6.7.3 Cultural competence in community public health nurses: A case study (410)

Angela Knight Jackson, Research Health Visitor, Acting R&D Lead Nurse, Primary Care, Heart of Birmingham, Birmingham, United Kingdom ajackson17@hotmail.com

Abstract:

Background:

Current health policy has recognised the need to address the inequality of health status experienced by black and minority ethnic (BME) communities. Community public health nurses (CPHN) have been identified as having a pivotal role in leading public health practice and agreeing local health plans. Yet national and international literature suggests nurses are ill equipped to address the health needs of (BME) communities. Cultural competence training (CCT) is a means to achieving and delivering change.

Aim:

The aim of the research project was to ascertain whether (CCT) has an effect on CPHN (n=75) knowledge, attitudes and practice.

Method:

This project adopted a case study design. Transcultural nursing experts were commissioned to provide a 2 day training programme. Pre and post test data was collected using a cultural competence assessment tool (CCATool) (Papadopoulos et al 2002, 2004). Data analysis was undertaken using a dedicated software package designed to assess cultural competence. The study was approved by Local Research Ethics Committee.

Results:

Mean cultural competence levels scores increased post training and statistical analysis using parametric and non parametric testing revealed a significant difference in individual visual analogue scores in the experimental group in the areas of cultural knowledge, cultural sensitivity and practice. In comparison no significance was demonstrated in the control group.

Discussion & conclusion:

Cultural competence training increased cultural competence levels; most participants post training had moved to different levels, demonstrating participants were now more confident in their knowledge, skills and abilities. However questions are posed surrounding sustainability which has significant implications for providing a culturally competent service. This research study makes a valuable contribution to the body of knowledge in relation to cultural competence. Its particular strength is that it has been undertaken in clinical practice. A recommendation of the study is that it is repeated on a national scale with diverse CPHN and population profiles.

Biography:

Angela Knight Jackson has been a health visitor for 15 ycars and has combined clinical practice with research and lecturing post in the North and South of England. The main focus of her career has been to provide an expert level of care to vulnerable / socially excluded groups. She has a keen interest in Black and minority ethnic health issues and addressing inequalities in health. Angela has been successful in obtaining National awards these include: A Florence Nightingale Foundation Scholarship / Band Research Award 2001-2002; Primary Health Care Nursing Professional Development Award 2001; and more recently The Leading Practice through Research Award Sponsored by the Health Foundation. It is a continuing aspiration of Angela’s to contribute to improving and developing the nursing profession. Influencing and building research capacity in primary care is her ultimate aim.