Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Embargo Period
4-15-2020
Degree Program
Doctor of Nursing Practice
Degree Track
Psychiatric Mental Health Nurse Practitioner (PMHNP)
Year Degree Awarded
2020
Month Degree Awarded
May
Keywords
Cultural, communication, implicit bias, microaggression, microtrauma
Advisor
Genevieve Chandler PHD RN
DNP Project Chair
Genevieve Chandler PHD RN
Abstract
Background: Microaggressions can create a hostile work environment and decrease rapport and functioning in clinical and personal relationships. Exposure to micro aggression and implicit bias results in micro trauma and possible compassion fatigue by medical staff. Symptoms can include headaches, poor sleep, depressions, and anxiety, similar to compassion fatigue.
Purpose: To develop a toolkit for healthcare staff to use as educational material to facilitate for cultural communication and cultural humility.
Methods: Nurses that were enrolled in a nurse residency program at a level 1 trauma center participated in the education of a communication toolkit related to K.I.N.D communication project. K.I.N.D stands for knowledgeable, inclusive, non-bias and delivery. It was developed in part of a capstone project that focuses on implicit bias awareness in communication to decrease microaggressions and increase health outcomes for disadvantaged populations. Education was provided using PowerPoint, interactive activities, videos and open-ended dialogue discussions.
Results: The Cultural Assessment Screening tool was administered both pre and post to 35 new nurse residents with resulting changes in cultural competence scores not statistically significantly. However, qualitative data yielded positive responses, reporting personal experiences with implicit bias and a desire to utilize resources in the tool kit as well as an appreciation for the in-service.
Conclusion: Utilization of toolkit increases awareness of cultural micro aggression, implicit bias by healthcare staff and decrease micro traumas in the clinical setting an. While survey tool may not have been sensitive enough for the specific intervention, qualitative data was able to yield positive results and feedback regarding the toolkit.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
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Behavioral Disciplines and Activities Commons, Other Medicine and Health Sciences Commons, Other Nursing Commons, Other Psychiatry and Psychology Commons, Psychiatric and Mental Health Nursing Commons, Public Health and Community Nursing Commons, Social and Behavioral Sciences Commons