“…This study's findings regarding preparatory learning needs by outsiders going into an unfamiliar setting paralleled recommendations to learn about the social and cultural contexts of the setting (Desantis, 1995;Harrison & Malone, 2004;Haussler, 2006;Lange & Ailinger, 2001;Shah, Robinson, & Enezi, 2002;Wright, Zerbe, & Korniewicz, 2001), educational system and institutional resources (Byrne, 1998;Desantis;Haussler;Johnson, Ghebreyohanes, Cunningham, Kutenplon, & Bouey, 2007;Lange & Ailinger;Melby, Dodgson, & Tarrant, 2008;Tlou, 1998), other existing efforts (Desantis), technological capabilities (Shah, Robinson, & Enezi); nursing roles and scopes of practice (Kuehn et al, 2005), and socio-political influences on health care (Girot & Enders, 2004;Wright, Zerbe, & Korniewicz). Partnership actions that are mutually beneficial and demonstrate respect for one another (Shah, Robinson, & Enezi), and developmental aid geared toward national needs of the host partner and capacity building efforts (King, 2009;Wright, Zerbe, & Korniewicz) were likewise reported in step 5 of the preparatory processes that framed the outsider role in the theory that emerged from this research.…”