Learning Objective 1: Critially evaluate how culturally sensitive communication can assist nurses in a variety of practice settings to improve clinical outcomes and reduce the potential of errors.
Learning Objective 2: Describe how ethnography was used to discover culturally sensitive communication by capturing nurse's successful and unsuccessful communication patterns related to reducing errors and improving adherence.
Ethnographic qualitative methodology captured stories and case histories. An electronic survey was also used. Data was collected via in-depth face-to-face interviews by requesting participation from members of the alumni list at Dominican University of California and the membership of the Northern California Chapter of the SPN. Purposful sampling was use by personal invitation based on extensive clinical expereince within culturally diverse large teaching hospitals in the greater Bay Area.
Results showed that nurses struggle with engaging health care team members in culturally sensitive care. Most participants stated that much more exposure to culturally sensitive situations with critical evaluation and appraisal is needed during undergraduate nursing education and during professonal education for the practicing nurse. Themes were identified during data saturation and analysis including, "Weathering the storm of moral conflict", "Power distance and paternalism often exist", "Involvement versus retreat", and "Giving up and giving in".
When faced with medical or medication errors based on poor communication, nurses described their anguish, frustration and ideas for improvment. All themes and suggestions for education and improving practice will be shared.
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