scholarly journals Cultural Competence and Cultural Sensitivity Education in University Nursing Courses. A Scoping Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Cinzia Gradellini ◽  
Sagrario Gómez-Cantarino ◽  
Patricia Dominguez-Isabel ◽  
Brigida Molina-Gallego ◽  
Daniela Mecugni ◽  
...  

When assessing the fragility that characterizes the health of an immigrant person, a culturally competent transformation of the nurse–patient teaching-learning process is necessary. Therefore, it is considered essential to incorporate cultural competence and intercultural communication in higher nursing education.ObjectiveTo determine the content and knowledge of cultural competence and intercultural communication offered in higher education in nursing courses.DesignThe Campinha-Bacote model of cultural competence was used as the primary reference.MethodA scoping review was conducted about studies published in the period 2003 and 2020. The research was conducted between May and October 2020. More than a hundred documents (books, chapters, articles, conference proceedings) have been consulted.ResultsUndergraduate nursing courses and postgraduate education move toward promoting cultural competence and sensitivity through teaching strategies.ConclusionsTeaching projects that combine multiple competencies are more effective, including teacher training. A predominant element is a need for continuous and transversal projects. University nursing education must adapt culturally competent curricula.

2019 ◽  
Vol 13 ◽  
Author(s):  
Hedi Crecencia Heckler De Siqueira ◽  
Diana Cecagno ◽  
Adriane Calvetti Medeiros ◽  
Aurélia Danda Sampaio ◽  
Juliana Marques Weykamp ◽  
...  

RESUMOObjetivo: averiguar, junto aos docentes e acadêmicos dos cursos de Enfermagem de Instituições de Ensino Superior (IES), a inserção do ensino da segurança do paciente na formação acadêmica do enfermeiro e verificar como este é desenvolvido no processo de ensino-aprendizagem. Método: trata-se de estudo descritivo e exploratório, com abordagem qualitativa, realizado na região sul do Rio Grande do Sul/Brasil. Coletaram-se os dados por meio de entrevistas semiestruturada, escrita/digital e assistida/dialogada, com vinte participantes, sendo dois docentes e dois acadêmicos de cada uma das cinco instituições selecionadas. Analisaram-se os dados utilizando-se a Análise de Conteúdo, na modalidade Análise Temática. Resultados: evidenciou-se que o tema é abordado, no decorrer do curso de Enfermagem, em diversas disciplinas, mas não existe a oferta de alguma específica. Ressalta-se que alguns dados sinalizam que a segurança do paciente é tratada como tema transversal. Conclusão: conclui-se que a oferta das disciplinas do ensino da segurança do paciente e seu desenvolvimento não contemplam os conteúdos de forma estruturada, objetiva, abrangente e normatizada, em conformidade com as políticas públicas preconizadas pelo Programa Nacional de Segurança do Paciente. Descritores: Ensino; Educação em Enfermagem; Segurança do Paciente; Bacharelado em Enfermagem; Projeto Pedagógico. ABSTRACT Objective: to investigate the insertion of the teaching of patient safety into the nurse's academic education and to verify how it is developed in the teaching-learning process, together with the teachers and academics of Nursing Courses at Higher Education Institutions (HEI). Method: this is a descriptive and exploratory study, with a qualitative approach, carried out in the southern region of Rio Grande do Sul / Brazil. The data was collected through semi-structured, written/digital and assisted/dialog interviews, with twenty participants, two teachers and two academics from each of the five institutions selected. Data were analyzed using Content Analysis, in the Thematic Analysis modality. Results: it was evidenced that the topic is approached, during the course of Nursing, in several disciplines, but there is no specific offer. It should be noted that some data indicate that patient safety is treated as a cross-cutting theme. Conclusion: it is concluded that the offer of the subjects of teaching of patient safety and its development do not contemplate the contents in a structured, objective, comprehensive and standardized way, in accordance with the public policies advocated by the National Program of Patient Safety. Descriptors: Teaching; Nursing Education; Patient safety; Bachelor of Nursing; Pedagogical Project.RESUMEN Objetivo: averiguar, junto a los docentes y académicos de los cursos de Enfermería de Instituciones de Enseñanza Superior, la inserción de la enseñanza de la seguridad del paciente en la formación académica del enfermero y, verificar cómo este desarrolla en el proceso de enseñanza-aprendizaje. Método: se trata de un estudio descriptivo y exploratorio con abordaje cualitativo, realizado en la región sur de Rio Grande do Sul/Brasil. Se recolectaron los datos, por medio de entrevistas semiestructuradas, escrita/digital y asistida/dialogada, con veinte participantes, siendo dos docentes y dos académicos de cada una de las cinco instituciones seleccionadas. Se analizaron los datos utilizando el Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se evidenció que el tema es abordado, en el curso del curso de Enfermería, en diversas asignaturas, pero no existe la oferta de alguna específica. Se resalta que algunos datos señalan que la seguridad del paciente es tratada como tema transversal. Conclusión: se concluye que la oferta de las asignaturas de la enseñanza de la seguridad del paciente y su desarrollo no contemplan los contenidos de forma estructurada, objetiva, integral y normalizada, de conformidad con las Políticas Públicas, preconizadas por el Programa Nacional de Seguridad del Paciente. Descriptores: Enseñanza; Educación en Enfermería; Seguridad del paciente; Licenciatura en Enfermería; Proyecto Pedagógico.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Elisangela Argenta Zanatta ◽  
Thais Cristina Hermes ◽  
Jean Henrique Krüger ◽  
Peterson Luiz Duarte ◽  
Carine Vendruscolo

Abstract Objective: To identify the professors' ideals and practices of undergraduate nursing education regarding the presence of violence during the teaching-learning process. Methods: Qualitative, descriptive and exploratory research, performed by 19 professors. For the collection of the information it had been used the Creativity and Sensitivity Dynamics. The data had been analyzed establishing its approximation with the referential present in Paulo Freire's works. Results: Violence is, on the theoretical and practical classes, problematized in an elementary way. The professors' actions are influenced by their experiences, however with a superficial critical reflection about practicing. Conclusion: The research reaffirm the need of investments in undergraduate nursing courses, mainly when dealing with issues such as violence, involving dialogue and attitudes based on lovingness enabling affective bonds and encouraging everyone to express themselves.


ISRN Nursing ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Helen Reyes ◽  
Lance Hadley ◽  
Deborah Davenport

The ethnic proportions of the population in the United States are rapidly changing, with the nation’s minority population at approximately 101 million. This is also true for the West Texas region, where locally in a city with 183,000 residents, 43 different languages are spoken suggesting that cultural education needs to be included in nursing program curricula. Therefore, a study was conducted during a period of curriculum revision to determine if the current nursing curriculum at a public university offers enough education and experience for graduating nurses to care for such a diverse population by comparing their perceptions of cultural competence with beginning sophomore nursing students' perceptions. Participants were asked to complete the Cultural Competence Assessment (CCA) tool in order to evaluate perceptions of cultural competence. Upon analysis of the data, perceptions of cultural competence among graduating nursing students were significantly higher () than the perceptions of cultural competence among beginning nursing students. These results support that nursing students perceive that they have become culturally competent during their nursing education, leading to implications of the need for continued education relating to this concept, beginning with the first course and continuing throughout the nursing curriculum.


2018 ◽  
Vol 12 (12) ◽  
pp. 3368
Author(s):  
Dilton Luis Soares de Farias ◽  
Ana Rafaela Souza Rodrigues ◽  
Adriana De Sá Pinheiro ◽  
Sandra Helena Isse Polaro ◽  
Márcia Maria Bragança Lopes ◽  
...  

RESUMOObjetivo: identificar como está a educação no ensino superior de Enfermagem, os processos e as tendências de trabalho do docente. Método: trata-se de um estudo bibliográfico tipo revisão integrativa, em artigos publicados entre os anos de 2007 a 2017, nas bases de dados MEDLINE, LILACS e BDENF. Organizaram-se os dados em categorias e se avaliou a qualidade metodológica dos artigos pela classificação segundo os sete níveis hierárquicos de evidência, e os resultados apresentam-se em figuras. Resultados: encontraram-se 13 artigos escritos por enfermeiros e publicados no período de 2010 a 2014. Emergiram-se duas categorias: Cursos de Enfermagem e Tendências do Trabalho Docente e Diretrizes Curriculares do Ensino Superior em Enfermagem. Conclusão: entende-se que a educação de Enfermagem, o ensino-aprendizagem e o trabalho docente não se articulam entre a prática do ensino, a pesquisa e a extensão, prejudicando o fazer e o pensar críticos do corpo discente. Percebe-se que as produções dos docentes ainda carecem de estratégicas inovadoras que sinalizem, aos discentes, uma prática profissional mais condizente com a realidade vigente das necessidades de saúde da população. Descritores: Ensino Superior; Educação em Enfermagem; Tendências; Docentes; Enfermagem; Revisão.ABSTRACT Objective: to identify how the education in Nursing higher education is, the processes and the work trends of the teacher. Method: this is an integrative review type bibliographical study, in articles published between 2007 and 2017, in the MEDLINE, LILACS and BDENF databases. The data was organized into categories and the methodological quality of the articles was evaluated by the hierarchical levels of evidence, and the results are presented in figures. Results: 13 articles were written by nurses and published in the period from 2010 to 2014. Two categories emerged: Nursing Courses and Teaching Work Trends and Curriculum Guidelines for Higher Education in Nursing. Conclusion: it is understood that nursing education, teaching-learning and teaching work are not articulated between teaching practice, research and extension, impairing the critical thinking and doing of the student body. It is noticed that teachers' productions still lack innovative strategies that signal to the students a professional practice more in keeping with the current reality of the health needs of the population. Descriptors: Higher Education; Nursing Education; Trends; Faculty; Nursing; Review.RESUMEN Objetivo:  identificar cómo está la educación en la enseñanza superior de Enfermería, los procedimientos y las tendencias de trabajo del docente. Método:  se trata de un estudio bibliográfico tipo revisión integrativa, en artículos publicados entre los años de 2007 a 2017, en las bases de datos MEDLINE, LILACS y BDENF. Se organizaron los datos en categorías y se evaluó la calidad metodológica de los artículos por la clasificación según los siete niveles jerárquicos de evidencia, y los resultados se presentan en figuras. Resultados: se encontraron 13 artículos escritos por enfermeros y publicados en el período de 2010 a 2014. Se emergieron dos categorías: Cursos de Enfermería y Tendencias del Trabajo Docente y Directrices Curriculares de la Enseñanza Superior en Enfermería. Conclusión: se entiende que la educación de enfermería, la enseñanza-aprendizaje y el trabajo docente no se articulan entre la práctica de la enseñanza, la investigación y la extensión, perjudicando el hacer y el pensar críticos del alumnado. Se percibe que las producciones de los docentes todavía carecen de estratégicas innovadoras que señalen a los discentes una práctica profesional más adecuado con la realidad vigente de las necesidades de salud de la población. Descriptores: Educación Superior; Educación en Enfermería; Tendencias; Docentes; Enfermería; Revisión.


Author(s):  
Ying-Chiao Tsao

Promoting cultural competence in serving diverse clients has become critically important across disciplines. Yet, progress has been limited in raising awareness and sensitivity. Tervalon and Murray-Garcia (1998) believed that cultural competence can only be truly achieved through critical self-assessment, recognition of limits, and ongoing acquisition of knowledge (known as “cultural humility”). Teaching cultural humility, and the value associated with it remains a challenging task for many educators. Challenges inherent in such instruction stem from lack of resources/known strategies as well as learner and instructor readiness. Kirk (2007) further indicates that providing feedback on one's integrity could be threatening. In current study, both traditional classroom-based teaching pedagogy and hands-on community engagement were reviewed. To bridge a gap between academic teaching/learning and real world situations, the author proposed service learning as a means to teach cultural humility and empower students with confidence in serving clients from culturally/linguistically diverse backgrounds. To provide a class of 51 students with multicultural and multilingual community service experience, the author partnered with the Tzu-Chi Foundation (an international nonprofit organization). In this article, the results, strengths, and limitations of this service learning project are discussed.


Author(s):  
Catherine J. Crowley ◽  
Kristin Guest ◽  
Kenay Sudler

What does it mean to have true cultural competence as an speech-language pathologist (SLP)? In some areas of practice it may be enough to develop a perspective that values the expectations and identity of our clients and see them as partners in the therapeutic process. But when clinicians are asked to distinguish a language difference from a language disorder, cultural sensitivity is not enough. Rather, in these cases, cultural competence requires knowledge and skills in gathering data about a student's cultural and linguistic background and analyzing the student's language samples from that perspective. This article describes one American Speech-Language-Hearing Association (ASHA)-accredited graduate program in speech-language pathology and its approach to putting students on the path to becoming culturally competent SLPs, including challenges faced along the way. At Teachers College, Columbia University (TC) the program infuses knowledge of bilingualism and multiculturalism throughout the curriculum and offers bilingual students the opportunity to receive New York State certification as bilingual clinicians. Graduate students must demonstrate a deep understanding of the grammar of Standard American English and other varieties of English particularly those spoken in and around New York City. Two recent graduates of this graduate program contribute their perspectives on continuing to develop cultural competence while working with diverse students in New York City public schools.


1996 ◽  
Vol 41 (1) ◽  
pp. 40-41
Author(s):  
Howard R. Hall

2021 ◽  
pp. 096973302098830
Author(s):  
Amara Sundus ◽  
Sharoon Shahzad ◽  
Ahtisham Younas

Background: Transgender individuals experience discrimination, stigmatization, and unethical and insensitive attitudes in healthcare settings. Therefore, healthcare professionals must be knowledgeable about the ways to deliver ethical and culturally competent care. Ethical considerations: No formal ethical approval was required. Aim: To synthesize the literature and identify gaps about approaches to the provision of ethical and culturally competent care to transgender populations. Design: A Scoping Review Literature Search: Literature was searched within CINAHL, Science Direct, PubMed, Google Scholar, EMBASE, and Scopus databases using indexed keywords such as “transgender,” “gender non-conforming,” “ethically sensitive care,” and “culturally sensitive care.” In total, 30 articles, which included transgender patients and their families and nurses, doctors, and health professionals who provided care to transgender patients, were selected for review. Data were extracted and synthesized using tabular and narrative summaries and thematic synthesis. Findings: Of 30 articles, 23 were discussion papers, 5 research articles, and 1 each case study and an integrative review. This indicates an apparent dearth of literature about ethical and culturally sensitive care of transgender individuals. The review identified that healthcare professionals should educate themselves about sensitive issues, become more self-aware, put transgender individual in charge during care interactions, and adhere to the principles of advocacy, confidentiality, autonomy, respect, and disclosure. Conclusions: The review identified broad approaches for the provision of ethical and culturally competent care. The identified approaches could be used as the baseline, and further research is warranted to develop and assess organizational and individual-level approaches.


2021 ◽  
pp. 000486742110314
Author(s):  
Tracy Haitana ◽  
Suzanne Pitama ◽  
Donna Cormack ◽  
Mau Te Rangimarie Clark ◽  
Cameron Lacey

Objective: Research designed to increase knowledge about Māori with bipolar disorder is required to understand how health services support wellbeing and respond to identified levels of community need. This paper synthesises the expert critique of Māori patients with bipolar disorder and their whānau regarding the nuances of cultural competence and safety in clinical encounters with the health system. Methods: A qualitative Kaupapa Māori Research methodology was used. A total of 24 semi-structured interviews were completed with Māori patients with bipolar disorder and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Results: Three themes were evident from participants’ critique of clinical components of the health system. Theme 1 established that the efficacy of clinical care for bipolar disorder was dependent on Māori patients and whānau having clear pathways through care, and being able to access timely, consistent care from clinically and culturally competent staff. Theme 2 identified the influence of clinical culture in bipolar disorder services, embedded into care settings, expressed by staff, affecting the safety of clinical care for Māori. Theme 3 focused on the need for bipolar disorder services to prioritise clinical work with whānau, equip staff with skills to facilitate engagement and tailor care with resources to enhance whānau as well as patient wellbeing. Conclusion: The standard of clinical care for Māori with bipolar disorder in New Zealand does not align with practice guidelines, Māori models of health or clinical frameworks designed to inform treatment and address systemic barriers to equity. Research also needs to explore the role of structural and organisational features of the health system on Māori patient and whānau experiences of care.


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