Brathwaite Angela Cooper, Majumdar Basanti
Durham Region Health Department, Public Health Nursing & Nutrition, Whitby, Ontario, Canada.
J Adv Nurs. 2006 Feb;53(4):470-9. doi: 10.1111/j.1365-2648.2006.03742.x.
This paper reports a study, which evaluated the effectiveness of a cultural competence educational programme to increase Public Health Nurses' cultural knowledge.
Cultural competence has great significance for practising nurses and has become a priority and commitment of the Nursing profession. Public Health Nurses interact regularly with clients from a variety of culturally diverse backgrounds. Thus, there is a need for an integrated programme with theoretical and experiential knowledge related to cultural competence for PHNs to enhance their knowledge and skills to better meet the needs of the population.
This study used a combination of quantitative and qualitative methods for data collection. A one-group Repeated Measures design was used to evaluate the effectiveness of the educational programme.
The sample consisted of 76 Public Health Nurses who attended a cultural competence educational programme, which was offered over five consecutive weeks, of 2 hours duration and reinforced by a booster session at 1 month postimplementation of the programme. Cultural knowledge was measured on the Cultural Knowledge Scale, which was a valid, reliable, 25-item Likert scale. Data were collected at four points in time and were analysed with repeated measures analysis of variance. Qualitative data were content analysed.
Findings revealed that the intervention was effective [Wilks' Lambda was F(3,69) = 142.02, P < 0.01] in increasing the nurses' cultural knowledge. Qualitative results complemented the quantitative findings. Participants reported that the programme was effective in increasing their cultural knowledge.
Although Public Health Nurses, who attended the educational programme increased their cultural knowledge, these findings are not generalizable to nurses working in other settings. However, the programme has clinical utility and could be adapted and given to nurses in other settings.
本文报告一项研究，该研究评估了一项文化能力教育计划提高公共卫生护士文化知识的有效性。
文化能力对执业护士具有重要意义，已成为护理专业的优先事项和承诺。公共卫生护士经常与来自各种文化背景的客户互动。因此，需要为公共卫生护士提供一个结合文化能力理论和实践知识的综合计划，以增强他们的知识和技能，更好地满足人群的需求。
本研究采用定量和定性方法相结合的数据收集方式。采用单组重复测量设计来评估教育计划的有效性。
样本包括76名参加文化能力教育计划的公共卫生护士，该计划连续进行五周，每次持续2小时，并在计划实施后1个月通过强化课程进行巩固。文化知识通过文化知识量表进行测量，该量表是一个有效、可靠的25项李克特量表。在四个时间点收集数据，并采用重复测量方差分析进行分析。定性数据进行内容分析。
研究结果表明，该干预措施在增加护士文化知识方面是有效的[威尔克斯Lambda检验F(3,69)=142.02，P<0.01]。定性结果补充了定量研究结果。参与者报告说该计划在增加他们的文化知识方面是有效的。
尽管参加教育计划的公共卫生护士增加了他们的文化知识，但这些结果不能推广到在其他环境中工作的护士。然而，该计划具有临床实用性，可以进行调整并应用于其他环境中的护士。
