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Updated: Mar 10, 2026

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
Navigating ethical challenges in global health clinical settings: A collaborative approach between nursing students,
Iris Mujica1, Heather Cross2, Louela Manankil-Rankin3
1McMaster University, Faculty of Health Sciences, School of Nursing, 1200 Main Street West, Hamilton, Ontario, L8S 4K1, Canada.
Background:
Ethical challenges encountered in global health settings during clinical placements shape nursing students' moral development and professional integrity.
Purpose:
This study aimed to explore how 4th-year baccalaureate nursing students and recent nursing graduates navigate ethical challenges in resource-limited global health settings, from the perspectives of students, faculty members, and preceptors.
Design:
This qualitative study utilized Sally Thorne's interpretive description methodology to generate knowledge that could inform teaching practices within a Canadian School of Nursing.
Methods:
Purposive sampling and one-on-one semi-structured interviews were carried out with 17 participants including 4th-year nursing students and recent nursing graduates who completed clinical placements in resource-limited international settings, faculty members who taught them, and clinical preceptors who supervised their clinical rotations. Data analysis followed a constant comparative and iterative approach.
Findings:
The proposed Relational Interplay model illustrates participants' experiences, and emphasizes the interdependent roles of students, preceptors, and faculty in navigating ethical challenges. Four key themes emerged: grappling with cognitive dissonance, engaging in an internal process, undergoing personal transformation, and deepening relational practice.
Conclusions:
Findings from this study may inform the development of global health nursing practicum curricula and provide valuable insights for faculty, preceptors, and students involved in global health nursing experiences.
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