Paper
Friday, July 23, 2004
This presentation is part of : Transcultural Education
Willingness to Serve Underserved and Disenfranchised Populations: The Influence of Level of Education, University Affiliation, and Nursing Students' Spirituality
Claudette M. Spalding, PhD, ARNP and Jessie M. Colin, PhD, RN. School of Nursing, Barry University, Miami Shores, FL, USA
Learning Objective #1: Identify the members of underserved and disenfranchised populations
Learning Objective #2: Design creative learning strategies to decrease fears and increase comfort levels in caring for underserved and disenfranchised populations

Objective: The purpose of this study was twofold: 1. to identify relationships between select demographic variables, educational variables, nursing students’ spirituality, and willingness to serve underserved and disenfranchised populations; 2. to specify the relative contributions of (a) select demographic variables, (b) level of education, (c) school affiliation, and (d) nursing students’ level of spirituality to undergraduate and graduate nursing students’ willingness to serve underserved and disenfranchised populations.

Design/Sample/Setting: A cross-sectional correlational survey design was used with a convenience sample of 473 undergraduate and graduate nursing students at four university settings.

Method: The survey consisted of (a) a demographic questionnaire with items addressing personal and educational variables, (b) a 21-item spirituality instrument with items on spiritual beliefs and involvement (Hatch et al., 1998) and two additional global indicators on spirituality and religiosity, and (c) a 50-item willingness to serve underserved and disenfranchised populations instrument (Spalding, 2002) which assessed the willingness of participants to deliver services to or provide care for members of 50 different populations or groups.

Analysis: Data analysis consisted of (a) exploratory data analysis, (b) reliability estimates for study instruments, (c) descriptive statistics and tests for group differences for demographic variables, and (d) descriptive statistics for major study variables as well as individual instrument items. Six study hypotheses were tested using bivariate correlations and multiple regression techniques.

Findings: Four hypotheses were supported by study data, and two hypotheses were unsupported. Using multiple regression, the model was significant at each step, and the overall model was highly significant.

Implications: Nurse educators need to: 1. broaden the assessment skills of student nurses to include the spiritual dimension and faith development stages; 2. develop curricula which enable nursing students to be aware of their own biases and comfort level when dealing with underserved and disenfranchised populations.

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