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Cultural Competence of Public Health Nurses Who Care for Diverse Populations Althea Michelle OTUATA Walden University

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Cultural Competence of Public Health Nurses Who Care for Diverse Populations Althea Michelle OTUATA Walden University Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2019 Cultural Competence of Public Health Nurses Who Care for Diverse Populations Althea Michelle OTUATA Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Nursing Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral study by Althea M. Otuata has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Allison Terry, Committee Chairperson, Nursing Faculty Dr. Robert McWhirt, Committee Member, Nursing Faculty Dr. Oscar Lee, University Reviewer, Nursing Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2019 Abstract Cultural Competence of Public Health Nurses Who Care for Diverse Populations by Althea M. Otuata MS, College of New Rochelle, 1989 BS, College of New Rochelle, 1983 Proposal Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2019 Abstract Despite advances in health, science, and technology, U.S. healthcare lags in providing access to care and quality care to racial and ethnic minorities. Cultural competence has been noted as a strategy to improve access and quality. The purpose of this project was to assess public health nurses’ cultural competence before and after participating in cultural competence informational modules. Two conceptual models were used in this project for theoretical guidance: Leininger’s cultural care diversity and universality theory and Campinha-Bacote’s process of cultural competence. To assess the nurses’ cultural competence, the Cultural Competence Self-Assessment Checklist questionnaire was e- mailed to 57 public health nurses at a local health department. Survey participants remained anonymous. Data were collected on demographics. A paired t test was conducted to compare the statistical significance of the results. A quantitative software tool was used to analyze the data. Study results showed a confidence interval of 95% at p = 0.15, indicating that cultural competence informational modules made a significant difference between the pretest and the posttest of the Cultural Competence Self- Assessment Checklist. Thus, cultural competence informational modules make a difference in public health nurses’ awareness, knowledge, and skills, which can enhance their ability to provide culturally competent care to racial and ethnic minorities. The implications of this project for social change include supporting health care professionals’ ability to promote and implement cultural competence practices for all populations to decrease health disparities. Cultural Competence of Public Health Nurses Who Care for Diverse Populations by Althea M. Otuata MS, College of New Rochelle, 1989 BS, College of New Rochelle, 1983 Proposal Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2019 Dedication I humbly thank the One who has sustained, protected, provided, and made this possible. Thanks to my husband, my mother, and children, who have supported and encouraged me during the good and challenging times. I graciously thank you all for the support that you have provided while on this journey. Acknowledgments I would like to acknowledge my chair who has been an inspiration, guide, and my support during the production of this document. In addition, I would like to extend my thanks to Walden University for their academic resources and technical support. I would also like to mention my nurse manager, the administrative team, colleagues who frequently encouraged me, and the Department of Public Health for granting my request to engage in this research. A special thanks to all Public Health Nurses for the jobs they do daily. Thanks to those who participated in this research study. Table of Contents List of Tables ..................................................................................................................... iii Section 1: Nature of the Project ...........................................................................................1 Introduction ....................................................................................................................1 Problem Statement .........................................................................................................1 Purpose Statement ..........................................................................................................2 Nature of the Doctoral Project .......................................................................................6 Significance....................................................................................................................8 Summary ........................................................................................................................9 Section 2: Background and Context ..................................................................................10 Introduction ..................................................................................................................10 Conceptual Framework ................................................................................................10 Relevance to Nursing Practice .....................................................................................12 Local Background and Context ...................................................................................16 Definition of Terms......................................................................................................18 Role of the DNP Student..............................................................................................19 Summary ......................................................................................................................20 Section 3: Collection and Analysis of Evidence ................................................................22 Introduction ..................................................................................................................22 Practice-Focused Questions .........................................................................................23 Sources of Evidence .....................................................................................................26 Literature Review.........................................................................................................27 Participants ...................................................................................................................31 Procedures ....................................................................................................................31 Protections....................................................................................................................32 i Analysis and Synthesis ................................................................................................34 Summary ......................................................................................................................35 Section 4: Findings and Recommendations .......................................................................36 Introduction ..................................................................................................................36 Findings and Implications ............................................................................................37 Recommendations ........................................................................................................40 Strength and Limitations of the Project .......................................................................42 Section 5: Dissemination Plan ...........................................................................................43 Analysis of Self ............................................................................................................43 Summary ......................................................................................................................44 References ..........................................................................................................................46 Appendix A: Cultural Competence Self-Assessment Checklist ........................................52 Appendix B: Permission to Use the Cultural Competence Self-Assessment Checklist ................................................................................................................54 Appendix C: Culturally Competent Nursing Care: A Cornerstone of Caring Course Outline .......................................................................................................55 Appendix D: Permission to Use Culturally Competent Nursing Care: A Cornerstone of Caring ............................................................................................62 Appendix E: Permission for Board of Health Nurses to Participate in Research ..............64 ii List of Tables Table 1. Community Research Partner of Health Nursing
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