Date of Graduation

Fall 12-15-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Population Health Leadership

First Advisor

Dr. Elena A. Capella, EdD, MSN/MPA, CNL, CPHQ, LNCC

Second Advisor

Dr. Francine Serafin-Dickson, DNP, MBA, BSN, CNL


Background: Patient care is most effective when patients and providers establish a therapeutic connection in a cultural context. Nurses’ lack of awareness of a cultural context for patient care impairs establishing a therapeutic provider/patient relationship, with care of lesser quality and poorer health outcomes as consequences.

Local Problem: Staff at a Northern Californian skilled nursing facility (SNF) caring for African American patients with mental illness lacked self-awareness of the cultural context of care. Staff did not consider cultural constructs of care in treating patients and developing care plans.

Methods: Educational intervention to increase the cultural competence of a skilled nursing facility. A validated survey instrument, the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals, was administered pre- and post-intervention to assess cultural competence and knowledge. Cultural competence knowledge acquisition was expressed as numerical and percentage changes in mean scores from baseline to post-intervention.

Interventions: Eight staff participated in a 60-minute didactic educational program. The content was informed by the PTT transcultural care model (Papadopoulos et al., 1998), and emphasized the transfer of knowledge to practice.

Results: Mean cultural knowledge increased from pre- to post-education by 5.08%. knowledge is one of the constructs of the cultural survey tool. Cultural competence scores increased from pre- to post-education by 13%.

Conclusions: The SNF Staff realized that increased cultural competence provided them with the opportunity to provide improved patient care.