Development of sustainable collaborative online international learning (coil) in nurse education: a qualitative study


  • Bente Kvilhaugsvik Western Norway University of Applied Sciences, Norway
  • Eduardo Santos Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
  • Alessandra Turin Nursing School, Department of Medicine, University of Padua, Padua, Italy.
  • Claúdia Chaves Polytechnic Institute of Viseu, School of Health, Viseu, Portugal | CI&DEI - Centre for Studies in Education and Innovation, Viseu, Portugal.
  • Giacomo Patrizio Nursing School, Department of Medicine, University of Padua, Padua, Italy.
  • Leif Steinar Alfsvåg Western Norway University of Applied Sciences, Norway.
  • Mauro Mota Polytechnic Institute of Viseu, School of Health, Viseu, Portugal | Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
  • Petra Schumacher IMC University of Applied Sciences Krems, Department of Health Sciences, Institute of Nursing Science, Austria.
  • Stephanie Jonathan Adventist Universitet Zurcher, Madagascar.
  • Torunn Kittelsen Western Norway University of Applied Sciences, Norway.
  • Carlo Alberto Camuccio University of Padua, Padua, Italy.



international educational exchange; cultural competency; students; nursing


Introduction: In “Collaborative Online International Learning” (COIL) teachers/facilitators and students are expected to develop international awareness through dialogue with international peers. COIL´s potential for the development of global perspectives on professional themes without traveling abroad is unique.

Objective: To identify obstacles and success criteria experienced during the development of a COIL module in nurse education.

Methods: A qualitative study was developed with participants of a COIL module. Interviews with 11 students and 8 facilitators were included. The content analysis was performed on the data as a whole.

Results: Four common categories emerged across students´ and teachers´ perspectives: positive experience; experienced difficulties; skills developed; and COIL suggestions. Additionally, opportunities provided by COIL were specific for teachers, and strategies used for the difficulties experienced were specific for students.

Conclusion: COIL should be carefully planned and regulated like all programming of curricular activities. Different curricula, time zones, and schedules across education programs in different countries must be considered.


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Author Biography

Eduardo Santos, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal

Degree in Nursing (2010). Postgraduate in Management and Health Services Administration (2012). Postgraduate in Wound and Tissue Regeneration (2012). Master and Specialist in Medical-Surgical Nursing (2015). PhD in Nursing Sciences (2020). Associate Professor at the Nursing School of Coimbra (ESEnfC), Portugal. Associate research at the Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence, Health Sciences Research Unit: Nursing (UICISA: E - ESEnfC) and at the Núcleo de Investigação em Enfermagem (NIE - CHUC). Published 88 articles in specialized journals, 56 papers in international conference proceedings and has published 2 books and 1 chapter. Received 13 awards and/or honors. Captivated more than 3 MM€ in competitive research projects.


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How to Cite

Kvilhaugsvik, B., Santos, E. ., Turin, A., Chaves, C., Patrizio, G., Alfsvåg, L. S., Mota, M., Schumacher, P. ., Jonathan, S., Kittelsen, T., & Camuccio, C. A. (2023). Development of sustainable collaborative online international learning (coil) in nurse education: a qualitative study. Millenium - Journal of Education, Technologies, and Health, 2(22), e29939.



Life and Healthcare Sciences