The Impact of Cultural Competence Education on Short-Term Medical Mission Groups

Steinke, Mary K.; Riner, Mary E.; Shieh, Carol

doi:10.1177/1043659614527321

Cited by 10 publications

(9 citation statements)

References 18 publications

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“…The evolution of service learning is evident in literature and dates back to nearly a century ago. From the early 1900s, educators recognized the importance of connecting service to educational pedagogy [37]. Overtime, the idea of integrating service to education grew.…”

Section: Linking Service Learning To Nursing Educationmentioning

confidence: 99%

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2017

Madridge J Nurs

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The identification of effective instructional strategies to support learning is crucial for students and beneficial for educators with the aim of instilling critical thinking and developing culturally competent learners. The lack of critical thinking among beginning practitioners has resulted in the need to ensure cultural competency and self-efficacy among learners. Providing students with learning opportunities that enhance knowledge and practical application is important in the nursing profession. Service-learning is one method of instructional pedagogy used to bridge the theory to practice gap in education. An early understanding of cultural diversity will help to prepare learners to grow in confidence and become culturally competent in their nursing career. Strategies leading to the development of critical thinking and cultural competence is important in the development of student success. Problem-based learning and reflective writing are two examples of how students learn to apply theory to practical situations and events in the community. A recent phenomenological research study explored nursing student experiences of service-learning and the transformation of knowledge. Two categories of learners evolved each with unique characteristics. After an in-depth heuristic analysis, four themes unfolded signifying the influence of service learning in nursing education. Implications for the study focus on curricular alignment, assessment of agency selection, evaluation of student learning, and opportunities for leadership.

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Section: Linking Service Learning To Nursing Educationmentioning

confidence: 99%

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2017

Madridge J Nurs

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“…Culturally congruent health care is caring that fits clients’ lifestyle and values (Clarke, 2017). This study provides an illustrative exemplar of cultural factors that are particularly important for nurses engaged in humanitarian assistance and short-term medical initiatives (O’Handley & Erlinger, 2019; Steinke et al, 2015). Study findings may inform public health partners (government agencies, nonprofit organizations, local communities), patient care providers, and health educators by enriching understanding about complex anemia problems, and through recommendations for anemia management in vulnerable populations.…”

Section: Introductionmentioning

confidence: 99%

Anemia Management in Rural Haitian Children: A Mixed Methods Study

et al. 2021

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Introduction We examined factors influencing anemia outcomes in rural children following implementation of a prevention program. Method Mixed methods study of children, parents, and clinicians utilized statistical modeling and content/ethnographic analysis. Retrospective chart abstraction evaluated treatments administered and measured hemoglobin in children aged 6 to 59 months ( n = 161). Prospective interviews/questionnaires examined parent ( n = 51) and clinician ( n = 19) perceptions. Results Anemia prevalence decreased by 21.2%. Predictors of increased hemoglobin were clinic visit number and age at first visit. Once anemia improved, children were likely to remain improved ( P = .65). Despite favorable program perceptions, stakeholders emphasized ecological barriers, including social disadvantage and local practices. Discussion Socioeconomic factors prevented guideline concordant behaviors. Persistent attention to intrapersonal, interpersonal, and community social determinants is a sine qua non for successfully managing the epidemic. The first step to provide culturally congruent care is to explicitly acknowledge that guideline-concordant behaviors are often complex.

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“…STMMs may cause actual harm to communities, exacerbating their existing challenges [ 3 , 5 , 7 ]. Cultural differences may make communication difficult, and providers may be unfamiliar with the local culture and health care systems, rendering them unable to provide quality and effective care [ 1 , 8 ]. Donated supplies and equipment may fulfill short-term needs for a community but may cause long-term supply issues [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy in Haiti: A Pilot Study to Identify Intervention Methods Used during Short-Term Medical Missions

Schlegel

Mathieson

2020

Occupational Therapy International

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Due to the shortage of occupational therapists (OTs) in Haiti and over 800,000 individuals with disabilities, most occupational therapy assessments and interventions are provided by OTs on short-term medical missions (STMMs). Learning which methods OT use to provide assessments and interventions during these STMMs is the first step to understanding how to facilitate follow-up and carry-over for clients and ensure longevity for STMMs in Haiti. This study used a cross-sectional, descriptive design to gather data on methods used by OTs. Thirty-three OTs, who travelled to Haiti on STMMs, completed a 16-question, online survey. The most common method provided by OTs was education to patients, caregivers, and local providers. Training of Haitian rehabilitation technicians was also prevalent. There was an association between the years of the OTs’ clinical experience and the effort of OTs to train local providers, but this result was not statistically significant. Further research should be implemented on specific methods that can be used in the absence or shortage of Haitian OTs to ensure follow-up for Haitian clients. The sharing of data regarding OT methods on STMMs will promote evidence-based, client-centered, and cost-effective therapy to enhance effective client outcomes.

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The Impact of Cultural Competence Education on Short-Term Medical Mission Groups

Abstract: This program could provide an appropriate way to raise the cultural competency of medical mission health care providers.

Cited by 10 publications

References 18 publications

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Anemia Management in Rural Haitian Children: A Mixed Methods Study

Occupational Therapy in Haiti: A Pilot Study to Identify Intervention Methods Used during Short-Term Medical Missions

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