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Updated: Jan 20, 2026
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
International Service-Learning for Nurse Practitioner Students: Enhancing Clinical Practice Skills and Cultural
Background:
The purpose of this project was to determine whether an international service-learning nurse-led clinic was a beneficial experience for nurse practitioner (NP) students in improving diagnostic and cultural confidence, skills acquisition, and cultural competence during a clinical practicum.
Method:
The sample consisted of 10 Doctor of Nursing Practice (DNP) students in various NP tracks during an international service-learning experience in Guatemala. A Likert survey was used for student evaluation of experience. An analytic grading rubric measured clinical and cultural performance.
Results:
Practice competency scores were high overall (M = 3.36; SD = 0.664). All students increased their confidence in diagnostic abilities (M = 4.89; SD = 0.422) and in caring for a culturally diverse population (M = 4.89; SD = 0.333).
Conclusion:
An international service-learning nurse-led clinic used to complement clinical practice hours as a beneficial experience in assisting NP students in developing diagnostic and cultural confidence. [J Nurs Educ. 2019;58(9):548-551.].
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