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Updated: Feb 16, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
An Enhanced Cultural Competence Curriculum and Changes in Transcultural Self-Efficacy in Doctor of Nursing Practice
11 Pace University, New York, NY, USA.
Purpose:
The Doctor of Nursing Practice (DNP) degree is the most advanced clinical leadership role in nursing. Curricula prepare these students to design, implement, evaluate, and continuously improve high-quality culturally specific health care delivery and outcomes.
Design:
Guided by the cultural competence and confidence model, the Transcultural Self-Efficacy Tool was used to assess the impact of an enhanced cultural competence curriculum on transcultural self-efficacy perceptions of DNP students ( n = 54).
Method:
The study used a pre-post paired t test, nonexperimental design.
Findings:
A significant gain from pre- to postmeasure in students' overall transcultural self-efficacy was demonstrated.
Discussion:
Changes in DNP students' transcultural self-efficacy were identified after completing an enhanced cultural competence curriculum.
Conclusions:
Transcultural self-efficacy may be influenced by formal education and learning experiences of DNP students.
Implication For Practice:
Educational outcomes research can demonstrate the impact of a DNP programs curriculum on meeting national and professional goals for culturally competent nursing practice.
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