Educating nursing students for cultural competence in emergencies: a randomized controlled trial

Abstract

Background Racial and ethnic minorities suffer significantly more than others in the wake of disasters. Despite the growing recognition of the importance of culturally competent health services, systematic cultural competence training in the medical education system is still scarce, especially in the field of emergency. The current study aimed to examine the effectiveness of an online culturally informed intervention for increasing cultural competence in emergencies among nursing students. Methods A randomized controlled trial was used to test the intervention effectiveness in increasing nursing students’ cultural competence in four domains: attitudes, knowledge, skills, and encounters. The study included 72 undergraduate nursing students recruited from two academic institutes. Participants were randomized (1:1 ratio) to an intervention (n = 34) and control group (n = 38). The study adheres to the Consolidated Standards of Reporting Trials (CONSORT). Data analysis was based on multivariate analysis of variance with repeated measures, followed by post hoc analyses with Bonferroni correction for multiple comparisons. Results Results showed that the intervention was effective in increasing the participants’ culturally competent knowledge. The effect of the intervention on the skills domain approached significance. No group differences were identified in the attitudes and the encounters domains. Conclusions An online culturally informed intervention, incorporated in the curriculum, was effective in enhancing the cognitive aspect of cultural competence (especially at the basic knowledge and understanding levels), but not other domains. Our results encourage the development of future intervention programs that are based on a deep understanding of local values, needs, and preferences.

Innovative cultural care training: the impact of flipped classroom methods on critical cultural competencies in psychiatric nursing: a quasi-experimental study

“…Remarkably, no interventional studies have investigated the impact of educational approaches such as the flipped classroom in cultural care training on critical cultural competence in mental health care settings. Consequently, this study relied on descriptive studies investigating the level of critical cultural competencies [12,18] and interventional and systematic review studies investigating the effects of various training methods on cultural competencies in healthcare providers in various settings [2,17,[19][20][21][22][23][24][25].…”

“…Consequently, the online training did not instill enough confidence in participants to apply the acquired techniques in real emergency environments. The researchers recommended further studies in this field using different methods and encompassing culturally diverse contexts [ 25 ].…”

Designing, implementing, and evaluating a mobile app-based cultural care training program to improve the cultural capacity and humility of nursing students

“…In contrast to the present study, several studies have reported that cultural competence training programs did not yield a significant impact on overall cultural competence or specific areas such as participants' attitudes and skills. These findings highlight the importance of carefully planning and organizing cultural education programs with the aim of effectively enhancing the development of cultural competence [40][41][42]. Furthermore, Tosun et al ( 2021) conducted a systematic review study that revealed a limited number of studies investigating the effectiveness of transcultural nursing education provided to nursing students.…”

Factors Affecting Cultural Competence in a Sample of Nursing Students during the Prolonged COVID-19 Pandemic in Republic of Korea: A Cross-Sectional Study

“…As such, no noticeable difference was found in the results of this study compared to previous studies before COVID-19 outbreak. Cultural intelligence is a unique intelligence that helps us understand why some individuals are arguably more effective than others in an international environment [ 1 , 21 , 27 ]. Cultural education training online and offline programs can effectively increase the cultural competence of nursing students by increasing their cultural intelligence [ 22 ], help reduce the cultural difference between patients’ health and healthcare, and improve patient satisfaction and quality of health [ 30 ].…”

“…Recent reports of the COVID-19 outbreak showed that vulnerable population such as racial and ethnic minorities, including pregnant women, infants, and older adults, were at a higher risk of severe morbidity, complications, and death from the virus [ 1 ]. Globally, foreign citizens, particularly of Asian origin, have experienced discrimination and hostility related to the COVID-19 pandemic, and have received imbalanced medical services and insufficient economic resources [ 2 ].…”