rigorous study designs and objective measures of outcomes along with self-reports. Additionally, qualitative research would help to understand nuances behind student responses, inform targeted improvements in COIL, and help to establish best practices for COIL implementation. [ABSTRACT FROM AUTHOR]