Education Commons^™

Promoting Cultural Humility As A Core Value Into Healthcare Professional Practice: Focusing On The Journey And Not The Destination, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

There is an increase in diversity in our nation, and as such, health care professionals need to have the tools to maximize patient outcomes, considering the breadth of these needs. It is important to improve effectiveness, as health care providers, by increasing cultural awareness and knowledge of cultural humility. The three factors that guide cultural humility include lifelong commitment to self-evaluation, fixing power imbalances, and developing partnerships with people and groups who advocate for others. These aspects may enhance future health care providers’ ability to minimize health care disparities and optimize health care for all patients. In addition, discussions related …

Queering Healthcare Equity: Exploring How Two Community Health Centers That Specialize In Lgbtq Healthcare Frame Cultural Competence, Tommy Royston

Dissertations

Despite increased advocacy and funding, significant inequities in healthcare access, quality of care, and health outcomes have continued to persist for lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) communities. Intersecting marginalized identities such as race, gender, and disability compound health inequities faced by LGBTQ folx. These inequities are not random; rather, they result from deeply embedded homophobia, transphobia, ableism, and racism that pervade the U.S. healthcare system. An exploratory comparative case study was completed using qualitative data collection methods (i.e., key informant interviews, focus groups, and document analysis) to investigate how two California-based Federally Qualified Health Centers (FQHCs) that specialize in …

Simulated Patient Case Development For Cultural Competency Training Of Genetic Counseling Students, Makenzie Woltz

Human Genetics Theses

One of the Accreditation Council for Genetic Counseling (ACGC) practice-based

competencies for genetic counselors is “Apply genetic counseling skills in a culturally

responsive and respectful manner to all clients.” Yet, the extent and approach in which cultural competency training is incorporated into genetic counseling training programs varies greatly. Simulated patients have been increasingly used in genetic counseling training to help students practice foundational skills in a low stakes environment. The goal of this project is to develop a clinical case for simulation that can be used as an intervention for cultural competency training of genetic counseling students. Christensen’s workbook and …

Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Lack of sexual orientation and gender identity (SOGI) cultural competence in healthcare providers contributes to poor health outcomes in individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+). However, SOGI is often overlooked in healthcare education. Existing research shows educational programs in the nursing, medical, and pharmacy professions are incorporating cultural competence training into the curricula. Few studies have explored how SOGI cultural competence is incorporated into occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) curricula. Clear guidelines for training on SOGI cultural competence are lacking in these professions. It is …

Addressing Culturally Congruent Care Amongst African Americans In Skilled Nursing Facility: A Systematic Review, Adekemi T. Adedipe

DNP Qualifying Manuscripts

Introduction: Healthcare disparities and mistrust of the healthcare system discourage African Americans from seeking mental health services. Healthcare providers face challenges delivering culturally appropriate care. Examining current cultural practices can inform the education needed for healthcare providers to understand cultural care and awareness. This review aimed to identify evidence available to understand the impact of a cultural training on healthcare providers in skilled nursing facilities.

Methods: APA PsycINFO, CINAHL, and PubMed, were searched for English-language studies published between January 2016 and January 2022. Healthcare cultural competency training

in any aspect of cultural care was considered. Outcomes of interest included changes …

Lower The Risk For Medical Emergencies, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

Clinicians focus on health and safety for our patients. The editorial highlights the importance of cultural competence in dentistry to mitigate the risk of medical emergencies. Reflecting on a recent CE program, Dr. Smiley underscores the need for proactive emergency preparedness, emphasizing detailed protocols and hands-on training. The article advocates for thorough patient screening, incorporating three questions presented by Dr. Mitchel Gardiner in an article in this month’s issue, addressing patient-specific health considerations and consulting with healthcare providers. The editorial concludes by stressing the significance of risk reduction through comprehensive assessments, team training, and preparedness.

Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox

Walden Dissertations and Doctoral Studies

The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …

Impact Of Pro Bono Clinic On Attitudes, Beliefs, And Confidence Towards Cultural Competence In First-Year Doctoral Physical Therapy Students, Scarlett Morris, Ruiping Xia, Troy Klaassen, Trey Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural competence is an essential skill for healthcare providers in our increasingly ethnically diversified society. There is an unmet need for educating future culturally competent physical therapists. The purpose of this study was to investigate the impact of pro bono clinic on cultural competence in first-year doctoral physical therapy students. Method: Forty-two participants completed a survey before and after attending three individual sessions of mentored pro bono clinical experiences during their first semester. The survey assessed participants’ attitudes and beliefs (Part I), and self-perceived level of confidence (Part II) towards cultural competence. Wilcoxon signed-rank tests were performed. Results: The …

A Student Physical Therapist’S Perspective On Her Efficacy Providing Culturally Competent Care: A Reflective Case Study, Anna S. Kelly, Deborah M. Wendland

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural differences and personal biases can affect the way a clinician provides care and the way in which patients receive it. The Commission on Accreditation in Physical Therapy Education (CAPTE) designates cultural competence as one of the professional practice expectations for physical therapy students, although no standardized blueprint exists for Doctor of Physical Therapy (DPT) programs. This case report will illustrate how reflection can be used to facilitate a student’s growth into becoming more prepared to practice in a culturally aware and effective way. In addition, this report seeks to provide a student’s perspective on her efficacy providing culturally …

The Impact Of A Cultural Competence Assessment Tool On Teaching Strategies In The Dnp Curriculum At Southern Illinois University Of Edwardsville, Katarina Dobrosavljevic

Doctor of Nursing Practice Projects

Providing culturally competent and culturally congruent care to patients leads to better outcomes and reduction of poor outcomes due to health disparities. Providing care that is not culturally congruent can contribute to communication barriers, resulting in deficient diagnostic testing, miscommunication about etiologies, treatment plans that are not individualized, and discounting of patient's ideas. Individuals from diverse cultures face health disparities which contribute to inadequate care and poor outcomes. The purpose of this project was to survey former graduates of the Southern Illinois University of Edwardsville (SIUE) family nurse practitioner (FNP) program to assess their level of cultural competence and areas …

Student Evaluation Of Cultural Competence Instruction In Dietetics Education, Monica L. Strahley

Doctor of Education (Ed.D)

The purpose for this study was to examine the perceptions of students' preparation and development of cultural competence during university coursework in the field of dietetics. A secondary aim of the study was to examine if cultural competency training is provided in the university curriculum for prospective nutrition professionals in their role as interdisciplinary team members/leaders. There was a paucity of literature directed at the importance of university curricular providing cultural competency training for students in preparation for their role as the nutrition expert on multidisciplinary teams. The quantitative study was a non-experimental survey method. The study’s participant sample was …

Faculty Perceptions And Teaching Practices For Transformative Change: Culturally Responsive Teaching In Pharmacy Education, Nicole Rockich Winston

Theses, Dissertations and Capstones

Cultural diversity training in pharmacy education has evolved from standalone lectures to longitudinal courses, service-learning initiatives, rotation experiences, and global health opportunities. This mixed methods study explored the perceptions, attitudes, and pedagogies of pharmacy educators who have incorporated culture diversity into their classrooms and clinic sites. First, 91 online surveys incorporating items from the Teaching Multicultural Attitudes Survey and the Multicultural Competency Teaching Scale were distributed to a random sample of pharmacy faculty who interface with cultural diversity. In total, 36 completed surveys were analyzed using descriptive statistics, Pearson correlations, and stepwise linear regressions. Following the survey, seven pharmacy faculty …

Teaching About Cultural Competence And Health Disparities In An Online Graduate Public Health Course, Anuli Njoku, Drph, Mph, Uchenna Baker, Phd, Med

Journal of Health Disparities Research and Practice

The growing diversity in U.S. society encourages the need for culturally competent healthcare professionals to provide optimal services to a diverse population. This increasing diversity also brings greater awareness to health disparities among distinct subgroups of the U.S. population. Addressing health disparities in the USA will require a multidimensional approach from various sectors, including the field of education. Developing health disparities curricula can help cultivate conscious future health practitioners. Faculty development programs can be integral in equipping faculty to develop curricula on and teach students about health disparities. With a growth in online learning and in the number of adult …

Assessing The Long-Term Effects Of A Cultural Immersion Experience On Nursing Practice, Karen H. De La Cruz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Cultural immersion has been identified as a preferred method of teaching cultural competence in undergraduate nursing education. Multiple qualitative and quantitative studies have shown that baccalaureate nursing students enjoy international learning experiences and, based on self-efficacy evaluations, feel they have increased cultural competency following immersion experiences. However, there is little evidence to indicate concepts learned during undergraduate cultural competency course work is retained or integrated into nursing practice after leaving the milieu of academia.

To inform future cultural competency educational efforts, I conducted a qualitative phenomenological study to provide a baseline of evidence regarding the impact of a cultural immersion …

How Professional Physical Therapist Education Programs Develop Cultural Competence Within Their Students: An Exploratory Concurrent Mixed Methods Study, Dustin E. Domingo

Dissertations

Purpose: The purpose of this exploratory concurrent mixed methods study was to describe experiences that shape the factors of cultural intelligence (CQ) as perceived by students of professional physical therapist education programs. In addition, it was the purpose of this study to determine whether any particular factor of cultural intelligence influenced one’s overall cultural competence according to the cultural competence continuum by Cross et al. (1989).

Methodology: Students in a professional physical therapist education program completed a questionnaire, which included Likert scale questions, open ended questions, and a 37-item self-assessment based on the expanded cultural intelligence scale by Van Dyne …

Using A Model To Design Activity-Based Educational Experiences To Improve Cultural Competency Among Graduate Students, Yeon Bai, Kathleen D. Bauer

Department of Nutrition and Food Studies Scholarship and Creative Works

To improve the cultural competency of 34 students participating in graduate nutrition counseling classes, the Campinha-Bacote Model of Cultural Competence in the Delivery of Health Care Services was used to design, implement, and evaluate counseling classes. Each assignment and activity addressed one or more of the five constructs of the model, i.e., knowledge, skill, desire, encounters, and awareness. A repeated measure ANOVA evaluated pre- and post-test cultural competence scores (Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals). The overall cultural competence score significantly improved (p < 0.001) from “culturally aware” (68.7 at pre-test) to “culturally competent” (78.7 at post-test). Students significantly improved (p < 0.001) in four constructs of the model including awareness, knowledge, skill, and encounter. Factor analysis indicated that course activities accounted for 83.2% and course assignments accounted for 74.6% of the total variance of cultural competence. An activity-based counseling course encouraging self-evaluation and reflection and addressing Model constructs significantly improved the cultural competence of students. As class activities and assignments aligned well with the Campinha-Bacote Model constructs, the findings of this study can help guide health educators to design effective cultural competence training and education programs.

Developing The Capacity Of Culturally Competent Leaders To Redress Inequitable Outcomes: Increasing Opportunities For Historically Marginalized Students, Sheri Williams

Administrative Issues Journal

Objective: This study investigated the practices and impact of interdisciplinary faculty at a flagship university in the American Southwest who were engaged in the process of redesigning curriculum in order to center candidates on what they need to know and do as culturally competent school leaders.

Method: Participants were 31 interdisciplinary faculty involved in preparing candidates for leadership in early childhood and elementary and secondary education, in diverse contexts including high need and Native American-serving schools. The qualitative study utilized document analysis of faculty’s multi-year work in developing the capacity of candidates to increase opportunities for historically marginalized students. An …

An Online Training To Prepare Occupational Therapy Students To Work With Clients With Limited English Proficiency And Interpreters, Elizabeth A. Harrison, Mansha Mirza

Journal of Occupational Therapy Education

Effective communication between occupational therapists (OTs) and their clients is key to quality, client-centered services. Most OTs can expect to work with clients with Limited English Proficiency (LEP). Language barriers may negatively impact client safety and client satisfaction. Working with language interpreters is a key means for OTs to best serve clients with LEP; however, few OT curricula provide adequate training in working with interpreters. This paper presents a new, innovative online training for preparing OT students to work with clients with LEP and interpreters. The brief online training used informational slides, video role plays and written case studies to …

A Study Of Cultural Competence And Implicit Bias Amongst Healthcare Students, Jerry Strklja, Natalia Dembowska, Zoya Vinokur, Elaine Leinung

Publications and Research

Cultural competence is defined as the ability of providers and organizations to effectively deliver equitable and unbiased health care that meet the social, cultural, and linguistic needs of a culturally diverse patient body. By 2050, minority populations will increase to 48 percent of the U.S. population and Hispanics will represent 24.4 percent of the total population (U.S. Census, 2010). This demographic shift brings challenges and opportunities to universities and organizations alike to create policies and curriculums that foster quality health care amongst students, while also contributing to the eradication of implicit biases that may unwittingly perpetuate healthcare disparities amongst racial …

Improving Lgbt Cultural Competence In Senior Nursing Students, Hallie Orgel

Evidence-Based Practice Project Reports

LGBT (lesbian, gay, bisexual, transgender) health care is considered a national priority by The Institute of Medicine (IOM, 2011) and HealthyPeople 2020 (2013). The shortage of LGBT culturally competent health care providers is a top contributor to the oppression and discrimination affecting LGBT health (2013). The purpose of the evidence-based practice (EBP) project was to improve the cultural competence of nursing students by improving their knowledge, attitudes, and skills in working with the LBGT population. A multi-method intervention was provided to seniors in a baccalaureate program. The project took place at a private Midwestern university and utilized a pretest/post-test design. …

Exploring The Impact Of Service Learning In Haiti On The Cultural Competence Of Otd Students, Nathan Short, Heather Y.Z. St. Peters

Journal of Occupational Therapy Education

As society trends towards increased cultural diversity, the need for cultural competence in the field of occupational therapy (OT) becomes more acute. Immersion in another culture within the curriculum offers the student an opportunity to put their knowledge into practice and recognize the need to competently interact with members of another culture. This study explored the impact of a service learning trip to Haiti, providing seating and mobility services, on all four factors of cultural intelligence (CQ; i.e., metacognitive CQ, cognitive CQ, motivational CQ, behavioral CQ) for occupational therapy doctoral (OTD) students. Using the cultural intelligence scale (CQS), a one-group …

An Examination Of Cultural Competence Training In Us Medical Education Guided By The Tool For Assessing Cultural Competence Training, Valarie Blue Bird Jernigan

Journal of Health Disparities Research and Practice

In the United States, medical students must demonstrate a standard level of “cultural competence,” upon graduation. Cultural competence is most often defined as a set of congruent behaviors, attitudes, and policies that come together in systems, organizations, and among professionals to enable effective work in cross-cultural situations. The Association of American Medical Colleges developed the Tool for Assessing Cultural Competence Training (TACCT) to assist schools in developing and evaluating cultural competence curricula to meet these requirements. This review uses the TACCT as a guideline to describe and assess pedagogical approaches to cultural competence training in US medical education and identify …

Reducing Health Disparities Through The 2015 Mcat: A Bold Goal Requiring On-Going Assessment, Aliya G. Feroe, Stephen F. Loebs

Journal of Health Disparities Research and Practice

There is broad consensus that reduction in health care disparities is an important and multi-faceted challenge. One possible approach, among many others, starts with the attraction of women and men to the field of medicine who have a broad based education and who can demonstrate cultural understanding and sensitivity. In this context, the Medical College Admissions Test (MCAT) has been revised, effective in 2015, to include many additional questions concerning the psychological, social, and behavioral sciences. There are important assumptions fueling the revised Medical College Admissions Test (MCAT) and these will need to be tested. These assumptions range from influencing …

Self-Efficacy, Cultural Competence, And Perception Of Learning Environment In Traditional And Interprofessional Education Physical Therapy Curricula, Laura Smith

Walden Dissertations and Doctoral Studies

Interprofessional education (IPE), a concept that brings students from different health care professions together in the learning process, has been adopted by some physical therapy (PT) schools as an alternative to traditional PT-only curricula. Both approaches have the goal of improving patient outcomes for an increasingly diverse population. There was a void in the research comparing IPE and traditional curricula in PT education. Grounded in the theoretical frameworks of adult and social learning theory, the purpose of this study was to examine differences in students' self-efficacy, cultural competence, and perceptions of the learning environment based on curricular type and prior …

Disability Cultural Competence In The Medical Profession, Mary Crossley

Articles

People with disabilities make up 19% of the U.S. population, and many of them are heavier consumers of health care than people without disabilities. Yet relatively few physicians – the persons responsible for providing medical care to this significant fraction of the patient population – have disabilities themselves, and the percentage of medical students with disabilities is even smaller. This Essay highlights how the relative rareness of doctors with disabilities may contribute to a generally low level of understanding within the medical profession of the social context of disability and how non-medical factors affect the health of people with disabilities. …

Cultural Competence In The Baccalaureate Degree Nursing Curriculum, Angela Elizabeth Silvestri

UNLV Theses, Dissertations, Professional Papers, and Capstones

Health care providers are members of a helping profession and need to provide quality care to all members of society. As a result of current and projected demographic changes within the United States (U.S.), health care professionals are faced with the challenges of providing culturally competent care and fulfilling the role as the "helping profession." In the past 10 years, minority populations have increased in the U.S. For example, the African American population experienced an approximate 12.3% increase, and the Hispanic population increased by 43%. Just as it is necessary for health care professionals to respond to the increase in …

A Comparative Analysis Of Cultural Competence In Beginning And Graduating Nursing Students, Deborah Davenport, Helen Reyes, Lance Hadley

Administrative Issues Journal

The ethnic proportions of the population in the United States are rapidly changing, with the nation’s minority population at approximately 101 million. This is also true for the West Texas region, where locally in a city with 183,000 residents, 43 different languages are spoken suggesting that cultural education needs to be included in nursing program curricula. Therefore, a study was conducted during a period of curriculum revision to determine if the current nursing curriculum at West Texas A&M University offers enough education and experience for graduating nurses to care for such a diverse population by comparing their perceptions of cultural …

Cultural Competence Of Rn To Bsn Students, Dierdre Michelle Riley

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this exploratory research study was to examine the cultural competence of registered nurses returning to school for an RN to BSN program in Nevada. Campinha-Bacote's model, The Process of Cultural Competence in the Delivery of Healthcare Services, was used as a theoretical framework for the study. A secondary analysis of data collected as part of a Health Resources and Services Administration (HRSA) Grant was completed. Fifty-three RN to BSN students voluntarily completed the Inventory for Assessing the Process of Cultural Competency Among Healthcare Professionals- Revised (IAPCC-R) electronically in the learning management system of the first nursing course …

Cultural Competence And Curricula In Physical Therapist Professional Education, Beth Ernst Jamali

Theses and Dissertations in Urban Services - Urban Education

The purpose of this research was to examine the methods and degree to which content related to cultural competence is incorporated into current entry-level physical therapist education. Face-to-face interviews were performed with 10 program directors from various physical therapist education programs across the country to obtain in-depth information regarding cultural competence in the physical therapy curricula. A questionnaire was sent to all of the 193 accredited physical therapist education programs in the United States as a second means to collect information regarding the methods and extent to which cultural competence is included in the physical therapy curricula. Data were collected …