A quality improvement project on improving cultural humility through clinical virtual reality
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Background: Cultural humility is the ability to maintain an interpersonal stance that is other-oriented in relation to aspects of cultural identity that are most important to the person. There is currently a lack of clinical trainings related to cultural humility in the healthcare workplace. With racially motivated crime increasing, particularly against healthcare workers, it is imperative that workers are trained in how to respond when they either witness or are the victim of cultural abuse. As the United States population becomes more diverse, health care professionals are challenged to not only provide cross cultural care but also to achieve cultural humility within the workplace (Chang et al., 2012). The use of clinical simulation in nursing provides many opportunities for students to learn and apply principles of nursing in a safe environment. Measures to implement and maintain clinical simulation for continuing education is essential for nurses to provide safe, evidenced-based care.
Purpose/Intervention: The purpose of the quality improvement project is to implement a clinical simulation training on cultural humility for newly hired staff so as to increase nursing confidence in how to respond to these events. Cultural humility training was completed via virtual reality with thirty newly hired nurses at the project agency. The training consisted of a real life event in the life of Sumaya, who plays herself in the virtual reality. In this act, she is the victim of cultural abuse by a patient that was witnessed by two other healthcare workers who did not stand up for her. Participants observed the culturally insensitive encounter and had a rich discussion on how to respond.
Results: Participants who observed the virtual reality filled out a pre and post survey, assessing their understanding of and comfort with cultural humility (n = 30). A two-tailed paired samples t-test was conducted to examine whether the mean difference of the pre and post test (Q1, 2 and 3) was significantly different from zero. There was a significant increase in cultural humility understanding after the training was completed. In addition, the training also yielded rich discussion regarding the need for awareness of this topic. Results are as follows: The result of the two-tailed paired samples t-test was significant based on an alpha value of 0.05, t(29) = -12.04, p <0 .001 (question 1), alpha value of 0.05, t(29) = -14.75, p< 0.001 (question 2), alpha value of 0.05, t(29) = -25.74, p< 0.001(question 3). The findings suggest that the mean of question 1, 2, and 3 pre-test and the mean of question 1, 2, and 3 post-test were significantly different from zero. The pre-test means were significantly lower than the post-test means.
Conclusion: There is a great need for cultural humility training, especially in the workplace as this training has never been completed before. It is recommended that this training be part of the required orientation for all new hires at the project agency and not just nurses. As Minneapolis was once the epicenter of cultural abuse following the death of George Floyd, it is evident that there is a clear need for this type of training. As a result of this, staff will become more competent in how to respond to cultural abuse and therefore there will be fewer instances of culture abuse in the workplace.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Pilot/Exploratory Study |
Keywords | Cultural Humility; Virtual Reality; Cultural Abuse; Clinical Simulation Training |
Grantor | The College of St. Scholastica |
Advisor | Starr, Lisa |
Level | DNP |
Year | 2022 |
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