Knowledge/expectations What did Ruth expect to gain from her experience in Kenya?

What did she not know about her host community when she planned her research project?

What knowledge and preparation would have helped her to be more successful?
A.

Culture/cultural humility Like the villagers and support persons around Ruth, many cultures in the world prioritize hospitality and formal courtesy.

How is this different from Western culture, and how might Westerners interpret this?

How can basic cultural difference like this complicate professional engagement with communities across cultures?
A.

Cost vs, benefit It is often very costly for Western students and faculty to travel abroad. Ruth wondered if she should have donated the money she spent on the trip to the community itself.

What are some arguments for and against financial donation to overseas institutions or communities versus traveling abroad to try to assist or contribute directly?
A.

Choices & expectations What kinds of choices does Nilly have in this scenario?

What do her nursing instructor, her family, Ruth, and the village health workers respectively expect from her?
How might the choices she made impact her relationships with these people?

What were her alternatives?

What did Nilly need and want from Ruth?

Did she get it?

If not, is Nilly better or worse off at the end of the day?

Did Ruth appear to have any idea of what Nilly’s concerns were, or what it cost her to spend the day away from the hospital?
A.

Disruption How might Western medical/nursing trainees minimize the disruption they impose on the under-resourced institutions and communities they visit?

How might visitors or sending institutions ensure that host institutions, colleagues, and support staff are fairly compensated for their time and work?