Alexander-Ruff Julie H, Kinion Elizabeth S
J Nurs Educ. 2019 Feb 1;58(2):117-120. doi: 10.3928/01484834-20190122-11.
Cultural consciousness is a central element of purposeful and appropriate health care delivery. Research suggests that cultural consciousness is strengthened through self-reflection, dialogue about race, and experience within other cultures.
Two cohorts of senior-level nursing students participated in a 1-week cultural immersion service-learning (CISL) experience in an isolated, rural American Indian community. Student reflections and White Racial Identity Attitude Scale (WRIAS) data were collected and analyzed.
The CISL experience facilitated culturally conscious care in two thirds of the participating nursing students. Differences in WRIAS scores were statistically significant (p < .0001) with an effect size of 1.9.
Implementing CISL experiences into the undergraduate curriculum may help nursing students recognize societal privilege and improve cultural consciousness. Recommendations are provided to assist nurse educators to develop partnerships with indigenous nations, which make CISL experiences possible. [J Nurs Educ. 2019;58(2):117-120.].
文化意识是有目的且恰当的医疗服务提供的核心要素。研究表明,文化意识可通过自我反思、关于种族的对话以及在其他文化中的经历得以强化。
两组高年级护理专业学生参与了在美国印第安人偏远农村社区开展的为期一周的文化沉浸式服务学习(CISL)体验。收集并分析了学生的反思以及白人种族身份态度量表(WRIAS)数据。
CISL体验促使三分之二参与的护理专业学生提供具有文化意识的护理。WRIAS分数差异具有统计学意义(p < .0001),效应大小为1.9。
将CISL体验纳入本科课程可能有助于护理专业学生认识到社会特权并提高文化意识。提供了相关建议,以协助护理教育工作者与原住民部落建立伙伴关系,从而使CISL体验成为可能。[《护理教育杂志》。2019年;58(2):117 - 120。]