Addressing Culturally Based Hidden Bias and RacisM (A-CHARM) Using Simulation Experiences, Nik's Story: A Quasi-Experimental Study.

IF 1.7 Q2 NURSING
Monakshi Sawhney, Jenny S Li, Michaela Patterson, Nathaniel P Gumapac, Crystal Sau, Ali Akbari
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引用次数: 0

Abstract

Background/purpose: Racism and hidden bias experienced by underrepresented nursing students contribute to a loss of confidence and anxiety. The A-CHARM nursing project developed virtual simulation experiences for nursing students to practice how to address racism. 'Nik's Story' virtual simulation was created as part of the A-CHARM project. The purpose of this study was to examine the effectiveness of an education intervention, that included Nik's story, on cultural humility and cultural diversity awareness.

Method: This quasi-experimental study included a convenience sample of final year nursing students. After informed consent, participants completed a pre-intervention questionnaire that included the Cultural Humility Scale "context for difference in perspective" subscale, and the Cultural Diversity Awareness questionnaire to assess baseline knowledge. Students participated in an education intervention that included a lecture, Nik's story virtual simulation experience, a debrief and then completed a post-education/simulation questionnaire that included usability/learner engagement questions and the Cultural Humility Scale "context for difference in perspective" subscale, and the Cultural Diversity Awareness questionnaire.

Results: Forty-seven students consented and completed the pre/post intervention questionnaire. Participants rated the effectiveness, engagement and usability of the simulation experience highly. There was a significant positive change in cultural humility "context for difference in perspective" subscale (pre-scores = 6.9, SD = 3.3; post-scores = 31.0, SD = 3.8, p < 0.001), and cultural diversity awareness (pre-scores = 95.4, SD = 8.9; post-scores = 103.4, SD = 9.8, p < 0.001).

Discussion: This intervention was effective in improving cultural humility and cultural diversity awareness in nursing students.

Conclusion: Simulation experiences regarding racism in the clinical setting provide a strategy for students to learn how to professionally navigate unwanted experiences.

利用模拟体验解决基于文化的隐性偏见和种族主义 (A-CHARM),尼克的故事:一项准实验研究。
背景/目的:代表性不足的护理专业学生所经历的种族主义和隐性偏见会导致他们丧失信心和焦虑。A-CHARM 护理项目为护理专业学生开发了虚拟模拟体验,以练习如何应对种族主义。尼克的故事 "虚拟模拟是 A-CHARM 项目的一部分。本研究的目的是考察包括 Nik 故事在内的教育干预对文化谦逊和文化多样性意识的影响:这项准实验性研究的样本为护理专业毕业班学生。在获得知情同意后,参与者填写了一份干预前问卷,其中包括文化谦逊量表 "视角差异背景 "分量表和文化多样性意识问卷,以评估基线知识。学生们参加了教育干预,包括讲座、尼的故事虚拟模拟体验、汇报,然后完成教育/模拟后问卷,其中包括可用性/学习者参与问题、文化谦逊量表 "视角差异背景 "分量表和文化多样性意识问卷:47 名学生同意并完成了干预前后的问卷调查。参与者对模拟体验的有效性、参与性和可用性给予了高度评价。文化谦逊 "视角差异背景 "分量表有明显的积极变化(干预前得分=6.9,标准差=3.3;干预后得分=31.0,标准差=3.8,p p 讨论:该干预措施能有效提高护理专业学生的文化谦逊和文化多样性意识:结论:临床环境中有关种族主义的模拟体验为学生提供了一种策略,让他们学会如何以专业方式应对不愉快的经历。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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