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Licensed Unlicensed Requires Authentication Published by De Gruyter January 11, 2023

Collaborative online international learning in undergraduate nursing education: from inspiration to impact

  • Lisa Kim Woodley EMAIL logo , Maiara Rodriguez dos Santos , Jamie L. Crandell , Gabrielle G. Grant and Beth Cosgrove



Collaborative Online International Learning (COIL) is an innovative teaching pedagogy involving faculty collaboration and student co-learning across global partner schools. Guided by the cross-cultural alignment model, the purpose of this educational research project was to analyze the impact of COIL on the knowledge, skills, and attitudes of nursing students in two global partner schools and to determine if groups of students were impacted differently.


Students engaged in synchronous and asynchronous learning sessions using a secure digital platform over several weeks. Data was gathered from students using an optional, anonymous, online, retrospective pre-posttest survey.


COIL enhances student understanding of key global nursing concepts and culturally responsive care. Differences across schools were observed.


COIL is a feasible and cost-effective way to integrate global education into the curriculum of undergraduate nursing education. Recommendations for future COIL experiences are made.

Corresponding author: Lisa Kim Woodley, School of Nursing, The University of North Carolina at Chapel Hill, Office 529 Carrington Hall, Chapel Hill, NC, 27599-7460, Chapel Hill, North Carolina, 27599-7460, USA, E-mail:

Funding source: UNC Global, The University of North Carolina at Chapel Hill

Award Identifier / Grant number: Collaborative Online International Learning Grant

  1. Research funding: UNC Global, The University of North Carolina at Chapel Hill.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The local Institutional Review Board deemed the study exempt from review.


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Supplementary Material

This article contains supplementary material (

Received: 2022-07-20
Accepted: 2022-11-30
Published Online: 2023-01-11

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