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The Value of Community-Focused Interprofessional Care in Peru for Developing Cultural Competency in Health Professions Students

  • Carol B. Allen EMAIL logo , Denise A. Smart , Tamara Odom-Maryon and Deborah Swain
Published/Copyright: July 4, 2013

Abstract

International immersion experiences for health-care students have increased over the past 10 years. Students and faculty expect these experiences to increase cultural competency; however, research on outcomes of these programs has lacked rigor. Over a 4-year period, groups of nursing and other health professions students spent 3 weeks in Peru providing primary care and health education. Students attended pre-departure seminars addressing personal travel health and safety, culture and health care in Peru, working with interpreters, and ethics of international health care. Student participants (N = 77) completed an instrument assessing self-perceived cultural competency before and after the experience. Results of pre- and post-immersion scores showed significant increases in perceived cultural competency and increased self-efficacy in cultural knowledge, skills, and attitudes for four groups of students. Implications and future directions are discussed and recommended.

References

Accreditation Council for Pharmacy Education. (2006, January 15). Accreditation standards and guidelines for the professional program in pharmacy leading to the doctor of pharmacy degree. Retrieved from https://www.acpe-accredit.org/pdf/ACPE_Revised_PharmD_Standards_Adopted_Jan152006.pdfSearch in Google Scholar

Alpers, R. R., & Zoucha, R. (1996). Comparison of cultural competence and cultural confidence of senior nursing students in a private southern university. Journal of Cultural Diversity, 3, 9–15.Search in Google Scholar

American Nurses Association. (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.Search in Google Scholar

Amerson, R. (2010). The impact of service learning on cultural competence. Nursing Education Perspectives, 31, 18–22.Search in Google Scholar

Arauz Boudreau, A. D., Fluet, C. F., Reuland, C. P., Delahaye, J., Perrin, J. M., & Kuhlthau, K. (2010). Associations of providers’ language and cultural skills with Latino parents’perceptions of well-child care. Academic Pediatrics, 10, 172–178. doi:10.1016/j.acap2010.01.002Search in Google Scholar

Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.Search in Google Scholar

Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: W.H. Freeman.Search in Google Scholar

Bentley, R., & Ellison, K. J. (2007). Increasing cultural competence in nursing through international service-learning experiences. Nurse Educator, 32, 207–211. doi:10.1097/01.NNE.0000289385.14007.64Search in Google Scholar

Bond, M. L., & Jones, M. E. (1994). Short-term cultural immersion in Mexico. Nursing & Health Care, 15(5), 31–34.Search in Google Scholar

Bosworth, T. L., Haloburdo, E. P., Hetrick, C., Patchett, K., Thompson, M. A., & Welch, M. (2006). International partnerships to promote quality care: Faculty groundwork, student projects, and outcomes. Journal of Continuing Education in Nursing, 37, 32–38.10.3928/00220124-20060101-08Search in Google Scholar PubMed

Button, L., Green, B., Tengnah, C., Johansson, I., & Baker, C. (2005). The impact of international placements on nurses’ personal and professional lives: Literature review. Journal of Advanced Nursing, 50, 315–324. doi:10.1111/j.1365–2648.2005.03395xSearch in Google Scholar

Caffrey, R. A., Neander, W., Markle, D., & Stewart, B. (2005). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. Journal of Nursing Education, 44, 234–240.10.3928/01484834-20050501-06Search in Google Scholar PubMed

Campinha-Bacote, J. (2001). A model of practice to address cultural competence in rehabilitation nursing. Journal of Rehabilitation Nursing, 26, 8–11.10.1002/j.2048-7940.2001.tb02201.xSearch in Google Scholar PubMed

Campinha-Bacote, J. (2008). Cultural desire: “caught” or “taught”? Contemporary Nurse, 28, 141–148.10.5172/conu.673.28.1-2.141Search in Google Scholar PubMed

Coffman, M. J., Shellman, J., & Bernal, H. (2004). An integrative review of American nurses’ perceived cultural self-efficacy. Journal of Nursing Scholarship, 36, 180–185. doi:10.1111/j.1547–5069.2004.04032.x10.1111/j.1547-5069.2004.04032.xSearch in Google Scholar PubMed

Colling, J., & Wilson, T. (1998). Short-term reciprocal international academic exchange program. Journal of Nursing Education, 37, 34–36.10.3928/0148-4834-19980101-09Search in Google Scholar PubMed

Duffy, M. E., Farmer, S., Ravert, P., & Huittinen, L. (2005). International community health networking project: Two year follow-up of graduates. International Nursing Review, 52, 24–31. doi:10.1111/j.1466–7657.2004.00252.x10.1111/j.1466-7657.2004.00252.xSearch in Google Scholar PubMed

Duffy, M. E., Harju, L., Huittinen, L., & Trayner, C., (1999). An innovative model for international undergraduate education. Nursing & Healthcare Perspectives, 20(1), 26–31.Search in Google Scholar

Enslein, J., Tripp-Reimer, T., Kelley, L. S., Choi, E., McCarty, L., Tang, J. H., & Titler, M. (2002). Evidence-based protocol: Interpreter facilitation for individuals with limited English proficiency. Journal of Gerontological Nursing, 28(7), 5–13.10.3928/0098-9134-20020701-04Search in Google Scholar PubMed

Grant, E., & McKenna, L. (2003). International clinical placements for undergraduate students. Journal of Clinical Nursing, 12, 26–31. doi:10.1046/j.1365–2702.2003.00717.x10.1046/j.1365-2702.2003.00717.xSearch in Google Scholar PubMed

Greatrex-White, S. (2007). Uncovering study abroad: Foreignness and its relevance to nurse education and cultural competence. Nurse Education Today, 28, 530–538. doi:10.1016/j.nedt.2007.09.00510.1016/j.nedt.2007.09.005Search in Google Scholar PubMed

Hopsapple, M. A. (2012). Service-learning and student diversity outcomes: Existing evidence and directions for future research. Michigan Journal of Community Service Learning, 18(2), 5–18.Search in Google Scholar

Inglis, A., Rolls, C., & Kristy, S. (1998). The impact of participation in a study abroad programme on students’ conceptual understanding of community health nursing in a developing country. Journal of Advanced Nursing, 28, 911–917. doi:10.1046/j.1365–2648.1998.00732.x10.1046/j.1365-2648.1998.00732.xSearch in Google Scholar PubMed

Institute of International Education. (2012). Open doors 2012 fast facts: US students studying abroad. Retrieved from http://www.iie.org/Research-and-Publications/Open-DoorsSearch in Google Scholar

International Council of Nurses. (2012). The ICN code of ethics for nurses. Retrieved from http://www.icn.ch/images/stories/documents/publications/free_publications/Code_of_Ethics_2012.pdfSearch in Google Scholar

Jeffreys, M. R., & Smodlaka, I. (1999). Construct validation of the transcultural self-efficacy tool. Journal of Nursing Education, 38, 222–227.10.3928/0148-4834-19990501-09Search in Google Scholar PubMed

Kardong-Edgren, S. (2007). Cultural competence of baccalaureate nursing faculty. Journal of Nursing Education, 46, 360–366.10.3928/01484834-20070801-05Search in Google Scholar PubMed

Kardong-Edgren, S., Bond, M. L., Schlosser, S., Cason, C., Jones, M. E., Warr, R., & Strunk, P. (2005). Cultural attitudes, knowledge, and skills of nursing faculty toward patients from four diverse cultures. Journal of Professional Nursing, 21, 175–182. doi:10.1016/j.profnurs.2005.04.00110.1016/j.profnurs.2005.04.001Search in Google Scholar PubMed

Koempel, V. (2003). Cultural competence of certified nurse practitioners. Mankato, MN: Minnesota State University.Search in Google Scholar

Kulbok, P. A., Mitchell, E. M., Glick, D. F., & Greiner, D. (2012). International experiences in nursing education: A review of the literature. International Journal of Nursing Education Scholarship, 9, 1–21. doi:10.1515/1548–923X.236510.1515/1548-923X.2365Search in Google Scholar PubMed

Levine, M. (2009). Transforming experiences: Nursing education and international immersion programs. Journal of Professional Nursing, 25, 156–169. doi:10.1016/j.profnurs.2009.01.00110.1016/j.profnurs.2009.01.001Search in Google Scholar PubMed

McAuliffe, M. S., & Cohen, M. Z. (2005). International nursing research and educational exchanges: A review of the literature. Nursing Outlook, 53, 21–25. doi:10.1016/j.outlook.2004.10.00410.1016/j.outlook.2004.10.004Search in Google Scholar PubMed

Price, E. G., Beach, M. C., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., … Cooper, L. A. (2005). A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals. Academic Medicine, 80, 578–586. doi:10.1097/00001888–200506000–0001310.1097/00001888-200506000-00013Search in Google Scholar PubMed

Purnell, L. D. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia, PA: F. A. Davis.Search in Google Scholar

Reeb, R. N., Folger, S. F., Langsner, S., Ryan, C., & Crouse, J. (2010). Self-efficacy in service-learning community action research: Theory, research, and practice. American Journal of Community Psychology, 46, 459–471. doi:10.1007/s10464–10010–9342–9349Search in Google Scholar

Ryan, M., Twibell, R., Brigham, C., & Bennett, P. (2000). Learning to care for clients in their world, not mine. Journal of Nursing Education, 39, 401–408.10.3928/0148-4834-20001201-06Search in Google Scholar PubMed

Sattler, V. (2009). Understanding the meaning of an international community focused teaching-learning experience in Peru (Unpublished master’s thesis). Washington State University, Pullman, WA.Search in Google Scholar

Scholes, J., & Moore, D. (2000). Clinical exchange: One model to achieve culturally sensitive care. Nursing Inquiry, 7, 61–71. doi:10.1046/j.1440–1800.2000.00047.x10.1046/j.1440-1800.2000.00047.xSearch in Google Scholar PubMed

Sloand, E., Bower, K., & Groves, S. (2008). Challenges and benefits of international clinical placements in public health nursing. Nurse Educator, 33, 35–38. doi:10.1097/01.NNE.0000299493.00249.2d10.1097/01.NNE.0000299493.00249.2dSearch in Google Scholar

St. Clair, A., & McKenry, L. (1999). Preparing culturally competent practitioners. Journal of Nursing Education, 38, 228–234.10.3928/0148-4834-19990501-10Search in Google Scholar

United States Department of Health and Human Services Office of Minority Health. (2001). National standards for culturally and linguistically appropriate service in health care organizations: Final report. Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=15Search in Google Scholar

Warren, J. L. (2012). Does Service-learning increase student learning?: A meta-analysis. Michigan Journal of Community Service Learning, 18(2), 56–61.Search in Google Scholar

Wilson, E., Chen, A. H., Grumbach, K., Wang, F., & Fernandez, A. (2005). Effects of limited English proficiency and physician language on health care comprehension. Journal of General Internal Medicine, 20, 800–806. doi:10.1111/j.1525-1497.2005.0174xSearch in Google Scholar

Zorn, C. R. (1996). The long-term impact on nursing students of participating in international education. Journal of Professional Nursing, 12, 106–110. doi:http://dx.doi.org/10.1016/S8755-7223(96)80056-110.1016/S8755-7223(96)80056-1Search in Google Scholar

Published Online: 2013-07-04

©2013 by Walter de Gruyter Berlin / Boston

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  18. Interactive Learning Research: Application of Cognitive Load Theory to Nursing Education
  19. The Relevance of Indigenous Knowledge for Nursing Curriculum
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