Improving the Utilization of Cultural Competency Tools by Healthcare Providers in a University Health Center
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Authors
Payne Rowland, Krishna
Issue Date
2024-05-10
Type
Thesis
Language
en_US
Keywords
College students , Cultural competence , Medical mistrust , Mental health , Minority students , Stigma
Alternative Title
Abstract
Background: Providers’ cultural awareness and competence influence the utilization of healthcare services, compliance with health promotion behaviors, and barriers that interfere with desired health outcomes. According to the American College Health Association, healthcare disparities and barriers to equitable quality care exist despite college/university students having access to student counseling and health centers (2022).
Methods: Participants in this quality improvement pilot project were APRNs staffed at a university health center. The project used a pre- and post-assessment strategy as an outcome measure and a survey of participant experience as a process measure. A mixed media toolkit was provided to help healthcare providers develop and implement site-specific, sustainable strategies to enhance the level of cultural competency to address the needs of culturally diverse students seeking mental health services.
Results: The quality improvement pilot project started with a sample size N=4 and ended with N=3. Pre-training IAPCC-HCP© composite scores for each participant (N=4) ranged from 74- 91, indicating each participant was Culturally Competent at baseline. The post-training IAPCCHCP© composite scores for each participant (N=3) ranged from 74-91, indicating each participant maintained the level of Culturally Competent upon completion of the training session. Two participants showed an increase in composite score upon completion of training when compared to baseline. Participants assessed the quality improvement intervention process as being effective and sustainable.
Conclusion: Due to the small sample size and attrition rate of 25%, results from this quality improvement pilot project provide limited information about the improvement conducted in this setting, but highlighted provider willingness to improve knowledge and skills. Needed is further opportunity to replicate the process in other settings and on a larger scale.
Description
Citation
Publisher
Washburn University