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Dear Reader,

In 1998, I was part of a team of nursing educators asked to travel to Kenya for two weeks to provide continuing education programs for missionary nurses. Most of these nurses were American or Canadian, and many had worked in Africa for years.

The missionary nurses were amazing and inspirational. During our time together, I learned about the problems they encountered in their practices, as well as the less-than-ideal circumstances in which they often found themselves. I witnessed firsthand the grateful responses of the local people to their tireless work and loving care as they did whatever they could to manage the challenging situations, cultural differences and pervasive health problems.

Out of the Shadows grew from stories shared by the nurses, as well as my observations of the country and the people. Several of the characters are based on people I met while there. For example, the leader and unofficial head of the group of nurses was a longtime missionary from Alabama; she became the inspiration for “Mama Joe.” The Merdians—the Bible translators who play a significant role in the book—were based on a family who lived and worked in Kenya for more than twenty years. I hope I did them justice, as they deserve respect and admiration.

Enjoy the book!

Melanie Mitchell