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EBP AbstractAppraised by: Deeqa Omar, Tamsen O’Berry, & Heather JesmeClinical Question:Does providing cultural competence training to nurses improve their ability to deliver culturally competent care?Articles: Beach, C. M., Price, G. E, Gary, L. K., Robinson, K. A., Gozu, A., Palacio, A., …Cooper, L. A. (2005). Cultural competence: A systematic review of health care provider education interventions. Medical Care, 43(4), 356-373.Delgado, D. A., Ness, S., Ferguson, K., Engstrom, P. L., Gannon, T. M., & Gillett, C. (2013). Cultural competence training for clinical staff: Measuring the effect of a one-hour class on cultural competence. Journal of Transcultural Nursing, 24(2), 204-213. doi:10.1177/1043659612472059Smith, L.S. (2001). Evaluation of an educational intervention to increase cultural competence among registered nurses. Journal of Cultural Diversity, 8(2): 50-63.Synthesis of Evidence:Beach et al. (2005) conducted a systematic review on provider knowledge, attitude, skills, and patient satisfaction before and after cultural competency training. The review indicated excellent evidence that cultural competency training improves knowledge, attitude, and skills of providers, but there was poor evidence that training impacts patient adherence and outcomes. Delgado et al. (2013) was a quasi-experimental study that assessed the effect of a one-hour class on cultural competence by comparing the baseline scores to post intervention scores three and six months after completion of the class. Scores were divided levels of culturally incompetent, culturally aware, culturally competent, and culturally proficient. The overall increase in mean scores demonstrates a statistically significant improvement in cultural awareness, even when failing to reach the level of competence. Smith (2001) conducted a quasi-experimental study where subjects were randomly assigned to attend either an eight hour “culture school” or an eight hour nursing informatics class. Subjects who attended “culture school” had a greater self-reported cultural self-efficacy and greater cultural knowledge when compared to the subjects who participated in the nursing informatics class. The study concluded that a cultural education intervention could significantly increase cultural competence as measured on cultural self-efficacy scales and knowledge based questions. All three studies used good research designs to answer the research question. The articles indicated positive outcomes on health provider knowledge, when cultural competency training is provided. Based on the three articles reviewed, educational interventions deliver results to increase cultural competency within nursing practice. Bottom Line:Educational interventions, such as a cultural competency training program, increase health providers’ knowledge, providing positive results to increase cultural competency within nursing practice.Implications for Nursing Practice:Providing training to nursing staff may increase their ability to provide better care to diverse populations. Evidence suggests a positive trend between training programs and improved outcomes, but more research is needed. An intervention that can be put into place would be mandating cultural competence training to all nurses to improve knowledge and skills needed to provide culturally sensitive and competent care. ................
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