Not missing the opportunity: Strategies to promote cultural humility among future nursing faculty

Hughes, Victoria; Delva, Sabianca; Nkimbeng, Manka; Spaulding, Erin M; Turkson‐Ocran, Ruth‐Alma; Cudjoe, Joycelyn; Sherman, Athena D F; Rushton, Cynda Hylton; D’Aoust, Rita; Han, Hae Ra

doi:10.1016/j.profnurs.2019.06.005

Cited by 55 publications

(71 citation statements)

References 50 publications

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“…Changing attitudes, behaviors, and practices among health care providers to better address cultural competence is necessary in order to build trust, eliminate discrimination, and therefore improve the QOL of Canada’s increasingly diverse patient population. Engaging learners in discussions about the negative impact of provider discrimination on new immigrant health may promote cultural humility, a lifelong skill that is foundational to nursing practice ( Hughes et al, 2020 ). Attitudinal and behavioral change is more likely to occur when content is strategically integrated in health sciences curricula and tied to learner values ( Biles, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…More research is also needed to explore the effects of low health literacy and limited English proficiency on patient–provider communication and interactions, and to better understand the root causes of distrust in health care providers ( Ngo-Metzger et al, 2006 ). While some scholars are placing greater emphasis on concepts of cultural safety ( Kirmayer, 2012 ) and cultural humility ( Hughes et al, 2020 ; Yeager & Bauer-Wu, 2013 ), others challenge the need to delineate these related concepts ( Greene-Moton & Minkler, 2020 ). Regardless, reliable measures of cultural safety and cultural humility are lacking, as are instruments that measure cultural competence from the patient perspective.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers

et al. 2020

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Introduction: New immigrants underutilize health care because of multiple barriers. Although culturally competent health care improves access, it is typically assessed by providers, not newcomers whose perceptions matter most. Methodology: Surveys that included measures of cultural competence and health-related quality of life (QOL) were completed by 117 new immigrants in Windsor, Ontario, Canada. A series of stepwise linear regression analyses were conducted to identify independent predictors of QOL and its four domains: physical health, psychological, social relationships, and environment. Results: Our adjusted results suggest that experiences of discrimination was negatively associated with overall QOL (β = −.313; p < .001) and its psychological (β = −.318; p < .001), social (β = −.177; p = .048), and environmental (β = −.408; p < .001) domains. Discussion: Discrimination negatively influences new immigrant QOL. Provider cultural competency training should emphasize the influence of provider discrimination on immigrant health and explore learners’ values and biases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers

et al. 2020

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“…Because cultural shifts are dynamic processes requiring direct and dynamic action and sustained self-reflection, the fostering of cultural humility within healthcare workers is imperative for the realization of a cultural shift away from implicit bias and toward an anti-racist approach to health care. A lifelong process [ 26 ], the cultivation of cultural humility involves self-reflection and self-critique [ 27 ] during patient encounters coupled with a resolve to be open to—and learn from—all patients regardless of cultural differences [ 27 , 28 ]).…”

Section: Discussionmentioning

confidence: 99%

Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review

Ricks

Abbyad

Polinard

2021

J. Racial and Ethnic Health Disparities

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Background Research indicates that the implicit biases and racist attitudes of healthcare workers are fundamental contributing factors to race-based health inequities. However, few studies and reviews appear to have examined the provision and effects of anti-racist education and training on post-licensure healthcare workers. The purpose of this systematic literature review was to explore what research methods are being used to ascertain the training healthcare workers are receiving post-licensure and to identify the goals and outcomes of this training. Methods Using PubMed, CINAHL, and Google Scholar databases, peer-reviewed articles meeting inclusion criteria were identified and reviewed by the authors from March through October of 2020 in alignment with the renewed national focus on anti-racism and racial justice. Studies or initiatives involving students were excluded as were commentaries on studies and studies not specific to racism or anti-racism. Results Eleven articles were identified as meeting stipulated inclusion criteria. Few were outcome studies ( n = 3), and many articles did not clearly delineate training methods, content, or outcomes assessed. Identified methods included group discussion, case studies, and online modules. Reported outcomes included increased self-awareness of implicit biases and racism. Only two studies focused specifically on nurses, with the majority of studies centering on physicians ( n = 5). Conclusions A considerable knowledge gap exists regarding effective methods, tools, and outcomes to use for undoing racism and mitigating bias in healthcare professionals. Nothing less than a seismic paradigm shift is called for, one in which an anti-racist perspective informs all healthcare education, research, and practice. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-021-01137-x.

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“…Cultural competency is a process of gathering knowledge about particular cultural groups; cultural humility is a process of inquiry and interpersonal curiosity approached with openness toward another ( 87 ). The pervasive nature of multiculturalism in the United States has made basing cultural competency on knowledge alone increasingly challenging ( 88 ). Yancu and Farmer [( 89 ), p. e1–e2] said:…”

Section: Discussionmentioning

confidence: 99%

“…Cultural and spiritual humility are conducive to superlative interpersonal communication and relational efficacy contributing to provider compassion satisfaction ( 88 ). Nurse researcher Kalu ( 91 ) concluded that religious and spiritual beliefs can support and promote better coping for individuals experiencing a reproductive loss.…”

Section: Discussionmentioning

confidence: 99%

Fostering Vicarious Resilience for Perinatal Palliative Care Professionals

et al. 2020

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Background: The demands on healthcare professionals caring for families grappling with a life-limiting condition in an unborn or newly born child can be overwhelming. Clinicians working in emergency/trauma, hospice, and pediatric settings are already at high risk for burnout and compassion fatigue, which can leave healthcare institutions increasingly vulnerable to poor retention, absenteeism, and waning quality of care. The provision of exemplary palliative care requires a cohesive interdisciplinary team of seasoned professionals resilient to daily challenges. In September 2019, the American College of Gynecology, in a committee opinion, published standard of care guidelines for perinatal palliative care. This has created an impetus for exceptional caregiving and a greater demand for both physician and interdisciplinary healthcare provider education, training, and ongoing support that promotes truly beneficent care for pregnant patients confronted with life-limiting fetal conditions. Methods: A scoping review of the research literature was conducted in order to distinguish the barriers and facilitators of professional resiliency in perinatal palliative care. PubMed, Medline, CINAHL, and EBSCO Psychology & Behavioral Sciences Collections were systematically reviewed. Because of the paucity of studies specific to perinatal palliative care, several interviews of nurses and physicians in that field were conducted and analyzed for content distinctly pertaining to personal practices or workplace factors that support or hinder professional resiliency. Results: The research indicated that medical professionals often cite a lack of knowledge, inexperience using effective communication skills related to perinatal palliative care and bereavement, challenges with interdisciplinary collaboration, misconceptions about the role and function of palliative care in the perinatal or neonatal settings, moral distress, and workload challenges as encumbrances to professional satisfaction. Strategic implementation of facility-wide bereavement care training, effective communication modalities, and evidenced-based practical applications are critical components for a thriving perinatal palliative care team. Authentic formal and informal debriefing, peer mentoring, adequate caseloads, robust provider self-care practices, exceptional relational efficacy, and cultural and spiritual humility can foster personal growth and even vicarious resilience for perinatal palliative care professionals. Conclusions: Support should be strategic and multifaceted. The onus to implement salient measures to cultivate resilience in the perinatal palliative caregiver should not be only upon the individuals themselves but also upon prevailing regulatory governing bodies and healthcare institutions.

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Not missing the opportunity: Strategies to promote cultural humility among future nursing faculty

Cited by 55 publications

References 50 publications

Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers

Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers

Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review

Fostering Vicarious Resilience for Perinatal Palliative Care Professionals

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