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Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
An Intervention to Improve Cultural Competence in Graduate Nursing Education
Constance Creech1, Marilyn Filter, Hiba Wehbe-Alamah
1About the Authors The authors are affiliated with University of Michigan-Flint School of Nursing, Flint, Michigan. Constance Creech, EdD, RN, ANP-BC, is an associate professor and director of graduate nursing programs. Marilyn Filter, PhD, RN, CNM, is an assistant professor. Hiba Wehbe-Alamah, PhD, RN, FNP-BC, CTN-A, is an associate professor. Marilyn R. McFarland, PhD, RN, FNP-BC, CTN-A, is a professor. Margaret Andrews, PhD, RN, FAAN, CTN-A, is a professor and interim dean of the school of nursing. Gwendolyn Pryor, MSN, RN, ANP-BC, is a lecturer. This research study was supported partially by HRSA Grant D09HP22631, awarded to the University of Michigan-Flint. For more information, contact Dr. Creech at ccreech@umflint.edu.
A curriculum intervention significantly improved cultural competence in graduate nursing students. The study showed increased course objectives and higher student self-efficacy scores in cultural competence.
Area of Science:
- Nursing Education
- Cultural Competence
- Curriculum Development
Background:
- Limited research exists on the impact of comprehensive curricula on graduate nursing students' cultural competence.
- Cultural competence is crucial for effective healthcare delivery in diverse populations.
Purpose of the Study:
- To evaluate the effect of a curricular intervention on cultural competence among Doctor of Nursing Practice students.
- To assess changes in cultural competence objectives within nursing courses.
- To measure the impact on students' self-efficacy in transcultural care.
Main Methods:
- A pretest-posttest design was employed to assess the curricular intervention.
- Data were collected from 2012 to 2014 at a midwestern university's Doctor of Nursing Practice program.
- Faculty curriculum surveys and the Transcultural Self-Efficacy Tool were utilized.
Main Results:
- The percentage of courses with cultural competence objectives increased from 65% to 81%.
- Students demonstrated statistically significant improvements in overall scores on the Transcultural Self-Efficacy Tool.
- Three subscale scores of the Transcultural Self-Efficacy Tool also showed significant improvement.
Conclusions:
- A targeted curricular intervention can effectively enhance cultural competence in graduate nursing students.
- Integrating cultural competence objectives into the curriculum positively influences student self-efficacy.
- This study provides evidence for the importance of curriculum-wide approaches to cultural competence training in nursing education.
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