229910 Caring for refugees: Measuring cultural competence in nursing students

Monday, November 8, 2010

Andrea Addington, RN, EdD , Nursing, Allen College, Iowa Health System, Waterloo, IA
Objective: The aims of this study were to evaluate the effect of working with refugee clients and incorporating content on cultural competence in a BSN Community Health Course on students self perceived cultural competence, and to enhance nursing faculty's knowledge of appropriate clinical sites for increasing cultural competency level in students. Background: A growing body of knowledge on health disparities reveals minority health care in the U.S. is influenced by health professional bias and inadequate preparation in cultural competency. Nurse educators are in a key position to not only teach students about cultural competency, but to facilitate their learning through different strategies in the clinical setting. Methods: This study was a two group pretest posttest quasi-experimental design to evaluate didactic and clinical teaching concepts in a BSN community health course. Results: The overall findings suggest that although the community health course increased the students' self-perceived level of cultural competence, working with refugee clients did not have a statistically significant effect. The students working with refugee clients did show an increase in mean scores on the post-test CCCHS, but it was not statistically significant. Some demographic variables also showed some influence on an increase in cultural competency scores. Conclusions: Study findings support previous research. Providing clinical and didactic exposure to people of diverse cultures and concepts will assist nursing students to increase their level of cultural competence.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related nursing
Public health or related research

Learning Objectives:
1.Evaluate the effect of working with refugee clients and incorporating content on cultural competence in a BSN Community Health Course on studentsí self perceived cultural competence. 2.Compare students' self perceived cultural competency before and after working with refugee clients.

Keywords: Education, Nursing Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently an Associate Professor of Nursing, and have completed my dissertation research on the topic. I have previously done research on cultural diversity issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.