Degree Name
Nursing Practice, DNP
Publication Date
11-28-2025
First Advisor
Lisa Drake
Second Advisor
Jacquie Sands
Abstract
The United States is a culturally diverse nation, yet many healthcare providers report challenges in delivering care that respects cultural values and traditions. Within mental health settings, this gap is especially concerning for Native American populations, who experience disproportionately high rates of mental health conditions and face barriers to culturally responsive care. The purpose of this quality improvement project was to assess the impact of a cultural competence education and training intervention on mental health providers’ knowledge and self-efficacy in delivering culturally competent care to Native American patients. Guided by Leininger’s Culture Care Theory of Diversity and Universality and the Plan Do Study Act (PDSA) framework, the project utilized a quasi-experimental pre/post-test design involving 11 participants. Two validated self-report instruments, the Cultural Competence Knowledge Quiz and the Cultural Competence Self-Efficacy Questionnaire, were administered before and after the four-week intervention. Results demonstrated statistically significant improvements in both knowledge and self-efficacy scores (p < .001), confirming that structured education effectively enhanced providers’ cultural competence. The primary limitations were decreased participant diversity and the use of self-reported surveys, which introduced a potential risk of bias. This project contributes to nursing practice by highlighting the value of intentional education in closing gaps in culturally competent care. Sustained and organization-wide cultural competence training can strengthen provider readiness, improve patient engagement, and advance health equity for Native American communities.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Obi, Chinazo, "Assessing the Impact of Cultural Competence Training for Providers Serving Native Americans" (2025). Doctor of Nursing Practice Projects. 243.
https://arch.astate.edu/dnp-projects/243
