Nursing curriculum must include unique ways to enhance students’ cultural sensitivity to ensure the provision of culturally competent care to our diverse populations. Academic community engagement (ACE) is a pedagogy used to teach course concepts through service.
Methodology
This was a qualitative study analyzing nursing students’ written reflective journals following their service at a Native American powwow using Lincoln and Guba’s model. The purpose was to examine if the ACE experience influenced their development of cultural sensitivity.
Results
Reflective journals of 34 first-semester nursing students, enrolled in a nursing specific culture course, were analyzed. Three themes were identified: (a) engagement, (b) cultural sensitivity, and (c) humility and altruism.
Discussion
The development of self-awareness and the revelation by students of the importance of culturally sensitive care was a key finding supporting the use of ACE as a reliable teaching strategy in nursing education.
Al-KofahyL.JamesL. (2017). Clinical reflection: The experience of nursing students in the obstetric unit. International Journal of Nursing Clinical Practice, 4, 243. https://doi.org/10.15344/2394-4978/2017/243
AmersonR. (2010). The impact of service-learning on cultural competence. Nursing Education Perspectives, 31(1),18-22.
4.
BillingsD. M.HalsteadJ. A. (2016). Teaching in nursing: A guide for faculty (5th ed.). Elsevier.
5.
BoudD.KeoghR.WalkerE. (Eds.). (1985). Reflection: Turning experience into learning. RoutledgeFalmer
6.
Campinha-BacoteJ. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3),181-184. https://doi.org/10.1177/10459602013003003
ChangH. Y.YangY. M.KuoY. L. (2013). Cultural sensitivity and related factors among community health nurses. Journal of Nursing Research, 21(1), 67-73. https://doi.org/10.1097/jnr.0b013e3182829cb9
9.
CupelliL. (2016). An innovative service-learning project to develop cultural competency in undergraduate nursing students. Teaching and Learning in Nursing, 11, 113-117. https://doi.org/10.1016/j.tln.2016.01.004
10.
ElversonC. A.KlawiterR. (2018). Using guided reflection to link cultural and service learning in a study abroad course. Journal of Professional Nursing, 35(3), 181-186. https://doi.org/10.1016/j.profnurs.2018.11.004
11.
FisherK. (2004). Critical self-reflection: What is it and how do you do it?Southern Cross University.
HarrisonN. (2012). Investigating the impact of personality and early life experience on intercultural interaction in internationalised universities. International Journal of Intercultural Relations, 36(2), 224-237. https://doi.org/10.1016/j.ijintrel.2011.03.007
14.
HatcherJ. A.BringleR. G. (1997). Reflection: Bridging the gap between service and learning. College Teaching, 45(4), 153-158. https://doi.org/10.1080/87567559709596221
15.
JamesL.StilesA.StephensC. (2020). Nursing student differences in transcultural self-efficacy by culture curriculum: A longitudinal study. Journal of Transcultural Nursing. Advance online publication. https://doi.org/10.1177/1043659620950422
16.
JeffreysM. R. (2016). Teaching cultural competence in nursing and health care: Inquiry, action and innovation (3rd ed.). Springer. https://doi.org/10.1891/9780826119971
17.
KlineC. C.ChhinaG. S.GodolphinW. J.TowleA. (2013). Community as teacher model: Health profession students learn cultural safety from an Aboriginal community. Michigan Journal of Community Service Learning, 20(1), 5-17.
18.
KohlbryP. W. (2016). The impact of international service-learning on nursing students’ cultural competency. Journal of Nursing Scholarship, 48(3), 303-311. https://doi.org/10.1111/jnu.12209
19.
KohlbryP. W.DaughertyJ. (2015). International service learning: An opportunity to engage in cultural competence. Journal of Professional Nursing, 31(3), 242-246. https://doi.org/10.1016/j.profnurs.2014.10.009
20.
KratzkeC.BertoloM. (2013). Enhancing students’ cultural competence using cross-cultural experiential learning. Journal of Cultural Diversity, 20(3), 107-111.
21.
LehmanD.FenzaP.Hollinger-SmithL. (2012). Diversity and cultural competency in health care settings. Mather LifeWays Orange Paper on Aging.
SchuesslerJ. B.WilderB.ByrdL. W. (2012). Reflective journaling and development of cultural humility in students. Nursing Education Research, 33(2), 96-99. https://doi.org/10.5480/1536-5026-33.2.96
28.
ShortN.St. PetersH.AlmonroederT.BolomopeG.DallerK.DeatonK.KreillM. (2020). Long-term impact of international service learning: Cultural competence revisited. Journal of Occupational Therapy Education, 4(1), 1-14. https://doi.org/10.26681/jote.2020.040109
29.
StilesA.SchuesslerZ.JamesL. (2018). A comparison of two methods of teaching culture to bachelor of science in nursing students. Journal of Nursing Education, 57(10), 609-613. https://doi.org/10.3928/01484834-20180921-07
