Addressing Cultural Competence & Communication in

Undergraduate Community Health Education

Tracy Fasolino, PhD, FNP, ACHPNJackie Gillespie, MSN, RNPortia Botchway, MS, RNTiffany Stewart, MSN, RN

Funding provided by Mary Lohr Faculty Endowment Award, School of Nursing, Clemson University

Research team gratefully acknowledges Sara Sue Miller, Educational Solutions Account Executive & Andy Roswold, Laerdal Customer Representative

Focus of Culture United States as a multicultural population

African American increased by 12.3%Hispanic populations increased by 43%Hindu-Indian increased by 5.8%

Culture competencyNational Goal: Health People 2010 by the US DHHS. ANA Code of Ethics: “Care unrestricted by social or economic status, personal

attributes, or the nature of health problems.” (ANA Code of Ethics, 2011).Essentials of Baccalaureate Education for Professional Nursing Practice:

Standards for baccalaureate graduates to understand the ways cultural, racial, socioeconomic, religious, and lifestyle variables are expressed.

Simulation Scenarios Theoretical Framework

CommunicationSocial orientationEnvironmental controlBiological variationsTime orientation

Skill IntegrationTracheostomy suctioningDeath & dyingMedication compliance

Hybrid simulationStandardized patient or family member Simulator – Nursing Kelly with SimPad controlHome environment setup

Implementation Phase

Implementation Phase

Post Survey Results – NLN Instruments

Education Practice Questions Student SatisfactionConcept Scoring Results

Active Learning 4.7

Collaboration 4.9

Diverse Ways of Learning 4.6

Expectations 4.7

Concept Scoring ResultsSatisfaction 4.6

Self-Confidence 4.4

Concept Scoring Results

Objectives & Information 4.7

Support 4.8

Problem Solving 4.5

Feedback 4.8

Fidelity 4.6

Simulation Design