DNP Scholarly Projects
Abstract
Local and immersion service learning methods prepare pre-licensure health care professionals to deliver culturally competent care to diverse populations- an important need because of the rapid racial and ethnic diversity growth in the U.S. A mixed-methods approach compared the effect of local and immersion service learning methods on multiple disciplines of pre-licensure health care students’ confidence in delivering care to diverse populations. Guided by Jeffreys (2016) CCC Model, the Transcultural Self Efficacy Tool (TSET) was used to compare pre-licensure health care students’ (n=34) transcultural self-efficacy perceptions following local or immersion service learning experiences. Secondary source, qualitative data obtained from post-immersion trip surveys from pre-licensure health care students’ (n=13) was utilized to further examine quantitative data results, and name themes that arose from students’ immersion service learning experience. Pre- and posttest TSET scores were analyzed based on total scores and subscale (cognitive, practical, and affective) scores. A paired samples t-test compared post-test scores of the local and immersion service learning groups. An open coding strategy was utilized on qualitative data. A significant increase was demonstrated in the post-test scores of both local and immersion service learning groups. The local group demonstrated a significant increase in the practical and affective subscales, and the immersion group demonstrated a significant increase in the cognitive and practical subscales. Qualitative data yielded the major concept of “cultural competence” with the themes of “comprehension”, “compounded experiential learning”, “skill development”, “interaction”, and “affective”. Local and immersion service learning methods are effective in improving the transcultural self-efficacy in pre-licensure health care students and produce outcomes that meet the national and professional goals for providing culturally competent health care to diverse populations.
Date
3-12-2018
First Advisor
Wofford, Linda G.
Scholarly Project Team Member
Busby, Steve
Scholarly Project Team Member
Price, Joseph
Scholarly Project Team Member
Taplin, Susan
Scholarly Project Team Member
Amerson, Roxanne
Department
Nursing, School of
College
Health Sciences & Nursing, Gordon E. Inman College of
Document Type
Scholarly Project
Degree
Doctorate of Nursing Practice (DNP)
Degree Level
Doctoral
Degree Grantor
Belmont University
Keywords
Cultural competence; Service learning; Medical personnel; Cultural competence
Recommended Citation
Johnson, Kimberly, "Comparing the Effects of Immersion Service Learning and Local Service Learning in Pre-Licensure Health Care Students’ Transcultural Self-Efficacy" (2018). DNP Scholarly Projects. 2.
https://repository.belmont.edu/dnpscholarlyprojects/2
