Cultural Diversity In Nursing Education
What Is Cultural Diversity
Definitions of cultural diversity vary and may include
differences in race, age, ethnicity, religion, and gender within a situation,
group, or institution (Wood, 2003). It may also be the coexistence of different
ethnic, gender, racial, and socioeconomic groups within one social unit (Wood,
2003) or the totality of socially transmitted behavioral patterns, arts,
beliefs, values, customs, ways of life, and all other products. of human work and
thought characteristics of a population of people (Purnell & Paulanka,
2003, p. 3).
Implementation of Cultural Diversity In Nursing Education
Cultural diversity is a complex, multifaceted concept that
is essential to the education of nurses. Its complexity is inherent in the
multiple ways in which it can be viewed. For example, in the context of
representation, the term is used to depict images of particular social groups,
which tend to be defined by race, gender, age, or socioeconomic status. When
used in the context of ideology, the term does not refer to real people, but
rather to a set of beliefs for the purpose of changing people's attitudes. When
an event happens and people's thoughts need to be changed, diversity training
or sensitivity training can be used to affirm a different set of beliefs or
justify the attempt to change a stereotype (Wood, 2003).
Students achieve understanding of cultural diversity by
engaging in processes to promote their cultural awareness. The teaching
strategies used most often to move students toward cultural competence include
virtual patient encounters where students can apply cultural skills and
knowledge to diverse patient populations in a safe manner (Rutledge et al.,
2008); diversity experiences among students and faculty outside of the
classroom that might involve a guest speaker (Ranzijn, McConnochie, Nolan,
& Wharton, 2007); or more formal cultural diversity events aimed at
examining diversity issues to increase cultural awareness (Sanner, Baldwin,
Cannella, Charles, & Parker, 2010). Studying abroad and immersion
experiences also promote cultural awareness and sensitivity, and decrease
stereotyping (Ruddock & Turner, 2007),
Utilization of Cultural Diversity In Nursing Education
There are three key points in understanding cultural diversity. First, professional nursing organizations value cultural diversity. For example, the American Association of Colleges of Nursing (AACN, 2014) supports more faculty and student diversity in nursing programs: "racial and ethnic diversity of health professions faculty and students help to ensure that all students will develop the cultural competencies necessary for caring for patients in an increasingly diverse nation."
The National League for Nursing (NLN, 2014) supports the creation of "a culture of diversity" within nursing programs that "embraces acceptance, respect and inclusively that is about understanding ourselves and each other and moving beyond simple tolerance to embracing and celebrating the richness of each individual. While diversity can be about individual differences, it also encompasses institutional and system wide behavior." Finally, the National Advisory for Nursing Education and Practice stresses the need for increased numbers of minority nurses in education and leadership roles to develop models of care that meet the health care needs of minority populations.
The second key point is that despite the nursing profession's valuing of diversity and putting forth strategies to increase the nursing workforce diversity, there has only been a small increase in the numbers of minority nurses while the majority of the nursing workforce remains White (The Sullivan Commission, 2007). Villarruel, Bigelow, and Alvarez (2014) purport that a disconnect exists between what the nursing profession says about the value of diversity and what it has been able to actually accomplish in increasing the nursing workforce diversity. This disconnect is of great concern because US minorities will be the majority by 2042, increasing from 34% in 2008 to 54% in 2042 (US Census Bureau, 2007).
Furthermore, the continued increase in immigration and minority populations in
the United States indicates that more nontraditional rather than traditional
students are seeking nursing degrees, making the need to integrate diversity
within nursing programs and the nursing profession a priority (Bednarz, Schim,
& Doorenbos, 2010). A third key point is that nurse educators must shoulder
the responsibility of moving students toward cultural competence and increasing
cultural sensitivity so that they are qualified to provide culturally
appropriate patient care.
Outcomes of Considering Cultural Diversity In Education
Preparation of graduates to care for patients in culturally appropriate ways can be achieved by integrating cultural diversity into clinical and capstone experiences. Nurse educators must also be skilled at facilitating students through the steps of becoming culturally competent. There is a need for future research to focus on evaluating the effectiveness of learning activities aimed at promoting students' cultural awareness and competence and linking them to student learning outcomes. American Association of Colleges of Nursing.
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