An American and Dutch partnership for psychiatric mental health advance nursing practice: nurturing a relationship across the ocean.

Objective: The purpose of this article is to discuss the challenges and rewards of developing and nurturing an international clinical psychiatric mental health advanced nursing practice exchange between the Netherlands and the United States. Since 1997, Rotterdam University of Applied Sciences in the Netherlands has been participating in international clinical experiences for their psychiatric mental health (PMH) advanced practice nursing students. The international experience is mandatory prior to graduation and is the first of its kind in Europe to mandate such a unique experience.

Methods: This study sample included eight Dutch PMH advanced practice nursing students enrolled in a full-time master's in advanced nursing practice program. Methods: The descriptive study included reflective reports and one-on-one discussions over a 3-year period.

Results: With proper planning, an international nursing experience provides a unique opportunity for nurses to think beyond their own culture and healthcare system. Solving problems together through different perspectives creates opportunities for creative solutions.

Conclusions: International partnerships within PMH advanced practice nursing promotes sharing of knowledge and solutions as patients and diseases have no border.