Effectiveness of Student Cultural Diversity Learning to Provide Transcultural Nursing Care

1
Effectiveness of Student Cultural Diversity
Learning to Provide Transcultural Nursing Care

• Pamela Friesen, PhD, RN and Bernita Missal, PhD,
  RN

2
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.

3
Minnesota
4
Land of 10,000 Lakes
5
Bethel University

• Private University
• Enrollment 6,000

6
Nursing Department

• Graduate
• Pre-licensure
• Degree Completion RN to BSN

7
Cultural Diversity in Health Care

• Required Course
• Purpose
• Changing World
• Course Components

8
Learning Opportunities

• Local and international settings
• Cultural assessment with ethnically diverse
  patients
• Application to practice

9
Stages of Student Experience

• Preparation
• Cultural experiences
• Processing
• Evaluation

10
International Learning

• Senior nursing students
• 3-4 week
• duration
• Travel international
• Faculty members

11
United Arab Emirates
Uganda
E
12
Local Learning
13
Preparation

• Lecture/discussion
• Theoretical Framework
• Leiningers Theory of Culture Care Diversity and
  Universality
• Purnells Model for Cultural Competence

14
Preparation (Continued)

• Readings
• Case
• studies
• Personal Cultural Heritage

15
Experiential Preparation
16
Cultural Experiences

• Ethnic speakers
• Interviews
• Cultural Interactions

17
Ethnic speakers
18
Interviews with Cultural Guide
19
Cultural Interactions
20
(No Transcript)
21

22
(No Transcript)
23
Hospitality
24
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

25
Processing the Learning

• Individual processing
• Guided Journaling
• Reflective Learning

26
Group ProcessingMeeting together to share
experiences/ thoughts
27
Role of Faculty Member Mentor

• Multifaceted role
• Preparing for experience
• Maximizing cultural experiences
• Cultural safety
• Debriefing
• Past experiences and characteristics

28
(No Transcript)
29
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

30
Evaluation

• Qualitative Research
• Sample 30 students in Cultural Diversity in
  Health Care course
• Immediately following the course and at 4 months
• Content analysis
• Themes

31
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.

32
Cultural Sensitivity

• I have become much more aware of the
• different belief systems of various cultures. I
• have alot more patienceHearing about the
• Native American culture in class helped me
• understand when we had a young boy in for
• surgery. He had several friends come ask
• what room he was in. It took several attempts to
• have them understand that he hadnt even come
• back yet. The way Dr. Souchay explained the
• time concept made more sense to me then.

33
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.

34
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.

35
Relationship Building

• I tell them I interviewed my cultural
• guide and that she is from Nigeria. Then I
• ask my African coworkers where they are
• from. It has been an amazing experience for
• me! 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 through
• entirely different eyes. I appreciate their hard
  
• work and acknowledge they are valuable
• team-members.

36
Summary

• Addressing needs of the changing world in the
  21st century
• Contribution to nursing education
• Contribution to nursing practice
• Contribution to nursing research

37
Contact Information

• http//cas.bethel.edu/dept/nursing/