Assessing Cultural Competence Paper
In your initial post, you must structure it so that you analyze each article as to the efficacy of each method of assessing cultural competence. For each, you must describe the method, its efficacy as related in its article, and then your opinion as to whether or not it is an effective means to measure cultural competence. For the third article, your post must include your agreement or disagreement with the article’s authors regarding the “EHR Incentives” program as a part of assessing cultural competence.Assessing Cultural Competence Paper.
Abstract
This cross-sectional descriptive study evaluated registered nurses’ self-ratings of cultural competence on the
hematology/oncology unit at a large Northeastern urban children’s hospital. The Inventory for Assessing the Process
of Cultural Competence among Healthcare Professionals was used to measure 5 constructs of cultural competence.
The study findings show that there were significant correlations between the knowledge and skill subscales (ρ = .57,
P < .001) and the knowledge and desire subscales (ρ = .42, P < .05). The highest mean among the 5 subscales was
cultural desire (mean = 15.5), indicating that nurses were motivated to engage in the process of becoming culturally
competent. The lowest mean among the 5 subscales was cultural knowledge (mean = 11.2), followed by cultural skill
(mean = 11.8), indicating that nurses did not perceive themselves to be well informed in these areas. The findings from
this pilot study suggest that nurses on this pediatric oncology unit are most likely to possess cultural desire and cultural
awareness, but there is certainly opportunity to engage and educate the staff. Targeted interventions to improve
cultural competence on this inpatient unit are being explored and a larger scale study is being planned to assess the
cultural competence of nurses across the hospital.
According to the U.S. Census Bureau (2015), the minority population is projected to rise to 56% in 2060 compared with 38% in 2014. And as such, the current breadth
of ethnic and cultural backgrounds of individuals in the
United States requires that the nursing profession be culturally competent (Campinha-Bacote, 2002; Taylor &
Alfred, 2010). Culturally congruent care is considered a
standard of practice for nurses and a curriculum requirement for nursing schools (National League for Nursing
Accrediting Commission, 2016). Since nurses provide
the most direct health care services, the expectation to be
knowledgeable about diverse health beliefs and practices
is critical (Bauce, Kridli, & Fitzpatrick, 2014). Literature
supports the importance of practices, beliefs, value systems of diverse cultures, and emphasizes culturally congruent care (Hart & Mareno, 2013; Mareno & Hart, 2014;
Lin, Chang, Wang, & Huang, 2015) as this has shown to
improve patient outcomes and reduce health care disparities (Gallagher & Polanin, 2015; Garneau & Pepin, 2015).
Campinha-Bacote(2002) defined cultural competence as
an “ongoing process in which health care provider(s)
continuously strives to achieve the ability to effectively
work within the cultural context of the client (individual,
family, community)” (p. 181). Assessing Cultural Competence Paper. Although a universally
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agreed-upon definition is lacking, the consensus is that cultural competence calls for a conscious process whereby providers, such as nurses, respect and appreciate values, beliefs,
and worldviews of diverse populations. To better serve
diverse populations, nurses need to be practicing culturally
congruent care. This is important as nurses’ perception of
themselves as culturally competent caregivers is reflected in
the way they communicate with patients and families.
A large urban children’s hospital serves a culturally
diverse patient population, and as a quaternary care center
draws patients from different countries and continents. Thus,
it is of paramount importance for nurses to understand
713452JPOXXX10.1177/1043454217713452Journal of Pediatric Oncology NursingEche and Aronowitz
research-article2017
1
Boston Children’s Hospital, Boston, MA, USA
2
University of Massachusetts Boston, MA, USA
Corresponding Author:
Ijeoma Julie Eche, MSN, FNP-BC, AOCNP, CPON, BMT-CN, Boston
Children’s Hospital, 300 Longwood Avenue, Boston, Assessing Cultural Competence Paper.
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