All ETDs from UAB

Advisory Committee Chair

Lynda Wilson

Advisory Committee Members

Karen Heaton

Nataliya Ivankova

Maria Shirey

Document Type


Date of Award


Degree Name by School

Doctor of Philosophy (PhD) School of Nursing


The purpose of this study was to reach consensus among experts on global health competencies for baccalaureate nursing students in the United States. A Nursing Global Health Competencies Framework (NGHCF) was created to guide identification of the domains and competencies for BSN nursing education. A three-round modified Delphi study intersected with a mixed methods research approach to reach consensus from experts in global health on essential global health competencies in nursing. The first phase revised the original list of competencies based on: (a) qualitative responses to the surveys conducted by Wilson et al. (2012), Ventura et al. (2014), and Warren et al. (2016); (b) a pilot study performed by this author; (c) a review of literature; and (d) the Nursing Global Health Competencies Framework (NGHCF) developed in a preliminary pilot study. In the first phase, nine global health domains and 52 competencies were identified. In phase two, two surveys were conducted for validation of the revised list of global health competencies using a group of six nurses with expertise in global health and baccalaureate nursing education which produced modifications in the competencies used for the third phase of the study. In phase three, 41 participants completed a survey to rate the extent to which they thought the 40 competencies obtained in Round Two survey were essential for BSN students. The domains and competencies derived in this study can be used to guide undergraduate nursing curriculum development in global health and provide a framework for both clinical instruction and evaluation of global health student experiences.

Included in

Nursing Commons