Donna Ricketts– DNP Student Northern Kentucky University, College of Advanced Nursing
Dr. Karen Mutsch Committee Chair
Dr. Pamela Fletcher Former Committee Chair Dr. Judith Carr Committee Member
Changing United States population (U.S. Census Bureau, 2008)
Registered nurse population not reflective of United States population (U.S. HHS, 2010)
Disproportionate health disparities by minority and diverse patients (Institutes of Medicine, 2011; Ritter and Hoffman, 2010)
Lack of educational preparation for nurse faculty (Burke, 2011, Miller-Morton, 2013)
Nurses not recognizing needs of diverse patients Creates opportunities for near misses and never events.
Lack of cultural components in nursing curriculum (Burke, 2011)
Inadequate educational preparation for nursing faculty (Burke, 2011; Sealey, 2003; Yates, 2008)
The purpose of this study is to determine if a cultural competency seminar has an effect on the cultural competency level and transcultural teaching behaviors of nurse educators
Quality and Safety Education for Nurses (QSEN) core competencies (2008)
Institute of Medicine (IOM) quality standards Affordable Care Act healthcare delivery and payment reforms
Recognizing, respecting, and responding to patients’ individualities
After participating in a cultural competency seminar, the nurse educators will:
• State an increase in level of cultural competence • List specific activities that can increase cultural
competence level and transcultural teaching behaviors
• Revise a current learning objective using a
Competency Outcomes Performance Assessment (COPA) model template
Adult Learning Theory (Malcolm Knowles,1990)
Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care (Campinha-Bacote, 2002)
1. What is the effect of a cultural competency seminar on the cultural competency level of nurse educators?
2. What is the effect of a cultural competency
seminar on the transcultural teaching behaviors of nurse educators?
Cultural Competency
A continual process whereby the nurse strives for cultural competence. Measured by cultural awareness, cultural skill, cultural knowledge, cultural encounters, and
cultural desire
Measured by the 41 items on the questionnaire
Transcultural Teaching Behaviors
The degree to which faculty include transcultural nursing concepts in their courses
Measured by 11 items on the questionnaire, embedded in the subscales above
Nursing faculty/program director from small liberal-arts college in central Kentucky (n=8)
Vary in educational preparation, years of experience All volunteered for study
Pilot Study (Moran, Burson, & Conrad, 2014) Experimental Design: Pre-test/Post-test
Survey Instrument: Cultural Diversity Questionnaire for Nurse Educators-Revised (CDQNE-R)
Created by Sealey (2003); revised by Yates (2008); replicated by Burke (2011)
Permission granted by Dr. Yates on 1/31/2014 for use of CDQNE-R
Two Sections:
Section 1 (Measures cultural competence): 41 Likert-type items, measures the
subscales of cultural awareness; cultural skill; cultural knowledge; cultural
encounters; and cultural desire.
Section 2 (Measures transcultural teaching behaviors): 9 questions (embedded in the above subscales)
Pre-Test: CDQNE-R prior to seminar Seminar Intervention
Evidence-based practice Application of COPA model
Explore immersion opportunities
Post-Test: CDQNE-R 30 days after seminar Paired-T test parametric design
Institutional Review Board (IRB) for the Protection of Human Subjects
Application for IRB Review
Survey instrument password protected
Key Event Key Date Comments
Proposal Defense 9/5/2014 Receive feedback from committee. Incorporate changes/suggestions IRB Application 9/21/2014 Submit application Complete 9/30/2014 Work with committee
Chapters 1-3 members on final paper
Seminar Final Plan 10/15/2014 Finalize seminar content Prepare all handouts
Key Event Key Date Comments
Pretest Survey 10/24/2014 Send CDQNE-R to faculty
Seminar Intervention 10/31/2014 Conduct seminar Posttest Survey 11/30/2014 Send CDQNE-R to
faculty
Analysis of results 12/2014 Work with
mentor/committee chair Completion of paper 4/2014 Work with chair to
finalize document Schedule Final Defense
Project importance: interventions, such as a cultural competency seminar will increase the cultural competency level and transcultural teaching behaviors of nurse educators. This
will enable them to prepare nursing students to provide safe and quality care for patients with cultural, racial, ethnic, and socially diverse
needs.
Results shared with populations of interest Continuing Education for Nurses
Burke, P. M. (2011). Cultural Competence of Associate Degree Nursing Faculty. Retrieved from ProQuest Digital Dissertations database.
(Publication No. UMI 3449380)
Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services. Journal of Transcultural Nursing, 13(3), 181-184.
Institute of Medicine (IOM). 2011. The Future of Nursing: Leading
Change, Advancing Health. Washington, DC: The National Academic Press.
Moran, K., Burson, R., & Conrad, D. (2014). The Doctor of Nursing
Practice Scholarly Project: A Framework for Success. Burlington, MA: Jones & Bartlett Learning
Morton-Miller, A. R. (2013). Cultural competence in nursing
education: practicing what we preach. Teaching and Learning in Nursing, 8(3), 91-95.
Ritter, L. A. & Hoffman, N. A. (2010). Multicultural health. Boston, MA: Jones and Bartlett Publishers
Sealey, L. J. (2003). Cultural competence of faculty of baccalaureate nursing programs. Retrieved from Dissertations & Theses: Full Text database. (Publication No. AAT 3182911)
U. S. Census Bureau, (2008). Washington, DC: The National Academic Press
U.S. Department of Health and Human Services, Health Resources and Services Administration (2010). The Registered Nurse Population: Findings from the 2008 National Sample Survey of Registered Nurses. Yates, V. M. (2008). Cultural Competence Levels of Ohio Associate
