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Clarifying concepts: cultural humility or competency.

Mary Isaacson1

  • 1Assistant Professor of Nursing, South Dakota State University, Vermillion, SD..

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|June 19, 2014
PubMed
Summary

Senior nursing students initially perceived high cultural competence, but immersion experiences revealed a downward shift in scores. Their reflections highlighted misperceptions, underscoring the need for cultural humility in nursing education.

Keywords:
Cultural competencyCultural humilityImmersionMixed methodsNursing studentsQualitative

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Area of Science:

  • Nursing Education
  • Healthcare Disparities
  • Cultural Competency Research

Background:

  • Healthcare inequities persist despite cultural competency education in nursing.
  • Diverse patient populations require culturally competent healthcare providers.
  • Nursing curricula aim to equip students with cultural competence skills.

Purpose of the Study:

  • To assess changes in senior nursing students' perceptions of cultural competence.
  • To explore the impact of cultural immersion experiences on these perceptions.
  • To identify potential misperceptions in cultural competence understanding.

Main Methods:

  • Mixed-method study design.
  • Quantitative pre- and post-immersion surveys (N=11).
  • Qualitative hermeneutic phenomenological analysis of reflective journals.

Main Results:

  • Majority of students initially reported high cultural competence.
  • Post-immersion scores showed a significant downward shift.
  • Journal analysis revealed negative stereotypes and themes like 'seeing with closed eyes'.

Conclusions:

  • Students' self-perceived cultural competence did not align with their actual understanding.
  • Cultural immersion highlighted misperceptions regarding cultural competence.
  • Nursing education should emphasize cultural humility, self-reflection, and openness.