The Impact of an Evidence-Based Cultural Competence Workshop for University Student Health Centers’ Licensed Personnel
Year: 2019
Type: dissertation
Study design: Clinical Trial
Abstract: The lack of cultural competence (CC) by health care personnel (HCP) has been identified as a barrier to equitable care.In a closed environment, such as a university setting where all students have health care access, disparities persist.Literature reveals racial/ethnic minority groups are impacted by health care disparities and suffer unnecessarily.Culturally competent care can help mitigate health care disparities.The American College Health Association (ACHA, 2011) recommends CC training for HCP who affect student health outcomes.This quasi-experimental pre/post project examined the impact of an in-person, evidencebased, CC workshop on CC scores of university student health centers' licensed HCP.Secondary aims (1) compared CC scores between demographic groups; (2) evaluated the workshop format; and (3) appraised facilitators and barriers to implementation of CC skills addressed in the workshop.Participants included nurses, nurse practitioners, and physicians from three university student health centers.A one-hour CC workshop was conducted at each site.Demographics and the Inventory for Assessing Process of Cultural Care-Revised© (IAPCC-R©) were completed in hardcopy before the workshop.One week after the workshop, the IAPCC-R© and workshop evaluation were completed electronically.Six weeks after the workshop, the facilitators and barriers to implementation survey was completed electronically.Mean total IAPCC-R© scores rose from 70.84 to 78.21 (p < 0.001) across all participants.Further, HCP (N=19) had increases in CC constructs (awareness, skill, knowledge, encounters and desire) from pre-test to post-test.All constructs except desire showed significant improvements (p < .05).Nurses (n=9) had the largest improvement in construct scores.Those participants with CC content in their educational curriculum (n=9) had higher knowledge scores on the pre-test.Most HCP agreed or strongly agreed the workshop format was conducive to learning.HCP indicated lack of time was a common barrier to implementing the concepts learned in the workshop (36%).HCP must explore CC to deliver equitable health care.Policy implications involve HCP in student health centers participating in yearly CC training.Educational implications include embedding CC in curriculum for the personnel affecting student health outcomes.Future research should examine CC levels of university HCP and its relationship to student satisfaction ratings.
Author: Kori Beth Lapham
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3005929653