2.50
Hdl Handle:
http://hdl.handle.net/10755/157300
Type:
Presentation
Title:
SIMULATION: A BRIDGE TO CULTURE CARE
Abstract:
SIMULATION: A BRIDGE TO CULTURE CARE
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Merrill, Alison, RN, PhD
P.I. Institution Name:University of Northern Colorado
Title:Assistant Professor
Contact Address:Gutner Hall Campus Box 125, Greeley, CO, 80634, USA
Co-Authors:Faye Hummel
PURPOSE: High Fidelity Human Simulation (HFS) shows promise as a venue in which students can gain experience in working with clients from a variety of cultures different from their own. The purpose of this study is to explore simulation as a strategy to increase and expand cultural exposures so as to enhance cultural competence. Providing opportunities for students to practice culture care with diverse populations in a safe environment may facilitate their ability to adapt appropriately and with sensitivity to new situations encountered in clinical practice. A second purpose is to foster self-awareness and self-discovery as students examine their own cultural values in response to the simulation experience.
RATIONAL/CONCEPTUAL BASIS: In order to meet the needs of an increasingly diverse patient population, nurses must be prepared to provide culturally relevant and appropriate care. Culture is frequently taught in didactic courses with the expectation that students will be able to apply this knowledge in the clinical setting. Nursing students must be given the opportunity to experience and perform culture care practices so they are able to bridge knowledge to practice. Simulation can provide a safe experiential learning environment for nursing students to explore their own values, beliefs and biases about patients and families who come from a variety of diverse backgrounds.

METHODS: Students will participate in HFS scenarios with "patients and families" from three different cultures that are present in local communities: Somalian, Hmong, and Latino. These scenarios have been developed in collaboration with cultural brokers from each of the communities. In addition to the high fidelity simulator, "actors" from the communities will play the parts of family members. This design gives students the opportunity to learn how to focus on the central themes of a given culture and learn to adapt their culture care practices appropriately. This research addresses the following specific research questions:
1. Does an increase in cultural encounters through the use of HFS increase cultural awareness and cultural knowledge as measured by the Cultural Competence Assessment (CCA) tool (Schim, Dorrenbos, & Borse, 2005)?
2. Does an increase in cultural encounters through the use of HFS enhance a student's sense of cultural competence as measured through student-centered guided reflection self appraisal?
The research project is a mixed design method using nursing students enrolled in medical-surgical nursing. Levels of cultural competence will be measured prior to and following the HFS intervention using the Cultural Competence Assessment (CCA) tool. After each simulation a guided reflection debriefing session will take place during which students will be prompted to identify their strengths and areas for improvement related to their culture care believes and practices.
RESULTS: Data collection is in progress and will be completed by February, 2010. Data analysis will include qualitative and quantitative strategies. This research will add to the body of knowledge about the efficacy of high fidelity simulation in nurturing cultural awareness, knowledge, skills and behaviors.

IMPLICATIONS:
1. Show the efficacy of high fidelity simulation (HFS) as a teaching strategy to inform culturally competent nursing practice.
2. Describe the way in which HFS promotes the application of classroom knowledge to clinical practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSIMULATION: A BRIDGE TO CULTURE CAREen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157300-
dc.description.abstract<table><tr><td colspan="2" class="item-title">SIMULATION: A BRIDGE TO CULTURE CARE</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Merrill, Alison, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Northern Colorado</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Gutner Hall Campus Box 125, Greeley, CO, 80634, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">alison.merrill@unco.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Faye Hummel</td></tr><tr><td colspan="2" class="item-abstract">PURPOSE: High Fidelity Human Simulation (HFS) shows promise as a venue in which students can gain experience in working with clients from a variety of cultures different from their own. The purpose of this study is to explore simulation as a strategy to increase and expand cultural exposures so as to enhance cultural competence. Providing opportunities for students to practice culture care with diverse populations in a safe environment may facilitate their ability to adapt appropriately and with sensitivity to new situations encountered in clinical practice. A second purpose is to foster self-awareness and self-discovery as students examine their own cultural values in response to the simulation experience.<br/>RATIONAL/CONCEPTUAL BASIS: In order to meet the needs of an increasingly diverse patient population, nurses must be prepared to provide culturally relevant and appropriate care. Culture is frequently taught in didactic courses with the expectation that students will be able to apply this knowledge in the clinical setting. Nursing students must be given the opportunity to experience and perform culture care practices so they are able to bridge knowledge to practice. Simulation can provide a safe experiential learning environment for nursing students to explore their own values, beliefs and biases about patients and families who come from a variety of diverse backgrounds.<br/><br/>METHODS: Students will participate in HFS scenarios with &quot;patients and families&quot; from three different cultures that are present in local communities: Somalian, Hmong, and Latino. These scenarios have been developed in collaboration with cultural brokers from each of the communities. In addition to the high fidelity simulator, &quot;actors&quot; from the communities will play the parts of family members. This design gives students the opportunity to learn how to focus on the central themes of a given culture and learn to adapt their culture care practices appropriately. This research addresses the following specific research questions:<br/>1. Does an increase in cultural encounters through the use of HFS increase cultural awareness and cultural knowledge as measured by the Cultural Competence Assessment (CCA) tool (Schim, Dorrenbos, &amp; Borse, 2005)?<br/>2. Does an increase in cultural encounters through the use of HFS enhance a student's sense of cultural competence as measured through student-centered guided reflection self appraisal?<br/>The research project is a mixed design method using nursing students enrolled in medical-surgical nursing. Levels of cultural competence will be measured prior to and following the HFS intervention using the Cultural Competence Assessment (CCA) tool. After each simulation a guided reflection debriefing session will take place during which students will be prompted to identify their strengths and areas for improvement related to their culture care believes and practices.<br/>RESULTS: Data collection is in progress and will be completed by February, 2010. Data analysis will include qualitative and quantitative strategies. This research will add to the body of knowledge about the efficacy of high fidelity simulation in nurturing cultural awareness, knowledge, skills and behaviors.<br/><br/>IMPLICATIONS:<br/>1. Show the efficacy of high fidelity simulation (HFS) as a teaching strategy to inform culturally competent nursing practice.<br/>2. Describe the way in which HFS promotes the application of classroom knowledge to clinical practice.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:44:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:44:52Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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