title: Cultural competence and cultural safety in Canadian schools of nursing: a mixed methods study.
abstract: Cultural competence and cultural safety are essential knowledge in contemporary nursing care. Using a three-phase, mixed methods sequential triangulation design, this study examines the extent to which Anglophone Schools of Nursing in Canada have integrated cultural competence and/or cultural safety into the undergraduate nursing curricula. Factors that influence successful integration are identified through the lens of Donabedian's structure, process, and outcome model. Results suggest that several facilitating factors are present, such as leadership, partnerships and linkages, and educational supports for students. Of particular concern is the lack of policies to recruit and retain Aboriginal faculty, financial resources, and outcome evaluation indicators. A conceptual model of integration is offered to explain how Schools of Nursing function to support the implementation of these concepts into their curriculum. This study provides theoretical and practical implications for initiation and improvement of cultural competence and/or cultural safety integration strategies in Schools of Nursing.
authors: University of Ottawa, Rowan Research and Evaluation, Ottawa, ON, Canada. rowankeon@rogers.com
authors: Margo S
authors: MS
authors: Rowan
authors: Ellen
authors: E
authors: Rukholm
authors: Lisa
authors: L
authors: Bourque-Bearskin
authors: Cynthia
authors: C
authors: Baker
authors: Evelyn
authors: E
authors: Voyageur
authors: Annie
authors: A
authors: Robitaille
mesh_terms: D002170:Canada; D002983:Clinical Competence; D054521:Cultural Competency / Q000193:education*; D018864:Cultural Diversity; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017145:Models, Educational; D016294:Models, Nursing; D012449:Safety; D012579:Schools, Nursing / Q000458:organization & administration*; D013338:Students, Nursing / Q000523:psychology; D016746:Transcultural Nursing / Q000193:education*