Date of Conferral

9-15-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Catherine Fant

Abstract

Summary This quality improvement project was carried out to address a practice gap in culturally responsive care among nursing staff working in a skilled nursing facility. African-American residents often face disparities in healthcare due to staff’s limited knowledge of cultural health beliefs and confidence in engaging with diverse populations. To improve this, an educational intervention was designed using the ADDIE instructional model and evaluated to see if it could enhance staff knowledge and confidence related to African-American cultural practices. The project was guided by the practice-focused question: Will a structured African-American cultural awareness program improve staff knowledge and confidence to implement inclusive care practice in a skilled nursing facility? Clinical experts developed and reviewed educational materials before implementation. The training was delivered using online modules, videos, case studies, and role-play activities. Multimedia resources and expert-reviewed educational materials were incorporated to ensure cultural relevance, clinical applicability, and adult learning alignment. Staff completed pre- and post-surveys. Results showed that knowledge scores and confidence scores increased. Confidence score increased from 2.9 to 4.3, and knowledge score increased from 3.1 to 4.5. While themes like communication and cultural respect appeared in responses, they were not formally measured or reported as primary outcomes. In conclusion, the project demonstrated that a focused cultural awareness program can significantly improve staff readiness to deliver inclusive and patient-centered care thereby impacting positive patient outcomes to reduce health outcome disparities.

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