Abstract
This article describes arguments for the development of a model for exchange of experiences among nurses, nurse managers, and nurse educators from two countries based on theories of reflection and practice and Freire's theory of dialogical action and its characteristics. The collaboration focused on exchange of experiences within nursing practice, leadership and management, and nursing education. The model consists of several activities: careful selection of participants in the exchange program; participants' observations and studies of caring in nursing practice in the other culture; keeping a diary about one's own reflections, thoughts, and questions; and participation in reflective dialogue and meetings with colleagues. The model included selection and implementation of a subject and written assignments for planned change in nursing practice within participants' own clinical nursing setting. After an implementation period of 6 months to 1 year, the outcome of the implemented change was reported in seminars and workshops.