Evidence map›Paper›PMID 35562728›Full record

ArticleBMC medical education2022

Effects of an internationalization at home (IAH) programme on cultural awareness among medical and nursing students in Hong Kong and Indonesia during the COVID-19 pandemic: a mixed-methods study.

Patrick Pui Kin Kor, Clare Tsz Kiu Yu, Ida Ayu Triastuti, Mitra Andini Sigilipoe, Haryo Dimasto Kristiyanto, Johana Puspasari Dwi Pratiwi, Teguh Kristian Perdamaian, Lisa Mengli Li, Phyllis Chui Ping Pang, The Maria Meiwati Widagdo

Abstract read
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Cultural Competence of European Nursing Faculty. An International Cross-Sectional Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Article
  5. Article
  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Patrick Pui Kin KorCentre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University (School of Nursing), Hung Hom, Hong Kong. patrick.kor@polyu.edu.hk.
Clare Tsz Kiu YuUniversity College London (Division of Psychiatry), London, UK.
Ida Ayu TriastutiFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Mitra Andini SigilipoeFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Haryo Dimasto KristiyantoFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Johana Puspasari Dwi PratiwiFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Teguh Kristian PerdamaianFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Lisa Mengli LiCentre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University (School of Nursing), Hung Hom, Hong Kong.
Phyllis Chui Ping PangCentre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University (School of Nursing), Hung Hom, Hong Kong.
The Maria Meiwati WidagdoFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has severely impacted the learning experience of students by limiting their opportunities for face-to-face intercultural exchanges. Given the importance of cultural competence in medical education, there is a need to develop a programme that promotes cultural awareness, but that offers more flexibility in terms of outbound mobility. This study aims to evaluate the effectiveness of an internationalization at home programme and to explore the learning experiences of medical and nursing students from Hong Kong and Indonesia.

methodsStudents were recruited from two universities in Hong Kong and Indonesia. They attended an online internationalization at home programme designed by members of the research team from both countries. A mixed-methods study was conducted using a concurrent triangulation approach. A pre-test post-test design was used to evaluate the effects of the programme on cultural awareness, and four focus groups were conducted to explore the students' experiences in the programme. Quantitative and qualitative data were analysed by T-test and reflexive thematic analysis, respectively. Data were integrated and triangulated using joint displays by comparing findings from both sources.

resultsOne hundred and forty-eight students from Hong Kong and Indonesia participated in the study. After the programme, there was a significant improvement in cultural awareness. Three themes were identified: (1) learning process: enjoyable, but a desire remains for face-to-face cross-cultural communication; (2) learning outcomes: gained cultural awareness, developed cultural sensitivity, had an opportunity to practice language and learn about new learning styles; (3) factors influencing learning outcomes: facilitators (micro-movie and active communication) and barriers (language barrier, inappropriate time arrangement, insufficient prior briefing).

conclusionThis programme achieved the learning outcomes by successfully enhancing the cultural awareness of students during a time of pandemic when outbound student exchanges were not possible. Further adaptations of the programme are required to enhance different learning outcomes.

Indexed as

COVID-19Students, NursingCultural CompetencyHong KongHumansIndonesiaPandemicsQualitative ResearchCultural awarenessCultural sensitivityInternationalization at homeMedical education

Identifiers

PMID35562728
PMCPMC9099034

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.