Increasing Culturally and Linguistically Appropriate Services Through Service and Interprofessional Collaboration

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  • September 20, 2019
Creator
  • Riyami, Zainab
    • Affiliation: School of Nursing
Abstract
  • With the nation’s changing demographics, the Office of Minority Health developed, in 2000, a set of Culturally and Linguistically Appropriate Services (CLAS) standards to promote the provision of effective and equitable healthcare, and reduce health disparities. As current and future health care providers, both undergraduate and graduate nursing students are expected to be adept at providing culturally competent care. The purpose of this Doctor of Nursing Practice (DNP) project was to pilot an interprofessional health outreach project with the North Carolina Farmworkers Project (NCFWP) providing care to migrant and seasonal farmworkers (MSFWs), with a focus on the attitudes, skills and knowledge needed by nursing students to provide culturally-sensitive, patient-centered care, while also supporting the role of community health workers (CHWs) as part of the healthcare team. Nursing students (n=15) were recruited to volunteer at the NCFWP mobile health clinic for two shifts during the agricultural season. Thirteen students completed a pretest, posttest and reflection based on their experiences. The students (n=13) and providers (n=14) also completed evaluations at the end of the intervention, and a focus group was held for the CHWs (n=7). Though not statistically significant, there were improvements in students’ attitude and knowledge scores, and positive reflections. The providers evaluated the project and addition of nursing support in the mobile clinic positively. The CHWs were also satisfied with the addition of nursing support and viewed the project as a helpful addition in meeting the goals of the mobile clinic. The DNP project piloted a new prospect in partnering with a community organization in meeting the goal of providing culturally-sensitive, patient-centered quality care for all populations. Working with an interprofessional healthcare team allows for each discipline to bring in their expertise encompassing the holistic approach to patient care that is the goal of the transforming healthcare system. With support and resources, CHWs are indispensable in meeting the needs of vulnerable populations. The students’ experiences described through the reflections portray how this DNP project can have an impact on the student participants’ delivery of culturally-sensitive, patient-centered care in the future.
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Advisor
  • Thomas, Gayle
  • Rodgers, Shielda
  • Davison, Jean
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2019
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