The Cultural Competence of Senior and Junior BSN Students at HBCU Environments

The Cultural Competence of Senior and Junior BSN Students at HBCU Environments

Author: 
Eunice B. Gwanmesia
Program of study: 
Ph.D./NUR
Abstract: 
The review of literature did not identify any previous studies on the cultural competence level of nursing students at Historically Black College and University (HBCU) environments. A descriptive comparative approach was used to examine the level of cultural competence of junior and senior baccalaureate of science in nursing (BSN) students and to determine differences in the cultural competence of these students according to selected demographic variables at two HBCUs environments. A census sample included 104 junior and 114 senior BSN students at two HBCUs in the MidAtlantic region. The students completed a demographic questionnaire and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Providers-Student Version (IAPCC-SV) to examine their level of cultural competence. The independent samples t-test and a one-way analysis of variance (ANOVA) were conducted to determine differences in cultural competence and selected demographic variables. The p value was set at .05 for statistical significance. The results of this study indicated that both the junior and senior students reported highest levels of cultural desire and the lowest levels of cultural knowledge. There were statistically higher scores for the juniors, who received continuing education or a course on cultural competence compared to those who did not in the subscales of cultural knowledge, cultural encounter, and the total cultural competence. It is recommended to replicate this study among nursing students in predominantly Caucasian schools to allow for generalizability of findings to other nursing programs around the nation. Nursing educators and leaders need to continue to provide education and continued training on cultural competence to meet the demands of a growing multicultural society.
Dedication: 
I dedicate this dissertation to my amazing children, Keith and Kaitlin Gwanmesia, for being there for me throughout the entire doctorate program. Both of you have been a source of strength along this journey. My daughter’s encouraging morning love and success notes kept me going. My son’s warm hugs made my days when I would sit on the computer for hours completing assignments. Because of their unconditional support and love, I could not give up when the journey got rough. If I gave up, I would have given up on my children. Special thanks also go to my husband, Francis Gwanmesia. A special recognition goes to Mr. and Mrs. Francis Thorpe (Uncle Frank) for helping raise Keith and Kaitlin. I could not have done it without you. Uncle Frank, as the kids famously called you, thank you for being a grandfather to them. May you continue to rest in peace in the bosom of the Lord. You are gone but not forgotten. You will always be in our hearts. I am especially grateful to my dad, Shey WanManjo, and my mom, Mary Lamkiyan Manjo, for their words of empowerment and the constant reminders that I should never give up, no matter how challenging the journey becomes. To my brothers and sisters, Brendaline Lontum, Gerard Manjo, Colin Manjo, Jane-Frances Manjo, Nereus Manjo, Terrill Manjo, and Marceline Yefon Manjo, and Nga Bridget Kuwum, thank you for being there in your own various ways. I hope I have lived up to your expectations. I appreciate all your encouraging words throughout my academic journey. To my brother-in-law, Jack Lontum, thank you for your encouragement during my journey. I also give praise, honor, and glory to my Heavenly Father, Lord and Savior who always showed up in a big way when I felt like giving up.
Acknowledgements: 
This dissertation journey would not have been possible without the guidance and help of many individuals who in one way or another contributed and extended immense assistance in the preparation and completion of this study. First, I would like to give glory and praise to my Lord and Savior for being my source of strength and guidance throughout this dissertation and life. Next, my utmost gratitude to Dr. Hsiu-Chin Chen, chair of my dissertation committee who stood by me not only when my progress was smooth, but during challenging times as well. Thank you for allowing me to cry on your shoulders and for your patience. I am grateful for your willingness to go the extra mile and most of all your understanding and sharing of your knowledge and expertise. Also, your patience and steadfast encouragement to complete this study are well appreciated. Finally, I would like to thank Dr. Bernardine Lacey, my American mother, for providing a genuine mentor relationship and for all the emotional and financial support throughout this dissertation process. Further, I would like to acknowledge Dr. Susan Morgan and Dr. Julia Aucoin for their help as committee members and refining my dissertation. I appreciate you sharing your knowledge and expertise. Similarly, I would like to extend my gratitude to Dr. Cyril Broderick for his support and encouragement. I would like to extend my deepest appreciation to Berma Findley and Laura Smolinsky for your friendship and support throughout my journey. Thank you to Dean Horton for your prayers, understanding, and support. To Dr. Mills-Wisneski, I thank you for allowing me to cry on your shoulders and for your endless encouragement and support when the journey became tough. To my friends who helped in many ways–– Dr. and Mrs. Umobi, Ms. Rock Agnes Hankoua, Mr. & Mrs. Adeniake, Mr. and Mrs. Bannerman, Mr. and Mrs. Igwegbu, Mrs. Noelle Beugre, Ms. Elizabeth Kerkula, Mr. & Dr. Mrs. Madukwe (Adeline Nukuna), Dr. Charlotte Wood ––thank you. Words alone cannot express how much I appreciate all of your help and support. A special thank you is extended to the chairs, junior and senior nursing faculty at the two HBCUs under study, for their help with facilitating my data collection process. Thank you for your patience and understanding and allowing me to use up some of your class time for data collection. Finally, I would like again to thank my father and mother for their love and encouragement throughout my entire life. Daddy even in your sick bed you still want to know how much longer before you can call me doctor. I praise God for you and mommy. You have taught me to dream big and never to quit, and to focus always on the price and not the challenges. You have given me the tools and a solid foundation to live life to the fullest.