Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Janice Long

Abstract

The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded to NVivo software for transcription. Saldana’s first and second cycle manual coding and code weaving were used to identify themes with NVivo software used for organization and verification. Results revealed five themes:(a) cultural knowledge, (b) self-awareness, (c) barriers to cultural competency, (d) educational process, and (e) current culturally competent practices. All five themes aligned with the constructs of Campinha-Bacote’s cultural competence model. The findings of this study may promote positive social change by identifying strategies for cultural competency improvement at the bedside and in nurses’ delivery of care. Recommendations for future studies include quantitative or qualitative studies that identify tools and education to improve nurses’ knowledge and skills in delivering culturally competent care.

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