Mentor experiences of international healthcare students' learning in a clinical environment: A systematic review

• A positive intercultural mentor enhanced students' learning experience and reduced their stress levels.
• The student's own role in learning is seen as important for achieving success in clinical practice.
• Lack of cultural awareness in mentors hindered adequate mentoring and had other negative consequences.
• Irrespective of their culture, many healthcare students shared common experiences of learning in the clinical environment.

BackgroundGlobalisation has brought new possibilities for international growth in education and professional mobility among healthcare professionals. There has been a noticeable increase of international degree programmes in non-English speaking countries in Europe, creating clinical learning challenges for healthcare students.ObjectiveThe aim of this systematic review was to describe mentors' experiences of international healthcare students' learning in a clinical environment. The objective of the review was to identify what influences the success or failure of mentoring international healthcare students when learning in the clinical environment, with the ultimate aim being to promote optimal mentoring practice.DesignA systematic review was conducted according to the guidelines of the Centre for Reviews and Dissemination.Data sourcesSeven electronic databases were used to search for the published results of previous research: CINAHL, Medline Ovid, Scopus, the Web of Science, Academic Search Premiere, Eric, and the Cochrane Library.Review MethodsSearch inclusion criteria were planned in the PICOS review format by including peer-reviewed articles published in any language between 2000 and 2014. Five peer-reviewed articles remained after the screening process. The results of the original studies were analysed using a thematic synthesis.ResultsThe results indicate that a positive intercultural mentor enhanced reciprocal learning by improving the experience of international healthcare students and reducing stress in the clinical environment. Integrating international healthcare students into work with domestic students was seen to be important for reciprocal learning and the avoidance of discrimination.ConclusionMany healthcare students were found to share similar experiences of mentoring and learning irrespective of their cultural background. However, the role of a positive intercultural mentor was found to make a significant difference for international students: such mentors advocated and mediated cultural differences and created a welcoming environment for international students by helping to minimise feelings of social isolation.