Design
The aim of this study was to explore the perspectives and experiences of students and faculty, of learning and facilitating learning in culturally diverse environments on blended learning postgraduate nursing programmes, in one region of Ireland. A
qualitative descriptive design informed by Sandelowski [28] was adopted. Qualitative descriptive designs are frequently used when seeking rich data exploring differing perspectives towards achieving understanding of a phenomenon [29]. Increasingly, such qualitative descriptive approaches to research have been employed in capturing detailed descriptions of participants’ perspectives and experiences [26].
Sample and setting
Students are drawn from two academic programmes MSc Nursing (specialist) and MSc Nursing studies. Both programmes serve to attract different student profiles and share some modules. Faculty teaching on these common co-scheduled modules were also invited to participate. All students registered on Year 2 of the MSc Nursing programmes (specialist) were invited to participate. These specialist nursing programmes are open to students who are working as registered nurses in Ireland. Students within this cohort come from Ireland and diverse ethnic origins who have been living and working as registered nurses in Ireland for a number of years (Table 1). For the purposes of this study and for ease of distinguishing this cohort of students, they will be referred to as home students.
All students from the first cohort of the MSc Nursing Studies programme were also invited to participated. This academic programme delivered over one full calendar year was developed specifically to target international students requiring student visas who are not eligible to apply for other MSc nursing programmes. Students within this cohort come from diverse ethnic origins and cultural and linguistic backgrounds (Table 1). For the purposes of this study and for ease of distinguishing this cohort of students, they will be referred to as international students. Six modules across these programmes are common modules where students on both programmes share co-scheduled modules, further increasing the cultural diversity of the learning environment. At the time of data collection students would have completed two academic semesters where they shared a total of six modules.
A purposeful sampling technique was incorporated to obtain variations in ethnic origin, country of education for primary degree, age, gender and work experience of participants. A total of twenty-five postgraduate students (home students n=14; international students n=11) and faculty (n=12) participated.
Please insert table 1 here
Data Collection
A letter inviting participants to volunteer was sent to each prospective student and faculty member via email, along with the consent form and participant information sheet. Those interested in participating were encouraged to reply via email or phone. Written consent was obtained from all participants prior to commencing data collection. One to one semi structured interviews facilitated data collection, as they afforded the opportunity to explore sensitive issues, which might have been uncomfortable or embarrassing for some people in a group setting. All interviews were digitally recorded and transcribed verbatim with permission from the participants. Participant names were not used during the audio digital recordings. While data collection with most participants was through face-to-face interviews (by researchers 1, 3, 4, 6, 6, 8), telephone interviews were conducted with four home students, in responding to requests. Researchers had no supervisory relationship to the students and they were assured that their responses would not affect their progression on their programmes in any way. All interviews were guided by the use of open and follow up questions. As findings from the student interviews emerged, this guided the development of an interview schedule with faculty. The face-to-face interviews were held in a neutral venue at a time and day chosen by the participants. Interviews lasted between 30 and 75minutes.
Every effort was made to remain open and establish a rapport with participants throughout the interview process. In particular measures to establish an atmosphere of trust was a priority, to ensure participants felt comfortable to share their experiences, thoughts and feelings. Remaining sensitive to participant gestures and facial expressions throughout the interviews was also important. Participants were asked to verify the accuracy of the information discussed during the interview before the end of the interview. Data collection continued until data saturation was reached.
Data Analysis
Data were thematically analysed through an iterative process using Braun and Clark’s framework [30] (Table 2), by three of the researchers (2, 4, 8). Each read and familiarised themselves with the original transcripts. Independently, each researcher identified initial codes and then initial themes. A cyclical immersion process of listening to the audiotapes and thoughtful repeatedly reading of the transcripts guided data analysis. Transcripts were then read using line-by-line analysis to identify codes that synopsised participants’ descriptions of their perceptions and experiences. Codes were then compared based on differences and similarities and grouped into clusters that formed themes. As data and codes emerged, comparisons were made to determine if similarities or differences in perceptions and experiences or if variations occurred in different contexts. Through a tripartite discussion, the themes were reviewed, critically discussed and consensus reached as to the final themes. Relevant quotes were used to illustrate the meaning of the themes. Home students are designated [HS] international students [IS] and Faculty [F] according to interview number.
Please insert table 2 here
Ethical Considerations
Ethical approval from the University’s research and ethics committee (EHSREC 2013-11-17) was granted. Participants were fully informed about the study and the voluntary nature of participation before they agreed to take part, with particular emphasis placed on the fact that they could withdraw from the study at any time with no consequences Informed consent was obtained and participants were free to ask any questions. A ‘cooling off’ period was facilitated in so far as there was time between recruitment, consent and interview [25]. Researchers (who had no teaching or assessing role with either student cohort) conducted the interviews and this reinforced the voluntary nature of participation. This was important in demonstrating to participants that there was no link between student course work, marking or grading with their decision to volunteer or not. Anonymity and confidentiality were guaranteed. No identifying names were used. Electronic data were stored using a password-protected file, which was encrypted.
Findings
The themes of early apprehension, cautious engagement and shared acceptance describe the perspectives and experiences of postgraduate nursing students (home and international students) and faculty, of learning or facilitating learning in culturally diverse learning environments.
Early apprehension
This theme describes student and faculty apprehensions about differing learning behaviours, teaching styles, communication challenges and group dynamics in approaches to learning, within a culturally diverse learning environment. Home and international students described early apprehensions in joining a culturally diverse classroom. These fears and apprehensions impact on both groups of students’ abilities to study at postgraduate level. All student groups spoke about their struggles with transitioning to a higher academic level of study and adjusting to diverse education pedagogies and student expectations. All students identified concerns about engaging with different teaching methods and learning styles and assessment approaches, as exemplified by the following student quotes.
I had doubts about doing my course as I was in a different country. Things are very different in Ireland and getting used to different teaching methods so I have many doubts (IS4)
I was worried about studying at Masters Level as I had not studied in a very long time and was fearful about doing it (HS6).
In particular searching for and using evidence-based literature was a consistent challenge. Some international students found it stressful in moving from using and relying on a prescribed textbook as a source of knowledge for studying, to accessing data base materials and broader sources to inform their learning.
At home we depend on one book….data base searching was unfamiliar to me and here at the University we were expected to seek information ourselves (IS4).
Faculty also described their apprehensions and at times frustrations with trying to adapt their teaching pedagogies in meeting diverse student learning needs, whilst striving to ensure intercultural inclusivity.
Gradually my self-awareness helped me to overcome frustration with a somewhat passive learning whereby students sat, listened and nodded. This took a lot of time, energy and commitment in adapting strategies to be inclusive while accepting cultural differences in learning styles (F10).
There was an acknowledgement and appreciation of the importance of interacting with all students in fostering learning. Students appreciated the value of having opportunities to learn about different cultures.
I felt that if I don’t mix with them [Home students}... I’ll be alone in the classroom. They will not talk to me unless I talk to them. If I mix with them, I will get to know their culture and learn (IS3).
Communication and in particular language challenges were central to descriptions throughout the interviews with all participants. Both home and international students recognised the value of communication, while recognising language and cultural challenges in learning and working together during group work activities. New learning environments compounded by communication challenges influenced classroom interaction and engagement. Although attempts were made to overcome these challenges, it remained a significant challenge for integration and engagement in the learning environment.
It can be hard for some of us, particularly when English is not our first language. We think in our own language and then need to translate it to English. This takes a lot more time and some people don’t understand that issue. We sometimes get misunderstood and sometimes translating isn’t easy and things get lost in translation. Listening and understanding different accents and the speed at talking is … difficult. (IS11)
The language barrier was a bit of a challenge at first. Some had excellent English others hadn’t …so we tried to translate together with the hand and faces and everything….we managed to get through (HS5)
The linguistic challenges contributed to apprehensions around group dynamics. However, this alone does not go far enough in explaining why there was a general failure to integrate, which clearly impacted on the effectiveness of learning. Students, spoke about what could be described as superior and inferior ideologies, leading to tensions impacting on opportunities for student integration and inclusivity.
It was hard to work with them [International students] in-group settings. There was only a basic level of communication and understanding of learning expectations, it was difficult. It was nearly like the classroom splitting in two (HS8).
At the start we couldn’t concentrate in the class,… so frightened and with so many different dialects present., we saw all the Irish students in the beginning……never dared to sit with them not to mind talking and learning with them (IS7)
Faculty were aware of the importance of reflecting on and adapting their teaching practices in meeting the individual and collective needs of students in culturally diverse classrooms. However, meeting students diverse learning needs whilst ensuring programme expectations were met, was challenging, as the following example illustrates:
I have worked hard to review my style of teaching and change words on power point to bring clarity to the key message for greater understanding for all students while at the same time creating opportunities for critical thinking as expected for masters level study (F6).
Culture is seen as playing a significant role in influencing learning behaviours and perceptions of learning expectations. Previous education experiences and student familiarity with taking a passive role in learning, resulted in classroom time spent in note taking. Some students described the challenges with adjusting to the interactive and student centred learning environment, whereby students lead their own learning guided by faculty.
…a new experience, we are from a culture where the teacher used to teach us and we used to take down the notes, we used to write exams and just pass them that is the kind of learning that we had experienced before… but what we had here it was totally different than what we expected (IS2).
Faculty also raised concerns regarding leading modules with a new student group coming from diverse backgrounds and different learning styles. Faculty were aware of the need to balance teaching centred and student centred approaches to learning, while meeting learning outcomes and maintaining intercultural inclusive environments. However, the differing expectations, demands and responsibilities that widening culturally diverse learning environments brings can be daunting for faculty.
When a semester begins with a new module and a new group there is always a degree of apprehension… as I begin engaging with students and trying to work through the struggle of information sharing and student learning in this new culturally diverse environment… to be welcoming and inclusive of all it’s a hard task and all different learning styles. It’s a big responsibility for us and perhaps underestimated (F8).
Faculty acknowledged the transitioning challenges for all students and were conscious of the need to support students in adapting to their new learning environment. Nevertheless, constant awareness of the importance of responding to students needs in maximising learning opportunities in a widening culturally diverse classroom was identified. Although, such reflexivity encouraged faculty to ‘stop and think’, sometimes not going far enough to impact on effective intercultural student engagement and learning, as exemplified by the following faculty interview extract.
You always have to support all students in adjusting to new academic expectations and teaching modes. I found myself having to stop, pause, and check in on myself and students more now, to ensure that learning was happening in an intercultural setting. I found it challenging having students who were quiet and passive. At first they seemed to understand what was going on however when I tried to interact with them they were lost (F1).
Cautious engagement
This theme describes participants’ perceptions as they begin to negotiate their learning in the culturally diverse learning environment and how they develop an appreciation of the value of other students’ contribution. Perceived differences in academic ability and professional experiences contributed to group interaction and learning. Having preconceived ideas, stereotypes and ethnocentric ideologies informed perceptions of cultural difference which impacted on intercultural inclusivity and integration, as exemplified by the following where notions of what could be defined as somewhat superiority, were described.
Their clinical experiences [International students] were quite limited, when we talked to them and most of us are quite experienced nurses and this is difficult and impacts our learning (HS12).
Some students were cautious about engaging in classroom discussions and activities for fear of how they would be judged by their peers and faculty. Lack of understanding of adult learning contributed to students’ apprehensions and fears. Comparing and focusing on differences of professional backgrounds, previous education experiences and academic ability, left some students feeling inferior, which impacted on learning experiences and dynamics within the groups.
I wasn’t prepared for the differences in ways of learning and how to deal with that in such a mixed group. I felt the other {home students} students were enjoying the class, were better able for the pace and were getting an understanding. I was still afraid, shy and lost…they seemed more able. It was only after a long time that we learnt from their questions and now I ask questions but it took a while (IS8).
However, such ideas around superiority and feelings of inferiority were subtle. Although the importance of supporting students in settling in was acknowledged by faculty, understanding the complexities associated with perceptions of cultural difference and its impact on intercultural inclusiveness and integration took time.
I noticed the students gradually settling into the group dynamics regardless of culture, gender or ethnic origin (F2).
All students understood the importance of working together and valued intercultural learning opportunities. However, the importance of succeeding on their programme of study and doing well in their assessments took priority over intercultural engagement
and development.
I improved my writing, learning and technical skills, and now working in my current job the knowledge from the academic course and communication helped me. It was a pleasurable experience for me to explore the university as meeting lots of students from various cultures. I haven’t been to any other country before. But here… learning about different cultures, facing students from different countries, was very interesting and helpful. However, there was a lot of sacrifices, I needed to show everybody at home that supported me that I could succeed and do well. That was my main goal (IS6).
Learning about other cultures was interesting but sometimes happened accidently or coincidently. Understanding the complexities of cultural diversity and intercultural learning, sensitivity or integration was not seen to be important as it was not evident in learning outcomes and therefore not part of modular assessments.
I wanted to work together, but I took the lead for group work but knew I was wrong taking the lead. But you are doing your Masters and you have to think of what you need to achieve and do well, we need to do well and this is our primary focus, so there was a lot of extra work involved just to make sure we were on the right track, with limited time for extra stuff such as cultural learning as that’s interesting but not part of our assessments (HS9).
Numerous examples of self-preservation of personal, professional and academic identities were described. Some students recognised the differing demands and expectations of group work and were more focused on their own academic achievement in furthering career development. Although such self-preservation behaviour is not uncommon in any learning environment, it was particularly poignant for students learning in culturally diverse environments.
The Irish students, were very friendly and understood from our faces when we were in trouble. We eventually had a good relationship with them, but I was always on guard and needed to stay true to myself. It was fine but my goal at all costs was to do well on the programme, nothing else matters (IS5).
Although students did not want to be seen to be insensitive or inappropriate, protecting their identities and succeeding on their programme of study was more important than intercultural integration and inclusiveness.
I don’t want to be insensitive or political incorrect but I want to do well in my course so I have to think about myself and my career and how I use my time constructively to be successful. It’s not that I don’t want to mix but I need to protect myself, my credibility and grades (HS2).
Faculty identified the importance and awareness of creating an inclusive and supporting environment and several formal and informal supportive approaches were described. However, students’ descriptions of perceptions of cultural difference and experiences of intercultural engagement identified areas for further improvement.
I find having lecture notes, guided reading on our online learning platform helpful and I also started being available for 30minutes before the lecture (chat time) in helping to clarify any student queries rather than simply replying to an email. In fact, this was a great way for students to get to know one another and for me to get back to basics and appreciate where their perspectives were coming from and indeed their fears about success in the assignment (F9).
Shared acceptance
Shared acceptance describes a gradual appreciation of and respect of cultural diversity within the intercultural learning environment. Over time language, academic writing and communication barriers were lessened and students began to demonstrate greater knowledge and understanding of the programme material. Respect was noted as being a very important part of learning in the intercultural classroom, where sharing of views seems to contribute to greater understanding and learning. The following examples illustrate the possibilities that may occur when taking time to support the dynamics with intercultural engagement.
Respect is fundament when working in groups even when people get frustrated and annoyed. Cultural differences need to be discussed so understanding and learning can occur for all (HS7).
I love to observe the growing depth of understanding with students near the end of the semester (F5).
When I look back it took me a very long time to be all right within this strange ways of learning together with people from other cultures (IS7).
Gradually, through creating and facilitating a learning environment, students began to see each other as individuals and came to respect the individuality and diversity across the group. This is a slow process that winds its way across all interactions and modules throughout the academic year and contributes to a greater awareness of responsibilities for understanding individual learning behaviours and creating intercultural inclusive learning environments.
Students are the same but they are all different. I have learnt to be aware of my role of understanding where I create learning spaces for student learning that are inclusive of multi-cultural, and multinational dimensions which is ongoing (F7).
Large intercultural classrooms with students from differing backgrounds, languages, dialects and interests, can present challenges with an inherent possibility of conflict. It is a delicate balancing act to find an optimal level of engagement in fostering learning while at the same time recognising the diversity experienced throughout the programme.
I am thankful for the way we learned here and all the supports, helped us work out how to learn (IS10).
I liked being with students from all backgrounds, it’s good to have a mix (HS12).
As students became more familiar with each other, group interaction increased as noted by students and faculty. However, getting to know one another and developing the confidence to engage took time.
I did group work with the international students in both semesters where we were all mixed and it took a while for the diverse group to interact together (HS4).
Balancing the speed and clarity in getting content covered while at the same time stimulating challenging conversations at postgraduate level was found to be a constant pressure. However, the blended learning delivery of programmes whereby half the programme was delivered remotely through technology created further complexities for intercultural engagement, integration and inclusiveness.
We try to make it creative, interactive and a stimulated learning environment and wonder how to tread lightly where words that are familiar to us maybe new and confusing for newly arrived student. Time is limited particularly when the programme is a blended learning programme and I wonder about the comprehension and understanding for all with this type of delivery.I like working with groups where I give time and opportunities for students to grow and work together in an organic way and this is difficult in a blended learning environment (F11).
Similar challenges were also reported by students.
Getting used to new ways of learning in a different country on your own is hard but worth it. Meeting all types of students’ helped but getting my head around the technology side of things was very hard. Trying to figure out Moodle {online learning platform} was really stressful (IS11)