Location
Virtual Conference
Start Date
24-6-2022 11:00 AM
End Date
24-6-2022 12:10 PM
Keywords:
texas; diversity
Description
Background: Cultural competence is central to the development of healthy nurse-patient relationships. Considered an essential standard of professional practice for nursing and multiple disciplines world-wide, the use interdisciplinary materials from anthropology, philosophy and theology broaden the lens through which students can critically think about human diversity. The online course in Cultural Diversity was revised to enhance the cultural competence of nurses enrolled in an RN-BSN program of study. Drawing on global research conducted by cultural anthropologists provides students with a global look at key cultural concepts through which national cultures may be better understood. Video interviews with nursing theorist and cultural anthropologist, Madeline Leininger allow for exploration of key cultural concepts. Reading Henri Nouwen’s Life of the Beloved prompts reflection on one's own belovedness as a human being and that of others differing from themselves. Selected readings from Miroslav Volf (Yale's Center for Culture and Theology) allow for exploration of the impact of cross-cultural systems of values and beliefs and the concept of reconciliation through collective forgiveness. Reflections on the seminal work of these interdisciplinary scholars formulate the basis of course content intended to enhance student cultural competence.
Purpose: The purpose of this study is to report the changes in cultural competency scores in nurses enrolled in a course in Cultural Diversity during a one-year period from 2020 - 2021.
Methods: A quantitative, pre/post-test design was used. De-identified individually submitted scores from (n =33) RN-BSN students completing the Cultural Competency self-assessment section of the Maternal Child Health Self-Assessment (MCH) at baseline and end of course were entered into SPSS version 27. A paired t-test was used to analyze the difference in mean scores between time 1 and time 2 (8 weeks).
Results: Statistically significant, positive changes in mean scores between time 1 and 2 were supported in all eight culturally competence areas: 1) awareness of one's own conscious and unconscious biases and assumptions (t(31) = -4.06, p < .005), d=.87); 2) literacy and linguistic competency (t(32)= -6.12, p < .005), d= .79; 3) how ability, age, class, race, sex, gender identify, and sexual orientation impact heath (t(32) = -3.34, p < .002), d=.83; 4) how social and cultural disparities may influence access (t(32) = -3.68, p < .001), d=.75; 5) impact on cultural competence to health care access (t(32) = -2.88, p < .007), d=.90; 6) conduct personal and/or organizational self-assessments regarding cultural competence (t(32) = -5.01, p < .005), d=.97; 7) increased ability to assess, without making assumptions based on sensitivity to and respect for diverse backgrounds t(32) = -4.42, p < .005), d=.94; and 8) ability to incorporate and appreciate differences and awareness of the potential for implicit bias t(32) = -5.88, p < .005), d=.85.
Conclusions: Findings suggest statistically improved cultural competence scores from baseline to course end with medium-large effect size. Nursing professional skilled in cultural competence are positioned to better influence health beliefs and behaviors in our communities and society.
Implications for Practice: The use of an interdisciplinary curriculum may help to broaden the lens through which nurses can increase their cultural competence.
Recommended Citation
Long, JoAnn, "Podium Presentation: Broadening the Lens: How Using a Multidisciplinary Approach to Increase Cultural Competency in Nurses" (2022). 2022 Providence Nurse Research Conference. 18.
https://digitalcommons.providence.org/prov_rn_conf_22/2022/day1/18
Podium Presentation: Broadening the Lens: How Using a Multidisciplinary Approach to Increase Cultural Competency in Nurses
Virtual Conference
Background: Cultural competence is central to the development of healthy nurse-patient relationships. Considered an essential standard of professional practice for nursing and multiple disciplines world-wide, the use interdisciplinary materials from anthropology, philosophy and theology broaden the lens through which students can critically think about human diversity. The online course in Cultural Diversity was revised to enhance the cultural competence of nurses enrolled in an RN-BSN program of study. Drawing on global research conducted by cultural anthropologists provides students with a global look at key cultural concepts through which national cultures may be better understood. Video interviews with nursing theorist and cultural anthropologist, Madeline Leininger allow for exploration of key cultural concepts. Reading Henri Nouwen’s Life of the Beloved prompts reflection on one's own belovedness as a human being and that of others differing from themselves. Selected readings from Miroslav Volf (Yale's Center for Culture and Theology) allow for exploration of the impact of cross-cultural systems of values and beliefs and the concept of reconciliation through collective forgiveness. Reflections on the seminal work of these interdisciplinary scholars formulate the basis of course content intended to enhance student cultural competence.
Purpose: The purpose of this study is to report the changes in cultural competency scores in nurses enrolled in a course in Cultural Diversity during a one-year period from 2020 - 2021.
Methods: A quantitative, pre/post-test design was used. De-identified individually submitted scores from (n =33) RN-BSN students completing the Cultural Competency self-assessment section of the Maternal Child Health Self-Assessment (MCH) at baseline and end of course were entered into SPSS version 27. A paired t-test was used to analyze the difference in mean scores between time 1 and time 2 (8 weeks).
Results: Statistically significant, positive changes in mean scores between time 1 and 2 were supported in all eight culturally competence areas: 1) awareness of one's own conscious and unconscious biases and assumptions (t(31) = -4.06, p < .005), d=.87); 2) literacy and linguistic competency (t(32)= -6.12, p < .005), d= .79; 3) how ability, age, class, race, sex, gender identify, and sexual orientation impact heath (t(32) = -3.34, p < .002), d=.83; 4) how social and cultural disparities may influence access (t(32) = -3.68, p < .001), d=.75; 5) impact on cultural competence to health care access (t(32) = -2.88, p < .007), d=.90; 6) conduct personal and/or organizational self-assessments regarding cultural competence (t(32) = -5.01, p < .005), d=.97; 7) increased ability to assess, without making assumptions based on sensitivity to and respect for diverse backgrounds t(32) = -4.42, p < .005), d=.94; and 8) ability to incorporate and appreciate differences and awareness of the potential for implicit bias t(32) = -5.88, p < .005), d=.85.
Conclusions: Findings suggest statistically improved cultural competence scores from baseline to course end with medium-large effect size. Nursing professional skilled in cultural competence are positioned to better influence health beliefs and behaviors in our communities and society.
Implications for Practice: The use of an interdisciplinary curriculum may help to broaden the lens through which nurses can increase their cultural competence.
Comments
References:
Eunhyung. Cho. (2021). How cultural competency of community health care providers reflects multicultural education: A case study on nursing majors. Medico-Legal Update, 21(2), 511-517. https://doi.org/10.37506/mlu.v21i2.2732
Hofstede, G., Hofstede, G. J., & Minkov, M. (2010). Cultures and organizations software of the mind: Intercultural cooperation and its importance for survival. McGraw Hill: New York.
Leininger, M. M. & McFarland, M. R. (2005). Culture care diversity and universality: A worldwide nursing theory, (2nd ed.). Jones & Bartlett; New York.
Maternal Child Leadership Competencies Version 4.0 (#7 Cultural Competency). Health Resources & Services Administration, https://mchb.hrsa.gov/training /leadership-00.asp. Retrieve 3.10.22.
Nouwen, H. J. M. (2000). Life of the Beloved: Spiritual living in a secular world. Crossroads: New York.
Volf, M. (2005). Free of charge: Giving and forgiving in a culture stripped of grace. Zondervan: Grand Rapids, MI.