cultural immersion, nursing education, online discussion, reflection, service learning



  1. Smit, Eileen M. MSN, RN, FNP-BC
  2. Tremethick, Mary Jane PhD, RN


Reflection is a widely accepted learning tool and a component of competent professional practice. An exploratory descriptive study was conducted to compare the breadth and level of reflection between students engaged in individual reflection papers and students engaged in an online group reflection discussion after an international cultural immersion service-learning program. Results indicated that students participating in the online group discussion had a higher level of reflective thinking and discussed more topics in their written reflections.