Doctor of Nursing Practice (DNP) Projects

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Degree Program

Doctor of Nursing Practice

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Psychiatric Mental Health Nurse Practitioner (PMHNP)

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Cultural competence, healthcare provider, Hispanics, mental illness, cultural competency, healthcare.


Gabrielle P. Abelard, DNP, PMHNP, PMHCNS-BC, RN, BS

DNP Project Chair

Maud Low, PhD, RNC, CLNC


Background: Hispanics are the largest minority group in the United States and account for an increasing number of poor health outcomes in treating and managing mental illnesses. The barriers to care include low socioeconomic status, lack of health insurance, clinician bias, low health literacy, and lack of effort around cultural care. A literature review was conducted to synthesize the effectiveness of cultural competency training supporting clinical practice and to evaluate areas that needs improvement. Purpose: To increase RN case managers’ cultural competency levels by completing an educational intervention based on a specific cultural competency model to improve quality of care and provider-patient relationship. Methods: RN case managers completed the Inventory for Assessing the Process of Cultural Competence among Healthcare Providers – Revised ( IAPCC-R). The IAPCC-R survey was conducted, pre- and post- intervention to evaluate the effectiveness of an educational intervention. Implementation Plan/Procedure: Cultural competency baseline levels of RN case managers (N = 5), working with adult Hispanic patients were assessed, followed by an educational intervention via PowerPoint presentation. A post-test evaluation survey was administered after the intervention. Results: Statistically significant increases were noted in mean cultural competency scores (9.8 points). Increases were noted in the measured constructs of cultural awareness (2.00 points), knowledge (3.00 points), and skill (2.20 points). Implications/Conclusion: Periodic educational interventions may lead to increased levels of cultural competence and may also foster meaningful working relationship among providers and minority populations. Future enhancements should focus on the effects of increased cultural competency on health outcomes.

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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