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Kent State Salem Nursing Students Learn About Cultural Diversity, Healthcare in Canada

Posted Feb. 3, 2014 | Tina Smith
enter photo description
Pictured (front, from left) are Mary Lou Ferranto, Ph.D.,
director of the nursing program at Kent State Salem, and
Claire Mallette, Ph.D., director of the School of Nursing
at York University in York, Ontario, Canada. (Back from left)
are Kent State Salem nursing students Haeli Todd, Brittany
, Kerry Crum, Alisha Fata, Kayla Stoots, Sabrina
, Tiffany Faltinoski, Alexandra Knight,
Kent State Assistant Dean Celeste Oprean, Ed.D., and
Lorene Martin, assistant professor of nursing at Kent
State Salem.

Near the end of the 2013 fall semester, a group of nursing students, faculty and administrators from Kent State University at Salem traveled to Canada as part of a cultural exchange program and networking opportunity.

The eight-day trip was part of the curriculum for students in the transcultural nursing and healthcare class. It was organized by Mary Lou Ferranto, Ph.D., director of the Kent State Salem nursing program, and Lorene Martin, assistant professor of nursing for Kent State Salem.

The Kent State contingent was welcomed and hosted by Noor Din, founder and chief executive officer of Human Endeavor in Vaughan, Ontario. He and his staff developed a detailed and nonstop agenda that provided a diverse range of experiences for the students.

Students participating included Sabrina Christofaris, Kerry Crum, Tiffany Faltinoski, Alisha Fata, Brittany Gisler, Alexandria Knight, Haeli Todd and Kayla Stoots.

Before the students could even unpack and settle into their hotel rooms, they found themselves at Human Endeavor headquarters raking leaves, trimming shrubbery, cleaning out flower beds, digging, turning dirt and preparing a community garden for winter.

From that point on, the students and instructors never seemed to stop moving. They attended an Indian dance program, visited a Hindu temple and toured the Ahmadiyya Muslim Mosque where they later participated in a round-table program during a community dinner.

Students also worked at an adult day program for seniors with Alzheimer’s, dementia and stroke conditions; spent two days with nursing students and faculty at York University; attended a Healthy Communities conference in downtown Toronto; and met with staff from the Yellow Brick House, a women’s shelter near Toronto.

The trip to Canada took place just weeks before the Affordable Care Act was set to be implemented in the United States; therefore, a meeting was arranged with the president and CEO of Mackenzie Health Hospital in Richmond Hill, Ontario. There, the nursing students received an overview of a publicly funded hospital system in a country already using a form of socialized healthcare.

They also met with the leader of the Punjabi Community Health Center, who explained details about culturally appropriate addiction, mental health and violence prevention programs for the Punjabi community in that area.

enter photo description
Nursing students from Kent State Salem help to lead a
yoga/exercise session for clients at the HOPE Adult Day
Program in Canada. The activities are planned to provide
mental, physical and social stimulation for seniors.

Putting their nursing skills to use, the students conducted blood pressure screenings and diabetic foot exams at a community center in Vaughan, and they gave oral presentations about foot care and nutrition. The audience members were mostly South Asian women, many of whom performed a traditional dance for the Kent State visitors.

Because Toronto is considered by many to be the most multiethnic city in the world, the students and staff were able to experience cultural diversity everywhere they went. People from every country in the world live in Toronto, and at least 200 languages are spoken there. Each year, almost half of all immigrants to Canada settle in the Greater Toronto Area.

“When most of us think of Canada, we don’t think of it as a country with such a wide range of cultures,” Ferranto says. “But, our students were immersed in cultural diversity every day, everywhere they went. I teach cultural humility to my students, and I hope that they understand that every culture is special and is to be respected.

“As we take care of our patients,” she adds, “I want these students to think about what our hosts have taught us, and just take that to the bedside and take it to the patient. They can each make a big difference in someone’s life.”

To enhance the cultural experience, Din included a walking tour of downtown Toronto and its mall, hot yoga, social events at the local community center and visits to a variety of ethnic eating establishments.

Din founded Human Endeavor in 2004 to improve the health and socioeconomic conditions of the community using nontraditional and innovative methods. Over the years, Human Endeavor has developed and expanded services to include health and wellness programs, social enterprising, a community transport system, a seniors’ well-being program, green energy and solar panel installations, gardening, environmental programs, training and research.

Human Endeavor is now widely recognized as an innovative leader of providing solutions to social challenges, and has received numerous provincial and national awards in Canada. Its HOPE Project (Healthy Outcomes of Preventive Engagements) received the 2010 Innovation Award from the Ontario Ministry of Health and Long-Term Care and the Ontario Hospital Association for its evidence-based practice through a program for more than 600 South Asian seniors.

For his work with Human Endeavor, Din received the 2012 3M Health Leadership Award, which honors leaders who have a significant impact on the health of their community in Canada. He also was named the City of Vaughan’s Civic Hero in 2007.

Assistant Dean Celeste Oprean, Ed.D., and Tsung-Hui Tu, Ph.D., associate professor of early childhood technology, also were part of the Kent State group. They met with early childhood education representatives from York University, Seneca College and Child Venture Day Care.

The plans for the trip to Canada began shortly after Ferranto and Martin met Din at a conference more than a year ago. Since then, a solid working relationship was built, and they are planning to partner on future projects in Canada, as well as in the Salem area.

To see some of what the students and staff experienced, go to or visit the Kent State Columbiana County Facebook page. To learn more about Human Endeavor, visit