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Addressing Cultural Competency and Primary Palliative Care Needs in Community Health Nursing Education
Summary
Nursing students need enhanced emotional assessment skills and cultural competency to confidently address primary palliative care needs in underserved older adults. An assessment guide improves their self-efficacy in these crucial conversations.
Area of Science:
- Nursing Education
- Palliative Care
- Geriatric Health
Background:
- Meeting the primary palliative care needs of older adults, particularly underserved populations and people of color, is a critical challenge in community health.
- Nursing students require specific training to effectively address the complex needs of seriously ill geriatric patients.
Purpose of the Study:
- To explore factors influencing nursing student confidence and self-efficacy in initiating palliative care conversations with seriously ill clients.
- To identify educational needs and facilitators for assessing primary palliative care needs among diverse older adult populations.
Main Methods:
- A qualitative descriptive study was conducted with 34 nursing students in community health nursing.
- Clinical rotations included independent living facilities serving low-income populations.
Main Results:
- Two key themes emerged influencing student confidence: emotional assessment skills/cultural competency and the utility of an assessment guide.
- Two categories identified as influencing confidence were educational needs/desired experience and cultural impact.
- Facilitators for needs assessment included a structured guide and gaining insight into client needs.
Conclusions:
- Enhancing nursing students' emotional assessment skills and cultural competency is vital for effective palliative care.
- Structured assessment guides and practical experience are crucial for building student nurse confidence in addressing primary palliative care needs, especially in diverse and underserved communities.
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