Reflexive Photography as an Alternative Method for Documenting the Learning Process of Cultural Competence

Monday, 31 October 2011: 2:05 PM

Roxanne Amerson, PhD, RN, CTN-A
School of Nursing, Clemson University, Clemson, SC

Learning Objective 1: The learner will be able to identify at least 3 examples of photographs which address the learning dimensions of cultural competence.

Learning Objective 2: The learner will be able to describe the use of reflexive photography as a data collection method for a qualitative study.

The Cultural Competence and Confidence Model by Jeffreys attempts to explain, describe, or predict the phenomenon of developing cultural competence.  Cultural competence is a multidimensional learning process that involves three dimensions: cognitive, practical, and affective.  As part of an international study in Guatemala, students conducted family and community assessments; visited a local hospital; engaged in home visits; and provided health education using a “promotora” concept.  The purpose of this qualitative study was to develop new insight into the learning dimensions and how the environmental context of study abroad influenced the development of cultural competence with baccalaureate nursing students.  Data collection utilized reflexive photography and personal interviews with a purposive sample of 10 baccalaureate nursing students.  Reflexive photography is an alternative qualitative research technique which focuses on the individual-environment interaction with participants reflecting on personal experiences and capturing photographic images which they believe to produce evidence of their perceptions.  Each student provided the researcher with photographs and participated in an interview to discuss their photographs.  Additional sources of information included the students’ project binder, a video produced by one the students, essays written by the students, and participant-observation notes by the researcher.  The outcome of this qualitative study is to explain the contextual influence of the interaction between the student and the environment related to cultural competence.  Photographs, transcripts, and documents were analyzed to identify relevant themes related to how students develop in the dimensions of cultural competence.  The themes along with previous research can be utilized to develop best practice recommendations for teaching cultural competence, regardless of the geographical site.