ERIC Number: ED640636
Record Type: Non-Journal
Publication Date: 2023
Pages: 141
Abstractor: As Provided
ISBN: 979-8-3811-5327-9
ISSN: N/A
EISSN: N/A
Establishing an Evidenced-Based Cultural Competency Program
Marissa Marti-Smith
ProQuest LLC, D.N.P. Dissertation, Saint Francis Medical Center College of Nursing
The United States continues to grow in both population and diversity. The trigger for this project was the dramatic increase in patient diversity in Texas and the lack of adequate cultural competency training for providers at a Texas oncology clinic network. Clinicians must increase their self-awareness and knowledge to provide culturally competent care. The literature review found multiple educational modalities, across many health care disciplines, used by researchers to improve the cultural competency of health care providers. This project sought to improve satisfaction and adherence of patients over the age of 25 diagnosed with cancer by increasing provider cultural sensitivity and self-awareness of bias within 3 months of cultural competency training. The project sample was 14 advanced practice providers, 10 APRNs and 4 PAs. The educational plan for this project included an evidence-based course and a follow-up focus group to reinforce learning. Quantitative data were analyzed using the Cultural Competence Assessment tool to compare participants' anonymous pre- and post-education with the Wilcoxon signed-rank test. The data indicated that cultural awareness and sensitivity increased following training, with median scores increasing from 6.09 to 6.55, p = 0.03. The data do not suggest that cultural competence and behavior changed after training, as median scores went from 3.96 to 4.23 after training, p = 0.06. Overall, the focus group participants agreed about improving self-awareness, identifying biases, improving patient experience by asking more open-ended questions, and being vulnerable. The project implications include improvement in provider knowledge and increased self-awareness, which promote individualized, culturally sensitive care. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]
Descriptors: Cultural Awareness, Comparative Analysis, Diversity, Health Services, Health Personnel, Cancer, Clinical Diagnosis, Metacognition, Evidence Based Practice, Evaluation Methods, Nurses, Patients, Professional Development
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Texas
Grant or Contract Numbers: N/A