Background: An outcome of globalization and internationalization in higher education in the health professions has been increasing global health placements. There is, however, a lack of literature on debriefing and support following these placements. The authors undertook a participatory project to develop peer support and debriefing in a global health nursing elective, during which this gap in literature was addressed. Aims: The purpose of the project was to develop a peer support component of the course and revise the debriefing component based on results of a previous course evaluation. Methods: The methods were guided by a participatory approach involving course alumni and included a scoping review and focus groups. Results: The project resulted in development of: (1) a peer support statement and (2) a debriefing framework. Conclusions: Key lessons about the obligation of appropriate debriefing for students returning from global health placements include importance of affective learning, a pedagogy of discomfort, and global health ethics.