Date of Conferral

11-13-2025

Date of Award

November 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Gross

Abstract

Summary The Doctor of Nursing Practice (DNP) project involved implementing a cultural competency staff education program at an outpatient mental health clinic. The identified practice problem was poor cultural competence practices knowledge among staff, resulting in poor patient engagement and a low patient satisfaction rate. Improving cultural competency in nursing practice was necessary to facilitate therapeutic trust, increase patient treatment adherence, and enhance staff compliance with Culturally and Linguistically Appropriate Services (CLAS). The practice-focused question guiding the DNP project was: Does implementing staff education impact their knowledge of cultural competence and confidence in adhering to CLAS? Data were collected through pre- and post-training surveys to measure staff knowledge and confidence. Learning gain was calculated using Brigham and Women’s Hospital Center for Nursing Excellence Pre- and Post-Test Guidelines. The findings demonstrated increased staff knowledge of CLAS and confidence in culturally competent care. The major products of this project included training modules, assessment tools, and a framework for ongoing cultural education. The project concluded that structured training is effective in improving staff knowledge and confidence in integrating culturally competent care in healthcare facilities. In this regard, the nursing practice should deliver better-quality care, allow for better collaboration, and improve positive organizational culture. The initiative helps bring about social change by working to mitigate health disparities and ensuring diversity, equity, and inclusion are at the center of care.

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