TY - JOUR
T1 - The influence of the oncology-focused transgender-simulated patient simulation on nursing students' cultural competence development
AU - Ozkara San, Eda
N1 - Funding Information:
The author acknowledges all internal and external consultants who brought their knowledge and expertize to this project, faculty who taught in the curriculum, lab coordinator, Melissa Balkaran, who assisted with the logistics of the simulation setting and scheduling for all simulation sessions, and simulation director, Patricia Myers, for her encouragement and support. The author also thanks all transwomen SPs who contributed to this study greatly, and the students who embody this knowledge and bring cultural competence to their practice are gratefully acknowledged. Additionally, well known, transcultural nursing education expert, Dr. Marianne Jeffreys, is specifically acknowledged for her encouragement, support, guidance, and dedication for excellence for this project to be completed successfully. Lastly, the author would like to extend her thanks to Dr. Mark Fridline for his support and help on the statistical analysis. The author disclosed receipt of the following financial support for the research, authorship, and/or publication of this article. This study was partially funded by a scholarly research award by Pace University, College of Health Professions.
Publisher Copyright:
© 2020 Wiley Periodicals LLC
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Background: Disparities experienced by transgender patients, especially in cancer care, leads to poorer outcomes and overall health. Simulation, using transgender simulated patients (SPs) with a focus on cancer care can be an effective way to foster cultural competence nursing education. Methods: Guided by the National League for Nursing (NLN)/Jeffries Simulation Theory and Cultural Competence and Confidence Model, this grant funded pretest (n = 48) and posttest (n = 41) comparison group, quasi-experimental study aimed to understand changes in students' transcultural self-efficacy (TSE) following the transgender-simulated patient simulation (TSPS) focusing on an oncological emergency management. Developed by following recommended guidelines and standards, the TSPS had content validity review and pilot testing. It aimed to improve students' knowledge, skills, and attitudes with regard to providing culturally congruent nursing care. The statistical methods included paired sample t-tests, independent t-tests, and correlation analyses. Results: Students who participated in the TSPS intervention had significantly higher posttest TSE scores (P <.05). Discussion: SP methodology can be an effective way to foster cultural congruence in nursing care. The findings contribute to the importance of continuous efforts for the inclusion of lesbian, gay, bisexual, transgender, queer (LGBTQ) topic in nursing education to enhance culturally congruent care.
AB - Background: Disparities experienced by transgender patients, especially in cancer care, leads to poorer outcomes and overall health. Simulation, using transgender simulated patients (SPs) with a focus on cancer care can be an effective way to foster cultural competence nursing education. Methods: Guided by the National League for Nursing (NLN)/Jeffries Simulation Theory and Cultural Competence and Confidence Model, this grant funded pretest (n = 48) and posttest (n = 41) comparison group, quasi-experimental study aimed to understand changes in students' transcultural self-efficacy (TSE) following the transgender-simulated patient simulation (TSPS) focusing on an oncological emergency management. Developed by following recommended guidelines and standards, the TSPS had content validity review and pilot testing. It aimed to improve students' knowledge, skills, and attitudes with regard to providing culturally congruent nursing care. The statistical methods included paired sample t-tests, independent t-tests, and correlation analyses. Results: Students who participated in the TSPS intervention had significantly higher posttest TSE scores (P <.05). Discussion: SP methodology can be an effective way to foster cultural congruence in nursing care. The findings contribute to the importance of continuous efforts for the inclusion of lesbian, gay, bisexual, transgender, queer (LGBTQ) topic in nursing education to enhance culturally congruent care.
KW - Cultural Competence and Confidence Model
KW - LGBTQ
KW - NLN/Jeffries Simulation Framework for Simulated Patient Methodology
KW - SP
KW - TSE
KW - TSET
KW - Transcultural Self-Efficacy Tool
KW - cultural competence education
KW - oncological emergency management
KW - simulated patient
KW - simulation best practices
KW - transcultural self-efficacy
KW - transgender-simulated patient simulation
KW - Patient Simulation
KW - Self Efficacy
KW - Humans
KW - Male
KW - Cultural Competency/education
KW - Education, Nursing, Baccalaureate/methods
KW - Simulation Training/methods
KW - Students, Nursing/psychology
KW - Adult
KW - Female
KW - Oncology Nursing/methods
KW - Transgender Persons/psychology
KW - New England
UR - http://www.scopus.com/inward/record.url?scp=85087179622&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087179622&partnerID=8YFLogxK
U2 - 10.1111/nuf.12478
DO - 10.1111/nuf.12478
M3 - Article
C2 - 32608020
AN - SCOPUS:85087179622
SN - 0029-6473
VL - 55
SP - 621
EP - 630
JO - Nursing Forum
JF - Nursing Forum
IS - 4
ER -