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Upcoming Trips 2016:

Netherlands International Conference:  NURS 6903.60

Travel Dates: March 17-26, 2016
Estimated Trip Cost:  TBD
Contact person (s):  Dr. Rita Dellostritto

Spring Break:  NURS 4902 Indonesian Cultural Immersion Elective
                         NURS 6903 Indonesian Cultural Immersion Elective

Travel Dates:  March 10-20, 2016
Estimated Trip Cost: $2,500 plus credit hour expense for the elective
Contact person: Dr. Joan Edwards –  (281) 723-2144

Focus on the Indonesian culture with an emphasis on nursing, education, research and community.  Students will work in groups to prepare PICO posters for presentation at an International Nursing Conference. Course requirements include attendance and participation at the 4th University of Padjadjaran’s International Nursing Conference Transformative Education in Nursing: Impacting Community and Society through Education and Research.  The conference will be held in Bandung, Java, Indonesia.  The cultural immersion experience will begin with a trip to Bali.

Summer 1 (Maymester):  NURS 4902 Peruvian Cultural Immersion Elective
                                           NURS 6903 Peruvian Cultural Immersion Elective

Travel Dates:  May 16 -27, 2016 (tentative)
Estimated Trip Cost: TBD plus credit hour expense for the elective
Contact person(s): Dr. Allison Huffman  (
                             Dr. Sandra Cesario   (

Focus TBD.  Attendance and participation in an International Nursing Conference will be required.  Will include visits to Peruvian Colleges of Nursing, patient care locations (acute care facilities and clinic/community).  Cultural experiences will include a visit to Machu Picchu and possibly a visit to an additional South American country.

Summer 1 (Maymester):  NURS 4902  Vietnamese Cultural Immersion Elective

Dates:  June 2016 (TBD) – course will occur locally in the Houston area
Estimated cost:  TBD plus credit hour expense for 2 hour elective
Contact Person:  Dr. Vi Ho (  (713) 794-2493

Focuses on Southeast Asian culture and the healthcare needs of this population.  Gain an understanding of the differences and similarities for Southeast Asians living in the United States as opposed to Vietnamese living in Vietnam.  Gain awareness of health issues/beliefs and behaviors, common interventions, and resources utilized by the Vietnamese population in the Houston area.


2015 Trips

 PERU - Five TWU College of Nursing faculty (Dr. Joan Edwards, Dr. Sandra Cesario, Dr. Anne Koci, Dr. Peggy Landrum, and Dr. Allison Huffman) and 27 nursing students (24 undergraduates, one baccalaureate graduate, one PhD nursing student, and one DNP student) spent 11 days of cultural immersion in the Peruvian health care sector.  The experience began with a “Forum for the International Day of Nursing” on May 13th at the Peruvian Ministry of Health.  The forum was sponsored by the Pan American Health Organization, the Colegio de Enfermeros del Peru (Peruvian Board of Nursing and National Nursing Association), and the Peruvian Ministry of Health. This event was attended by 254 invited Peruvian, American and Cuban nursing leaders.

The next event (May 14th) was a “Coloquio International en Salud” held at Universidad Privada del Norte (UPN).  Texas Woman’s University (TWU) nursing faculty along with other speakers presented their areas of expertise identified as beneficial for the Peruvian nursing sector. In addition the TWU students shared their experiences and knowledge gained from constructing a PICO (Population/Patient, Intervention, Comparison, Outcome) Project as a method of investigation.  Their presentations took place as part of Dr. Joan Edwards’ general session on PICOT, in addition to later in the afternoon with nursing student peers from Peru.   At the closing of the event all participants enjoyed traditional Peruvian music and dancing.

On May 15th the TWU contingent started the day with a visit to a community health clinic where participants gained an understanding of the delivery of primary care to vulnerable populations. Following this visit, the group participated in a forum at the Universidad de Ciencias y Humanidades (UCH).  TWU students were again invited to present their group PICO posters to all attendees.  TWU faculty presented research in their areas of expertise.

An invited guest participant, Jody Cesana, from the Association of Women’s Health, Obstetrics, and Neonatal Nursing (AWHONN) also presented at each of the above events sharing AWHONN’s mission, vision, educational materials, and resources benefiting patients and specialty nurses. Ms. Cesana met with leaders of the Peruvian neonatal society where they engaged in discussion regarding future collaborations. With the help of a translator, Ms. Cesana shared a portion of the Neonatal Orientation Education Program (NOEP). 

The next stop of the immersion tour was Universidad Catolica Santo Toribio de Mogrovejo (USAT) located in Chiclayo, Peru.  During the first two days small groups of participants visited multiple sites including public and private community health centers and hospitals. Dr. Huffman and a contingent of TWU and Peruvian nursing students traveled to a young adolescent high school, where they used interactive methodologies to instruct adolescents on the topic of feminine hygiene.   The Lambayeque Board of Nursing also hosted a reception for TWU faculty and students at their headquarters in Chiclayo.  Plans for future collaboration were explored by faculty and the Board of Nursing officers the next day. 



Rotterdam University organized and hosted The International Nurse Practitioner Symposium. Three faculty (Dr. Rita DelloStritto, Dr. Anne Koci, and Ms. Morgan Bruno) and seven nurse practitioner (NP) students from Texas Woman's University (TWU) traveled to The Netherlands April 9-17, 2015 to attend this symposium in Rotterdam. The participants at the symposium included faculty and students from TWU and Rotterdam University, and faculty from Germany, Sweden, Ireland, and the United Kingdom. The TWU faculty and students presented at the symposium regarding Benchmarking the Role of the NP Globally, Emerging Health issues, and Health Technology. Additionally, each TWU faculty and student experienced cultural immersion in the Dutch health care system by shadowing Dutch nurse practitioners in the clinical setting. Germany, Sweden, Ireland, and the United Kingdom are still in their infancy stage regarding their use of NPs in the health care systems. Each country presented their interpretation of the NP role and expressed a desire to learn more from the very active USA and Dutch NP programs.


CHINA - A graduate nursing course in "Women and Family Health in China: Millennium Transitions in Policy& Practice" was held March 13-24, 2015 in China. Drs. Judith McFarlane and Fuqin Liu were the lead faculty for this course. Students forged relationships with the First Affiliated Hospital of Soochow University, Women's Hospital of Zhejiang University, School of Medicine and the Chinese Medical University in Hangzhou as well as visited women's factory work sites in Tonglu county (hometown of Dr. Liu). Additionally, students received a special lecture from the Director of Health Policy for Hangzhou City. This ten-day cultural immersion experience helped students to have a better understanding of policy and practice in relation to the health of women and families in China.

2014 Trips

ST. LUKE'S INTERNATIONAL HOSPITAL - TOKYO, JAPAN  On October 13, 2014, doctoral students from Texas Woman’s University Houston and Dallas campuses participated in a global exchange with PhD Nursing students from St. Luke’s University, a general teaching facility located in the Tsukiji district of Chuo.  Students from both universities shared research topics and discussed potential future research collaboration. Tours of both the hospital and university were provided.

The hospital first opened in 1902 as a medical mission facility by the Episcopal Church. The hospital is now one of central Tokyo's largest and most comprehensive medical care facilities. The hospital was able to remain open and continue its work throughout World War II providing care to atomic bomb survivors.

Today, St. Luke's International Hospital has 539 beds and sees 2,550 outpatients on an average day.  It serves the city of Tokyo and is an internationally recognized teaching facility for medical professionals including post-graduate resident physicians and nurses.



RADIATION EFFECTS RESEARCH FOUNDATION, HIROSHIMA, JAPAN  In Fall 2014, TWU entered a collaborative relationship with the Radiation Effects Research Foundation (RERF) to augment learning opportunities for doctoral students enrolled in an elective titled Historical Research in Nursing – Exploring Japan.  Dr. Sandra Cesario, Ms. Deb Unruh, and Dr. Adrian Melissinos led this experiential learning opportunity.  The elective study-abroad course was designed as an introduction to historical study in nursing, including methodology, significance, analytic techniques, and application.  Students examined materials in local archives and other sources prior to traveling to Hiroshima. The process of conducting historical research was illustrated by lessons learned following the WWII bombing of Hiroshima and their contributions to current understanding of radiation therapy, occupational safety, civil defense, environmental controls, disaster response, and ethics. Students had the opportunity to evaluate personal worldview, values, and the professional nursing role in the context of the global health community.

RERF was established on April 1, 1975, as a nonprofit foundation under Japanese civil law within the jurisdiction of the Japanese Ministries of Foreign Affairs Health and Welfare and in accordance with an agreement between the governments of Japan and the United States. RERF was preceded by the Atomic Bomb Casualty Commission (ABCC) which was established in 1947 by the U.S. National Academy of Sciences (NAS) with funding from the U.S. Atomic Energy Commission. ABCC initiated extensive health studies on A-bomb survivors in cooperation with the Japanese National Institute of Health of the Ministry of Health and Welfare, which joined the research program in 1948. A comprehensive review of ABCC work by the Francis Committee in 1955 led to extensive revisions in research design and laid the foundation for the population-based studies that continue today.

Following introductory information which included a lecture by Dr. Waka Ohishi (Chief, Department of Clinical Studies at RERF) and a facilities tour, TWU visitors were able to meet with 4 former Japanese ABCC-RERF employees.  Three of the employees had been nurses who attended to the A-bomb survivors. Their period of employment comprised of different segments of time between 1947 and 1989. The highlight of the study abroad experience was the opportunity to speak with these Japanese women, who had been in Hiroshima or Nagasaki at the time of the bombings and are now 90+ years old.  One of the outcomes of this course was to preserve the history they shared with us through group preparation and submission of a poster abstract for presentation at the History of Nursing Conference in September 2015 in Dublin, Ireland.


INDONESIA CULTURAL IMMERSION COURSES NURS 4902 AND 6903 Thirteen undergraduate and graduate nursing students participated in a 14-day Indonesian Cultural Immersion course. This course fulfilled the 2-hour nursing elective requirement for the Bachelor of Science – Nursing Major and a 3-hour elective for the graduate nursing program.

Participants explored differences and similarities of Indonesian healthcare issues as opposed to United States citizens and healthcare issues within the USA. Students gained an awareness of healthcare issues within the context of the Indonesian culture. Students were able to attend and participate in the University of Padjadjaran College of Nursing’s 4th International Nursing Conference, “Improving Quality of Life through Interdisciplinary Approach in Health Care Settings”, held in Bandung, Java, Indonesia (Texas Woman’s University collaborated with the University of Padjadjaran College of Nursing in development of the conference).

Presentations from Texas Woman’s University included:

  • Pain Assessment and Management in Nursing Practice (Dr. Joan E. Edwards)
  • Interdisciplinary Approach in Managing Community Health Problems: Lessons Learned in the United States (Dr. Sandra Cesario)
  • PICO Poster: In Pregnant Women and Women of Child Bearing Age, Will Increasing Daily Folic Acid Intake to 400 mcg or Greater Decrease the Incidence of Neonatal Mortality and Neural Tube Defects? (Simone Franks, Jacqueline Chan, Cecelia Diaz, Vivian Ayala, Wynesha Bush, Peggy Adams – TWU Jr 2 nursing students )
  • PICO Poster: For School Aged Children, Does the Implementation of School Based Antismoking/Tobacco Programs Coupled with Antismoking Media Interventions Increase Knowledge and Decrease the Prevalence of Smoking in Comparison With Those Not Exposed to Antismoking and Tobacco Campaigns? (Marissa Jones, Isabelle Rowdon, Howard Tseng, Cassidy Schaffner - TWU Sr 1 nursing students)
  • PICO Poster: (Janie Acebedo, Farah Siddiqi, Elizabeth Libby – TWU graduate nursing students)

Congratulations to TWU Jr 2 nursing students who were awarded 1st place out of approximately 45 Poster submissions!

page last updated 5/9/2016 12:34 PM