Undergraduate nursing students and cross-cultural care: A program evaluation

Flood, Jeanie L.; Commendador, Kathleen

doi:10.1016/j.nedt.2015.10.003

Cited by 15 publications

(16 citation statements)

References 13 publications

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“…However these differences may be associated with cross-cultural or cultural competency training. 25,26 Cultural competency is often promoted as an educational paradigm that may reduce racial and ethnic health disparities and improve patient outcomes. 27 Cultural competency education, as a component of core curriculums, is an expectation in nursing schools that offer bachelor's degrees (BSN).…”

Section: Discussionmentioning

confidence: 99%

“…27 Cultural competency education, as a component of core curriculums, is an expectation in nursing schools that offer bachelor's degrees (BSN). 25 Thus, NPs receive this education early in their career training as health care providers, and they may continue to draw from it in their active 29 However, since there are no standard curricula, the degree to which residency programs are incorporating these mandates remains uncertain. 26,28,30 Furthermore, results are consistent with those of prior studies that found physicians to be generally wary of using race in clinical decision-making.…”

Section: Discussionmentioning

confidence: 99%

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A Comparison of Physicians' and Nurse Practitioners' Use of Race in Clinical Decision-Making

et al. 2019

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Objective: The debate over use of race as a proxy for genetic risk of disease continues, but little is known about how primary care providers (nurse practitioners and general internal medicine physicians) currently use race in their clinical practice. Our study investigates primary care providers’ use of race in clinical practice.Methods: Survey data from three cross-sectional parent studies were used. A total of 178 nurse practitioners (NPs) and 759 general internal medicine physicians were included. The outcome of interest was the Racial Attributes in Clinical Evaluation (RACE) scale, which measures explicit use of race in clinical decision-making. Predictor variables included the Genetic Variation Knowledge Assessment Index (GKAI), which measures the providers’ knowledge of human genetic variation.Results: In the final multivariable model, NPs had an average RACE score that was 1.60 points higher than the physicians’ score (P=.03). The GKAI score was not significantly associated with the RACE outcome in the final model (P=.67).Conclusions: Physicians had more knowledge of genetic variation and used patients’ race less in the clinical decision-making process than NPs. We speculate that these differences may be related to differences in discipline-specific clinical training and approaches to clinical care. Further exploration of these differences is needed, including examination of physicians’ and NPs’ beliefs about race, how they use race in disease screening and treatment, and if the use of race is contributing to health care disparities.Ethn Dis.2019;29(1):1-8; doi:10.18865/ ed.29.1.1.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Comparison of Physicians' and Nurse Practitioners' Use of Race in Clinical Decision-Making

et al. 2019

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“…These results dovetail with prior studies reporting that students and recent graduates of nursing programs feel ill prepared to provide religious and spiritual care to their patients and that nursing faculty members also feel insufficiently expert or inadequately trained to teach religious and spiritual content in the clinical and classroom settings. [19][20][21][22][23][24][25][26] Our findings here provide insight as to why nursing students and faculty may not feel well-prepared: namely, they do not have sufficient knowledge about the different religious practices in which their patients may follow. Indeed, the literature identifies lack of knowledge as one of the major barriers to religious and spiritual care.…”

Section: Discussionmentioning

confidence: 99%

“…[23] It is certainly laudable that nurses feel confident about cultural awareness and that they are eager to provide culturally competent care. [21,23] Nonetheless, a good attitude, while cer-tainly necessary, is not sufficient. Factual mastery is needed as well.…”

Section: Conclusion/future Researchmentioning

confidence: 99%

Measurement of cultural competency: A pilot study of nurses' knowledge of religious practices

Hickerson

Fried

Levy

et al. 2019

JNEP

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Background: Most studies assessing cultural competence inquire about attitudes and beliefs and do not measure mastery of information. In this study, we investigate how much nurses know about various religious practices they might encounter.Methods: An open response examination with 90 questions regarding Judaism, Islam, Hinduism, Mormonism, Seventh Day Adventist and Evangelical Christianity was administered to 24 faculty members and 60 students.Results: The mean score on the exam was 22.8 out of 100 (students 23.3%; faculty 21.6%). The sub-scores were highest for questions about Judaism (mean 36.3%) and lowest for questions about Hinduism (12.7%). The answer “I don’t know” was offered in response to 67.3% of all questions.Discussion: Factual mastery by nurses regarding religious practices was seen to be low. Because providing culturally competent care demands nurses to be both willing and able, this preliminary finding suggests that delivering culturally competent care requires not only awareness and readiness but a better factual knowledge base.

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“…1 Some approaches have sought to use clinical outcomes as a direct measure of training effectiveness. 2,3 Others have sought to distinguish between perceptions, attitudes and practices among health service staff as indirect measures of training effectiveness. [2][3][4] Yet others have explored 'hospital culture,' using a continuous quality improvement framework to identify structural factors influencing training efficacy and patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Practitioner perceptions of the health of Australian First Nations' Peoples: Preliminary findings

Crouch

Chew²,

Freeman

2020

Australian J Rural Health

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Objective To probe health practitioner perceptions of Australian First Nations' Peoples' health and to compare these with reported burden of disease, social determinants and culturally safe health systems data. Design An online survey tool was used to collect self‐reported responses from health practitioners to answer literature‐derived questions regarding underlying issues in Australian First Nations' Peoples' health. Setting Responses to the survey were sought from rural and urban health service locations across all Australian states and territories. Participants Allied health, nursing, pharmacy, psychology, social work and related discipline students and practitioners currently working or studying in Australia. Main outcome measure(s) Degrees of correspondence between health discipline student and practitioner perceptions on ‘major health issues’ and ‘health systems issues’ and published population health and health systems data. Metrics for ‘connectedness to’ and ‘preparedness to engage with’ Australian First Nations' Peoples were also reported. Results Significant differences between practitioner perceptions of ‘major health issues’ and the disease burden/social determinants published evidence, and with the ‘culturally safe health systems’ published evidence, were noted. Positive impacts of social and professional relationships (connectedness) between practitioners and First Nations' Peoples were demonstrated. Conclusions The inclusion of basic population health and culturally safe health systems training in curricula for all genres of health practitioners appears to be indicated by these findings. Further, a meaningful role for the intentional nurture of social and professional relationships with Australian First Nations' Peoples across all health disciplines is suggested as part of efforts to address health systems and equity issues.

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Undergraduate nursing students and cross-cultural care: A program evaluation

Cited by 15 publications

References 13 publications

A Comparison of Physicians' and Nurse Practitioners' Use of Race in Clinical Decision-Making

A Comparison of Physicians' and Nurse Practitioners' Use of Race in Clinical Decision-Making

Measurement of cultural competency: A pilot study of nurses' knowledge of religious practices

Practitioner perceptions of the health of Australian First Nations' Peoples: Preliminary findings

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