Degree Name
Nursing Practice, DNP
Publication Date
4-26-2026
First Advisor
Sandy King
Second Advisor
Leigh Swartzendruber
Abstract
Despite growing evidence emphasizing the importance in addressing disparities in maternal health outcomes, maternal health simulations often lack integration of social determinants of health (SDOH) and cultural considerations. The purpose of this Doctor of Nursing Practice quality improvement project was to enhance nursing faculty cultural awareness through simulation scenarios that incorporate SDOH and culturally responsive elements. This project was guided by Lewin’s Change Theory and the Jeffries Simulation Framework. The aim was to strengthen faculty awareness and skills to support the development of culturally inclusive simulation experiences. Descriptive statistics were utilized to analyze results which was a limitation. Nursing faculty participants completed the National Center for Cultural Competence (NCCC) Cultural and Linguistic Competence Self-Assessment Checklist before and after engaging in revised simulation scenarios and guided reflection activities. Results demonstrated a slight decrease in the overall mean score from 2.85 pre-intervention to 2.81 post-intervention, reflecting increased awareness and more critical analyzes of individual practice rather than decreased competence. Domain-level findings indicated stable perceptions in environmental practices (2.50–2.50) and increased recognition of gaps in communication and values-based practices (2.82 to 2.78). Weekly activity data and open-ended responses supported a shift from general awareness to deeper reflection on equity, SDOH, and cultural influences in maternal health. These findings suggest that intentional simulation design and reflective strategies can enhance nursing faculty cultural awareness and support the development of more culturally relevant teaching practices.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Evans, Sherina, "Embedding Social Determinants of Health into Maternal Simulation Scenarios: Enhancing Nursing Staff Awareness of Equity-Based Education" (2026). Doctor of Nursing Practice Projects. 341.
https://arch.astate.edu/dnp-projects/341
