Stephanie Gilbertson-White, PhD, RN Alexandra Bursic Paula Sherwood, PhD, RN, FAAN
Effectiveness of Student Cultural Diversity Learning to Provide Transcultural Nursing Care Pamela...
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Effectiveness of Student Cultural Diversity
Learning to Provide Transcultural Nursing
Care
Pamela Friesen, PhD, RN and Bernita Missal, PhD, RN
Learning Outcomes
Describe use of theoretical frameworks for nursing student cultural diversity learning during a national and international experience.
Discuss implications for effects of student cultural diversity learning on their personal and professional development.
Evaluate student development of cultural awareness following a cultural diversity course.
Learning Opportunities
Local and international settings
Cultural assessment with ethnically diverse patients
Application to practice
International Learning• Senior nursing
students
• 3-4 week
duration
• Travel international
• Faculty members
Preparation
Lecture/discussion
Theoretical Framework
• Leininger’s Theory of Culture Care Diversity and Universality
• Purnell’s Model for Cultural
Competence
Processing of Learning
Result or conclusion:
– Accepting or finding meaning
– Resolving explanation to the dilemma
– Partial conclusions
– Admitting not enough experience or knowledge so learning is complete
– Resisting explanation or conclusion
Role of Faculty Member Mentor
Multifaceted role
– Preparing for experience– Maximizing cultural experiences– Cultural safety – Debriefing
Past experiences and characteristics
Evaluation
Quantitative Research– Cross-Cultural Adaptability Inventory
(CCAI)• Emotional Resilience (ER)
• Flexibility/Openness (FO)
• Perceptual Acuity (PAC)
• Personal Autonomy (PA)
– Pre and post course experience– Findings
Evaluation
Qualitative Research– Sample 30 students in Cultural Diversity in
Health Care course– Immediately following the course and at 4
months– Content analysis– Themes
Self-Understanding
“This course provided me with a better
understanding for other cultures and
helped me to become more aware of my
own cultural bias. Even though I thought
I was culturally sensitive, I realized I was
ethnocentric.”
Cultural Sensitivity
“I have become much more aware of thedifferent belief systems of various cultures. Ihave alot more patience…Hearing about theNative American culture in class helped meunderstand when we had a young boy in for surgery. He had several friends come askwhat room he was in. It took several attempts to have them understand that he hadn’t even come back yet. The way Dr. Souchay explained thetime concept made more sense to me then.”
Shared commonalities
“I appreciate the commonalities and
celebrate the differences.”
“I was surprised at the similarities and
enlightened by the differences. I have
actually found [the similarities] to be
comforting. Different cultures often have
more in common than apart.”
Culture Care
“As nurses, we need to trust that the
client is the expert of their life, culture,
and experiences and if we respectfully ask
to learn from them, they will tell us how
to care for them.”
Relationship Building
“I tell them I interviewed [my culturalguide] and that she is from Nigeria. Then Iask [my African coworkers] where they are from. It has been an amazing experience forme! Previously my communication with them was limited. Since my interview, I have approached six people of different cultures in my unit. I now look at them throughentirely different eyes. I appreciate their hard work and acknowledge they are valuable team-members.”
Summary
Addressing needs of the changing world in the 21st century
Contribution to nursing education Contribution to nursing practiceContribution to nursing research