Developing Cultural Competence Learning of the Nursing Students Using Simulation Strategies: An Integrative Review

Background: Cultural competence serve as foundation and pillar to health care in endeavoring elimination of health disparities. Health care services is essential in providing care. Culturally sensitive and high-quality services plays major role in promoting optimum level of wellness [1]. The process of awareness culturally enables nurses to transform interventions into positive health outcomes (Smith, 2018). Self-awareness plays important role in developing social skills towards promoting quality of care.

Purpose: The objective of this study is to review literature which provide evidence that presents cultural competency among nursing students with the use of simulation activities which is being integrated to nursing program. In addition, it help to understand students experiences in rendering care to the patient addressing cultural diversity.

Methods: The researchers conducted integrative literature review which follow process utilizing Ebscohost and Goggle Scholar databases particularly CINAHL,ERIC and Academic research were considered articles published from 2016 up to the present, a total of 12 articles were extracted.

Results: Most of the studies are quantitative (n = 12). 1 study is qualitative. 6 of the quantitative studies used a one-group pre-post-test design (n = 5), 1 study used a two-group pre-post design and quasi-experimental design was used, 6 study used post-test design in a form of survey. The empirical studies identified ranged from 8 to 460. The studies were conducted mostly in the USA (n = 10), one in Australia, and one study was done in 2 different countries, USA and Thailand .

Conclusion: Nursing as advocate of care plays vital role in promoting care through enhancing knowledge, skills, attitude in rendering care. Cultural competency of nurses serve as aid in understanding cultural differences that will enhance quality of care and services.