Results:The nurses described a process in which the exchange helped them develop personal qualities and cultural competence and increased their awareness of how they communicated. In the interviews, the nurses relived situations from their clinical placement in the 'here and now'. Although the nurses found it di cult to de ne the learning outcomes from the exchange, they indicated that they had learned a great deal. Several of them highlighted how they tried to understand ethnic minority patients and their families and to be understood.
Discussion:The nurses said that the exchange had strengthened their personal and professional development, and continues to do so. Meeting people from a di erent cultural background to their own in a foreign and unfamiliar culture over a period of time reinforced this e ect as the nurses had to nd new ways to mobilise their personal and professional resources.
Conclusion:The exchange had a lasting impact on the nurses' personal awareness, professional development and competence development. Meeting people in di erent situations over a period of time in an unfamiliar culture also helped to strengthen their cultural competence. The nurses found that cultural competence is important for practising nursing in a multicultural society, and that it is di cult to obtain this competence in clinical placements in Norway. However, more research is needed into nurses' experiences from student exchanges, where the focus is on the impact of the exchange on their professional practice. Student exchanges over a certain time period are one of the most e ective ways of developing cultural competence. Students who live in a di erent culture for a period are 'strangers', and this gives them the opportunity to see how cultures di er (1-4).Although more research is needed on the learning outcomes of exchanges, studies show that exchanges contribute to personal, professional and cognitive development in the form of strengthened cultural sensitivity and competence (5-7). Report no. 7 to the Storting (2020-2021) (8) follows up Report no. 16 to the Storting (2016-2017) (9) by emphasising that all students should gain international experience as part of their education, and that student mobility in higher education should be increased.