Objective structural clinical examination for evaluating learning efficacy of Cultural Competence Cultivation Programme
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RESEARCH ARTICLE
Open Access
Objective structural clinical examination for evaluating learning efficacy of Cultural Competence Cultivation Programme for nurses Yu-Hsia Lee1, Shu-Chuan Lin1, Pao-Yu Wang2 and Mei-Hsiang Lin3*
Abstract Background: Culture serves as an adhesive to bind the lives of people. There are no objective, useful tools to assess cultural competence and practice. In this study, we evaluated whether the cultural competence of nurses was strengthened through the Cultural Competence Cultivation Programme. Methods: A quasi-experimental research design was used to evaluate nurses working at a medical centre in Taiwan. They were randomly allocated into an experimental group (n = 47), which received the Cultural Competence Cultivation Programme, or a control group (n = 50), which did not receive the educational programme. After the intervention, learning efficacy of the participants was assessed using an Objective Structured Clinical Examination (OSCE). The research data were statistically analysed on SPSS. Results: The average score of the experimental group was significantly higher in the ‘communication ability and skill’ category. Furthermore, OSCE scores and Standardised Patient Survey assessment and total scores were significantly and positively correlated. Conclusion: The findings of this study can serve as a reference for designing future clinical education programmes. Keywords: Cultural competence, Objective Structured Clinical Examination (OSCE), Nurses, Standardised patient
Background Culture acts as an adhesive to connect the lives of people. Therefore, its impact on health should not be overlooked [1]. Nurses must be able to identify cultural differences and apply communication skills to provide person-centred nursing care to patients from various ethnicities. Cultural skills are the ability to leverage tools and resources to develop communication skills, gather information about an individual’s cultural background and conduct a cultural assessment accordingly to fulfil * Correspondence: [email protected] 3 School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, Republic of China Full list of author information is available at the end of the article
needs arising from the patient’s background [2]. Hospitals with culturally sensitive nurses and culturally friendly care environments have lower health inequalities and disparities [3–5]. Cultural competence is fostered through learning; thus, a fundamental strategy for nurses to foster cultural competence is participation in educational programmes [6]. Numerous earlier studies have proposed several factors that affect the cultural competence of nurses, including their ethnic minority background, interaction frequency with culturally different people at workplace or daily life, education level, experience of caring for multiple ethnic groups [7, 8], cultural diversity training [9, 10], language skills [8, 11] and clinical experience in foreign countries [12]. Furthermore,
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