Abstract

Introduction: Nurses’ cultural competence is vital in improving patients’ experiences and reducing health disparities. Cultural competence should be integrated into nursing curricula to prepare nursing students to deliver culturally competent care. Unfortunately, not all nursing educational practices are culturally competent. Institutions and agencies for advancing nursing education have acknowledged the importance of cultural competence in nursing education. Few studies have critically examined nurse faculty readiness and preparation in cultural competence in the United States. Therefore, we aimed to assess cultural competence among nurse faculty at a large nursing school in the Southwestern United States.

Methods: Using convenience sampling, a cross-sectional, descriptive quality improvement project was conducted among 41 nursing faculty participants. A demographic and professional characteristics questionnaire and the Cultural Diversity Questionnaire for Nurse Educators–Revised were administered. Faculty were also asked to respond to open-ended questions about activities or topics they used to teach or measure students’ cultural competence or to improve their own. Data were analyzed using descriptive and inferential statistics.

Results: The overall cultural competence score (mean=154.9; SD=23.8) indicated high levels of cultural competence of nursing faculty. Participants scored highest per item on the Cultural Awareness Subscale (mean=4.0; SD=0.7) and lowest on the Cultural Skills Subscale (mean=3.5, SD=0.8). Cultural competence scores were significantly associated with presentation of cultural content in the course (F=6, p=0.006); those who fully integrated cultural content had significantly higher cultural competence (174.3) than those who occasionally integrated cultural content (153.5) and those who merely included a cultural activity (121.3). Qualitative analysis of the open-ended questions revealed inconsistency of integration of cultural content.

Discussion: These findings can be used to prepare faculty to educate nursing students to deliver culturally competent care potentially reduce healthcare disparities, and improve patient outcomes. Nurses' cultural competence can be developed by offering multicultural nursing education, increasing direct/indirect multicultural experiences, and sharing problem-solving experiences to promote nurses’ coping abilities.

Notes

References:

American Association of Colleges of Nursing. (2021). The Essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf

Gradellini, C., Gómez-Cantarino, S., Dominguez-Isabel, P., Molina-Gallego, B., Mecugni, D., & Ugarte-Gurrutxaga, M. I. (2021). Cultural competence and cultural sensitivity education in university nursing courses: A scoping review. Frontiers in Psychology, 12, 682920. https://doi.org/10.3389/fpsyg.2021.682920 Article e682920. https://doi.org/10.3389/fpsyg.2021.682920


Hinson, T., Brostoff, M., Grossman, A.B., Ward, V. L, Lind, K., & Wood, L J. (2022). Increasing racial and ethnic diversity in the nursing workforce: One pediatric hospital's strategic approach. The American Journal of Maternal/Child Nursing, 47(5), 265–272,
https://doi.org/10.1097/NMC.0000000000000840

Majnoon, S., Yates, V. M., Asgarpour, H., Mirza Aghazadeh Attari, A., & Lotfi, M. (2023). Cultural competence of nursing educators at medical universities of 2nd regional planning in Iran. BMC Medical Education, 23(1), 328. https://doi.org/10.1186/s12909-023-04274-5

Osmancevic, S., Großschädl, F. & Lohrmann, C. (2023). Cultural competence among nursing students and nurses working in acute care settings: A cross-sectional study. BMC Health Services Research, 23(1), Article e105. https://doi.org/10.1186/s12913-023-09103-5.

Description

Nurses’ cultural competence is essential to improve patients’ experiences and reduce disparities in health care. This quality improvement project analyzed the cultural competence of nursing faculty at a selected nursing school in the U.S. The findings highlight the critically needed areas of faculty preparation in cultural competence. These findings can be used to prepare faculty to educate nursing students to deliver culturally competent care to improve patient outcomes.

Author Details

Nitha Mathew Joseph, PhD, RN, CNE, CGNC; Rebecca Tsusaki, PhD, RN, WHNP-BC, IBCLC; D’hania Miller, MS, BSN, RN; Doncy Joji Eapen, PhD, MSN, APRN, FNP-BC; Marie McBee, DNP, RN, MSN, NEA- BC; Mary Ellen Ross, DrPH, MSN, RN, GCNS-BC; Olivia Fitch, PhD; Riza Mauricio, PhD, APRN, CPNP-PC/AC, FCCM; Sara Lewandowski, PhD, APRN, CPNP-PC/AC, FCCM; Melanie McEwen, PhD, RN, CNE, ANEF, FAAN

Sigma Membership

Zeta Pi

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Mixed/Multi Method Research

Keywords:

Competence, Teaching and Learning Strategies, Faculty Development, Nursing Education, Advances in Education, Cultural Competence

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-05

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Assessment of Cultural Competence of Nursing Faculty

Indianapolis, Indiana, USA

Introduction: Nurses’ cultural competence is vital in improving patients’ experiences and reducing health disparities. Cultural competence should be integrated into nursing curricula to prepare nursing students to deliver culturally competent care. Unfortunately, not all nursing educational practices are culturally competent. Institutions and agencies for advancing nursing education have acknowledged the importance of cultural competence in nursing education. Few studies have critically examined nurse faculty readiness and preparation in cultural competence in the United States. Therefore, we aimed to assess cultural competence among nurse faculty at a large nursing school in the Southwestern United States.

Methods: Using convenience sampling, a cross-sectional, descriptive quality improvement project was conducted among 41 nursing faculty participants. A demographic and professional characteristics questionnaire and the Cultural Diversity Questionnaire for Nurse Educators–Revised were administered. Faculty were also asked to respond to open-ended questions about activities or topics they used to teach or measure students’ cultural competence or to improve their own. Data were analyzed using descriptive and inferential statistics.

Results: The overall cultural competence score (mean=154.9; SD=23.8) indicated high levels of cultural competence of nursing faculty. Participants scored highest per item on the Cultural Awareness Subscale (mean=4.0; SD=0.7) and lowest on the Cultural Skills Subscale (mean=3.5, SD=0.8). Cultural competence scores were significantly associated with presentation of cultural content in the course (F=6, p=0.006); those who fully integrated cultural content had significantly higher cultural competence (174.3) than those who occasionally integrated cultural content (153.5) and those who merely included a cultural activity (121.3). Qualitative analysis of the open-ended questions revealed inconsistency of integration of cultural content.

Discussion: These findings can be used to prepare faculty to educate nursing students to deliver culturally competent care potentially reduce healthcare disparities, and improve patient outcomes. Nurses' cultural competence can be developed by offering multicultural nursing education, increasing direct/indirect multicultural experiences, and sharing problem-solving experiences to promote nurses’ coping abilities.