Date of Submission

Fall 11-15-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

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

Second Advisor

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


Introduction: Healthcare disparities and mistrust of the healthcare system discourage African Americans from seeking mental health services. Healthcare providers face challenges delivering culturally appropriate care. Examining current cultural practices can inform the education needed for healthcare providers to understand cultural care and awareness. This review aimed to identify evidence available to understand the impact of a cultural training on healthcare providers in skilled nursing facilities.

Methods: APA PsycINFO, CINAHL, and PubMed, were searched for English-language studies published between January 2016 and January 2022. Healthcare cultural competency training

in any aspect of cultural care was considered. Outcomes of interest included changes in provider behavior, cultural awareness, and cultural knowledge of caring for minority ethnic populations.

Results: Ten studies met the inclusion criteria. The most reported intervention consisted of cultural training for people of cultural backgrounds. One of the ten retained studies explored disparities existing in access to mental health services for Black and minority ethnic populations.

Discussion: Culturally appropriate care builds on existing research identifying a need to improve current practices. Findings from the review of the evidence show a strong correlation between healthcare providers' need for cultural knowledge and the lack of understanding of cultural care practice. Promoting cultural educational programs, increasing cultural knowledge, and including African Americans as service providers may reduce barriers to care, thus improving overall outcomes.

Keywords: African American, Cultural care, cultural education, cultural competence, diversity training, skilled nursing facility