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ABSTRACT

Objective: To ascertain to ascertain whether (CCT) has an effect on CPHN (n=75) knowledge, attitudes and practice.
Method: This project adopted a case study design using quantitative and qualitative research methods. Transcultural nursing experts Papadopoulos and Tilki were commissioned to provide a 2 day training programme. Participants were randomised to an experimental or control group. Pre and post test data was collected using a cultural competence assessment tool (CCATool) with additional data provided by an organisational cultural competence assessment tool (OCCATool) and evaluation of training programme (Papadopoulos et al 2002).
Data analysis was undertaken using a dedicated software package designed to assess cultural competence, SPSS and content analysis.
The study was approved by the Local Research Ethics Committee.
Results: The CCT evaluation was extremely positive. 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. No significance was demonstrated in the control group.
Discussion: Valuable knowledge was gained in to the structural influences which promote and hinder cultural competence practice. CCT had a positive effect on knowledge, attitudes and practice however questions are posed surrounding sustainability. The study raises questions on ethnic matching and whether this facilitates a more sensitive service.
This 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.

References: Papadopoulos,I; Tilki,M, Lees,S; (2002) Cultural Competence in Action Project Research Centre for Transcultural Studies in Health, Middlesex University, London.

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