Figure 1
Survey timeline and participant responses.
Table 1
Key sample and overall cohort demographics.
| FREQUENCIES | SAMPLE (N = 12) | ALL RESPONDENTS (N = 48) | |
|---|---|---|---|
| Program | Nursing | 67% | 52% |
| Physician | 33% | 48% | |
| Relationship status | Married/partnered | 50% | 33% |
| Single | 33% | 60% | |
| Widower/other | 17% | 6% | |
| Will your significant other be accompanying you? (for those who said they were married or partnered when asked about their relationship status) | No, significant other will not be present during the trip | 33%* | 25%^ |
| Yes, significant other will be present during the trip | 67%* | 75%^ | |
| Do you have any children or dependents? | Yes, over 18 years old | 58% | 33% |
| No | 33% | 63% | |
| Yes, under 18 years old | 8% | 4% | |
| Have you previously traveled to the country or site of your placement? | Yes, my country, but not my site | 8% | 23% |
| Yes, my site | 0% | 4% | |
| Neither | 92% | 73% | |
| Were you or your parents born outside of the United States? | No | 75% | 81% |
| Yes | 25% | 19% | |
| In how many languages are you conversationally/medically fluent? | Just English | 73% | 59%** |
| Two languages | 18% | 33%** | |
| Three languages | 0% | 4%** | |
| Four or more languages | 9% | 4%** | |
| In your last position before joining GHSP, were you responsible for clinical and/or classroom teaching? | Not responsible for teaching | 25% | 21% |
| Yes – clinical | 42% | 38% | |
| Yes – classroom | 8% | 13% | |
| Yes – clinical and classroom | 25% | 29% | |
| In your last position before joining GHSP, were you working clinically? | Yes – outpatient | 33% | 21% |
| Yes – inpatient | 25% | 25% | |
| Yes – in/out combined | 25% | 40% | |
| Yes – emergency | 8% | 10% | |
| Not working clinically | 8% | 13% | |
| Prior to joining GHSP, did you participate in any of the following activities? | Domestic health disparities research | 0% | 13% |
| International research | 33% | 26% | |
| International health advocacy | 25% | 31% | |
| International clinical work | 25% | 54% | |
| Stateside global health education | 25% | 39% | |
| International health education | 42% | 50% | |
| Domestic advocacy work | 50% | 52% | |
| Domestic clinical work in low resource settings | 83% | 78% | |
| Domestic health education | 83% | 87% |
[i] * n = 6. ^ n = 16. ** n = 46.
Figure 2
Average resiliency scores across time, sample group.
Figure 3
Resiliency score medians across time, sample group.
Figure 4
Average stress scores across time, sample group.
Figure 5
Average culture shock scores across time, sample group.
Table 2
Correlation analyses results, sample group.
| SPEARMAN CORRELATIONS | CORRELATION COEFFICIENT | SIG. (2-TAILED) | N | |
|---|---|---|---|---|
| Pre – At this time, how prepared do you feel: For your teaching role during your GHSP year? | Culture shock Q1 | –.643* | 0.024 | 12 |
| Culture shock Q3 | –.610* | 0.035 | 12 | |
| Culture shock Post | –.652* | 0.022 | 12 | |
| Q1 – I feel overwhelmed by the medical needs in this community. | Culture shock Q1 | .744** | 0.005 | 12 |
| Culture shock Q3 | .829** | 0.001 | 12 | |
| Resiliency Q1 | –.704* | 0.011 | 12 | |
| Resiliency Q2 | –.644* | 0.024 | 12 | |
| Resiliency Post | –.592* | 0.043 | 12 | |
| Stress Q1 | .703* | 0.011 | 12 | |
| Stress Q3 | .679* | 0.015 | 12 | |
| Q3 – I feel overwhelmed by the medical needs in this community. | Stress Q1 | .658* | 0.02 | 12 |
| Culture shock Q1 | .657* | 0.02 | 12 | |
| Culture shock Q2 | .611* | 0.035 | 12 | |
| Culture shock Post | .678* | 0.015 | 12 | |
| Q1 – There are sufficient resources to provide adequate education to my students. | Stress Q3 | .679* | 0.015 | 12 |
| Q2 – There are sufficient resources to provide adequate education to my students. | Stress Q1 | .587* | 0.045 | 12 |
| Stress Q3 | .704* | 0.011 | 12 | |
| Q3 – There are sufficient resources to provide adequate education to my students. | Stress Q2 | .710* | 0.014 | 11 |
| Post – I am fully reintegrated in my home culture. | Resiliency Q1 | .804** | 0.009 | 9 |
| Resiliency Q2 | .814** | 0.008 | 9 | |
| Resiliency Q3 | .785* | 0.012 | 9 | |
| Resiliency Post | .845** | 0.004 | 9 | |
| Respondent is single | Q1 – In the last two weeks, how responsible did you feel for your patients’ clinical outcomes on average? | –.798* | 0.032 | 7 |
| Q3 – In the last two weeks, how responsible did you feel for your patients’ clinical outcomes on average? | –.828* | 0.042 | 6 | |
| Stress Q1 | –.590* | 0.043 | 12 | |
| Stress Post | –.670* | 0.017 | 12 |