An Online International Collaborative Learning Program During the COVID-19 Pandemic for Nursing Students: Mixed Methods Study

Dukyoo Jung, Jennie C. de Gagne, Eunju Choi, Kyuri Lee

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background: Given the limitations imposed by the COVID-19 pandemic, a better understanding of how nursing programs around the globe have implemented distance education methods and related initiatives to provide international collaborative learning opportunities as well as complementary aspects of practical education would be constructive for nursing students. It is expected that international collaboratives through web-based communication will continue to be increasingly utilized after the pandemic; therefore, it is time to discuss the effects and direction of these developments. Objective: We aimed to examine the impact of an online international collaborative learning program on prelicensure nursing students' international and global competencies in South Korea. Methods: We conducted a mixed methods study (web-based surveys and focus group interviews). A total of 15 students participated in the study. The surveys were used to examine changes in participants' global leadership competencies, and the focus group interviews were used to evaluate the program's effectiveness and to identify opportunities for improvement. The online international collaborative program consisted of 7 synchronous web-based classroom sessions. Each session ran for 60 to 90 minutes. Faculty experts and nurses working in the United States discussed various topics with students, such as nursing education in the United States and evidence-based teaching and learning. The students gave presentations on the South Korean nursing education system. Data were analyzed with descriptive statistics, the Mann-Whitney U test, and content analysis methods. Results: Participants reported improvement in their global leadership competencies. Four main categories emerged from analysis of the focus interviews: (1) realistic applicability, (2) clarification, (3) expansion of perspectives, and (4) initiative. Conclusions: The online international collaborative learning program had a positive impact on the development of students' international competencies. The findings support the further development of international exchange programs through web-based meetings in the postpandemic era.

Original languageEnglish
Article numbere34171
JournalJMIR Medical Education
Issue number1
StatePublished - Jan 2022

Bibliographical note

Publisher Copyright:
© Dukyoo Jung, Jennie C De Gagne, Eunju Choi, Kyuri Lee. Originally published in JMIR Medical Education (, 24.01.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Education, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.


  • COVID-19
  • Distance education
  • Global competencies
  • Nursing students
  • Program evaluation
  • Synchronous virtual classroom
  • Video conferencing


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