Tiefenbrun, Malkah Doba. Improving health care providers' cultural competency: a clinical practice guideline. Retrieved from https://doi.org/doi:10.7282/t3-bp15-1n17
DescriptionPurpose of Project: Despite the upsurge of minority populations in the United States, healthcare providers have displayed limited cultural competencies to care for diverse groups. Lack of providers’ cultural competencies jeopardizes patient-provider communication and leads to poor health outcomes. Several interventions have been proposed to improve healthcare providers’ cultural awareness and competencies. The purpose of this project was to summarize best available evidence and formulate a practice guideline to inform healthcare administrators and healthcare providers on interventions to enhance outcomes related to cultural awareness, knowledge, desire, and competencies.
Methodology: This project employed a method of comprehensive literature review. A search of two data bases identified 952 articles, published from 2010 to 2020. After removal of duplicates, articles were screened for eligibility. Seven articles were critically appraised and included in the review. The included articles were either quasi-experimental or controlled studies, and included healthcare providers (physicians, nurses, nurse practitioners, physician assistant) as participants.
Results: The included studies were different in terms of design, specific interventions, and populations. However, despite these differences, the overall evidence demonstrates the efficacy of educational interventions (in person or remote self-learning) in improving cultural awareness and cultural competencies. The evidence was mixed or insufficient regarding cultural knowledge and cultural desire.
Implications for Practice: To improve cultural awareness and cultural competency in healthcare, providers and healthcare administrators should implement either a web-based or in-person training.