The St. David’s School of Nursing has participated in its 5th year as a study abroad program to Managua, Nicaragua. The trips are approximately 12-14 days in duration and occur during the students’ final semester. Students participate in approximately 45 hours of clinical community health nursing in a variety of settings including remote health care clinic management ) which includes patient care and education), rural hospital surgical and obstetrical observation, health clinic in a rural nursing home, and participation in community service activities at a local orphanage. These experiences allow students to practice assessment skills, nursing diagnosis, and participate in patient education. The majority of patients are Spanish speaking only, which allows the students the opportunity to learn or enhance their Spanish speaking skills. Students participate in numerous cultural experiences including religious practices, preparation of local food, fiestas, and folk dancing classes and demonstrations. City tours, hiking a volcano, and lake boat rides are also part of the experience. Students and faculty are housed in a hotel in the heart of Managua. All in country transportation is provided by private coach. Students receive 45 hours credit towards their 90 required hours for NURS 4280.