Culturally competent practice in a pre-licensure baccalaureate nursing program in the United States: a mixed-methods study.
OBJECTIVE
This study examined how one pre-licensure baccalaureate nursing program at a public university in the southeastern United States integrated concepts and issues of culture and culturally competent practice into its curriculum.


BACKGROUND
Teaching and learning about culturally competent practice in pre-licensure nursing programs are essential to ensure a culturally competent health care workforce.


METHODS
A mixed-methods case study approach was used. Data were collected from student surveys (n = 111), student focus groups (three groups, n = 9), faculty interviews (n = 14), and school of nursing documents, including the mission statement, faculty and student handbooks, and course syllabi. Data were analyzed using descriptive statistics and content analysis.


RESULTS
Findings provide evidence of cultural competence, barriers to deeper engagement with cultural issues, and suggestions for improvement.


CONCLUSIONS
These findings suggest teaching/learning strategies and curricular design issues that may lead to greater student and faculty member cultural understandings.
College of Science and Health, DePaul University, Chicago, Illinois, USA. mona.shattell@gmail.com
Mona M
MM
Shattell
Durham Connects, Durham, North Carolina, USA.
Elizabeth A
EA
Nemitz
Moses Cone Hospital, Greensboro, North Carolina, USA.
Nego
N
Crosson
Wake Forest Baptist Health, USA.
Ashlee R
AR
Zackeru
Gardner-Webb University School of Nursing, Boiling Springs, North Carolina, USA.
Sharon
S
Starr
University of North Carolina at Greensboro School of Nursing, USA.
Jie
J
Hu
Nurse Anesthesia Program, Wake Forest Baptist Health, USA.
Clifford
C
Gonzales
D000328:Adult; D016022:Case-Control Studies; D054521:Cultural Competency / Q000193:education*; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000379:methods* / Q000592:standards; D004521:Educational Measurement / Q000379:methods*; D005181:Faculty, Nursing; D005260:Female; D006801:Humans; D008008:Licensure, Nursing; D008297:Male; D008875:Middle Aged; D015144:Southeastern United States; D013338:Students, Nursing; D016746:Transcultural Nursing / Q000193:education*; D014481:United States; D055815:Young Adult