1. Addressing Cultural Competence & Communication in Undergraduate Community Health Education Tracy Fasolino, PhD, FNP, ACHPN Jackie Gillespie, MSN, RN Portia Botchway, MS, RN Tiffany Stewart, MSN, RN Funding provided by Mary Lohr Faculty Endowment Award, School of Nursing, Clemson University Research team gratefully acknowledges Sara Sue Miller, Educational Solutions Account Executive & Andy Roswold, Laerdal Customer Representative

2. Focus of Culture  United States as a multicultural population African American increased by 12.3% Hispanic populations increased by 43% Hindu-Indian increased by 5.8%  Culture competency National Goal: Health People 2010 by the US DHHS. ANA Code of Ethics: “Care unrestricted by social or economic status, personal attributes, or the nature of health problems.” (ANA Code of Ethics, 2011). Essentials of Baccalaureate Education for Professional Nursing Practice: Standards for baccalaureate graduates to understand the ways cultural, racial, socioeconomic, religious, and lifestyle variables are expressed.

3. Simulation Scenarios  Theoretical Framework Communication Social orientation Environmental control Biological variations Time orientation  Skill Integration Tracheostomy suctioning Death & dying Medication compliance  Hybrid simulation Standardized patient or family member Simulator – Nursing Kelly with SimPad control Home environment setup

4. Implementation Phase

6. Post Survey Results – NLN Instruments Education Practice Questions Student Satisfaction ConceptScoring Results Active Learning4.7 Collaboration4.9 Diverse Ways of Learning4.6 Expectations4.7 ConceptScoring Results Satisfaction4.6 Self-Confidence4.4 ConceptScoring Results Objectives & Information4.7 Support4.8 Problem Solving4.5 Feedback4.8 Fidelity4.6 Simulation Design