Increasing knowledge of cultural competence and patient safety using simulation pedagogy
Pro Terveys Journal (4) 2018, 10–11, Finland.
Marja Silén-Lipponen Principal Lecturer, PhD, Savonia University of Applied Sciences
Riitta Turjamaa Senior Lecturer in Nursing, PhD, Savonia University of Applied Sciences firstname.lastname@example.org
In year 2016 there were 365,000 foreign nationals in Finland (Immigration Office 2018). In addition, people with different diseases make various cultures. According to Equality and Human Rights Commission (2010), some groups and individuals, as aged and disabled people, are particularly vulnerable and may have an increased likelihood of being treated unfairly or disrespectfully in social
and other situations. However, while the care of patients is highly developed and at the same time, risks of patient safety increased (Perry et al. 2015), developing evidence-based care processes are slow in cultural competency area (Landrigan 2010).
In Finland, vulnerable people’s rights are based on legislation (Act on the Status and Rights of Patients 17.8.1992/785). However, vulnerable people are many times treated differently in health care and there is a risk that they will be given worse care than majority of the customers and patients (van Rosse et al. 2014.) There is an urgent need to increase multicultural competence and patient centered care in nursing education and in clinical care. It will require e.g. positive attitude, courage to question methods which are harmful to the patients and more knowledge about promoting multicultural know-how (Delgado et al. 2013).
Savonia University of Applied Sciences is involved in an international project Optimizing patient safety through culturally competent simulation-based education with health professionals (Sim-Versity). Project aims to optimize patient safety by integrating cultural competence into simulation-based education. Cultural competence will be observed from the point of view of gender, ethnicity, disability and age. Other project participants are from Slovenia, Ireland and England. Project group is multicultural and experts from different countries will enrich the innovations of the project.
Simulation education is designed to increase the safety quotient and effectiveness of clinical practice through the rehearsal of skills in an artificial and authentic environment (Levett-Jones & Lapkin 2014). It is comprehensive way to teach and learn also cultural aspects as a part of nursing.
In the Sim-Versity project a web-based learning environment (web-hub) will be developed for teachers, students, health care professionals and standardized patients. The Web-hub will contain culturally-based simulation scenarios, self-assessment tool and cultural competence tool kit for health care simulation educators to teach cultural competency. The ASPiH standards framework (2016), alongside with cultural competence standards, will be used as a strategic base for the good practice of the simulation pedagogy.