Essential Cultural Competencies for Maternal Simulations

Share This Post

In the US, statistics show that minority women, especially black women, are more likely to suffer higher rates of maternal deaths than white women regardless of health/economic disparities. It is urgent that students are ready to join the workforce with a better understanding of cultural competency.Understanding a patient’s cultural practices, beliefs and views on the world is especially important for nurses who work in maternal care. Adding cultural competence to maternal simulations allows essential care practicer healthcare students. According to a Chicago school article on the cultural Competence in Nursing (The Chicago School, 2021), nurses who are successful in giving culturally competent care have (an):

  1. understanding of the relationship between nurses and patients 
  2. knowledge of various cultural practices and views of the world
  3. communication skill to promote and achieve interactions among cultures 
  4. positive attitude towards a patients’ differences and various cultures

“According to the Centers for Disease Control and Prevention(CDC), black mothers in the US die at three to four times the rate of white mothers, which is one of the widest of all racial disparities in women’s health” in the United States (Montagne, 2017). In a survey conducted by NPR and their partners, it revealed that 33% of black women said that they personally have been discriminated against because of their race and some black mothers felt that doctors and nurses did not take their pain seriously. The National Public Radio (NPR) article went on to explain that when women experienced any discrimination or disrespect during pregnancy or childbirth, they are more likely to skip the postpartum visits to their doctors to check on their own health (Montagne, 2017). Postpartum checkups are essential in a women’s recovery process after giving birth because that is when doctors can detect postpartum hemorrhage (PPH) or postpartum depression. This is one of many reasons why it is critical that students are able to practice and hone their skills before they get out in a real world environment.  

Maternal simulations as we know, allow nursing students the ability to practice and perfect their skill-set in a hands-on way.  As Carol Okupnial, DNP, RN-BC, CHSE, at Thomas Jefferson University says:

Culture plays such a huge role in life and birth is a part of life and we have lots of differences on how people approach the birthing experience within a family and within a culture, so being able to incorporate those cultural differences in a birth experience would be above and beyond just learning about birth but learning about the differences in cultures.

High-Fidelity simulations that use standardized patients are especially helpful in teaching learners cultural competency because the SP can help set the stage of the scenario with how they dress, speak and look. This allows the students to practice with patients of different backgrounds in a risk free environment (Grossman, 2011).

In a 2011 study, a nursing school in Norway and a nursing school in North America partnered to examine nursing students’ cultural awareness using simulation scenarios (Grossman, 2011). The Norwegian school tailored their scenarios around Muslim and Somali patients and the North American school’s scenairos were tailored around the Muslim and Italian Catholic cultures. This study concluded that, “Simulation technology using scenarios with embedded cultural variables were used and successfully increased perceived cultural awareness scores amongst students that were in this study (Grossman, 2011). The study goes on to say that more testing should be done on this topic but this study does provide insight into the effectiveness of high-fidelity maternal simulations teaching cultural competency to students. 

High-Fidelity simulations paired with cultural competency scenarios can go a long way in helping nursing students overcome their natural biases and train them to give personalized care to each patient. So, the next time you are preparing to teach your students about maternal care, be sure to incorporate cultural competency training in all scenarios, it could lead to saving lives. 

Learn more about Avbirth

Sources:  

Centers for Disease Control and Prevention. (2019, September 6). Racial and ethnic disparities continue in pregnancy-related deaths [Press release]. https://www.cdc gov/media/releases/2019/p0905-racial-ethnic-disparities-pregnancy-deaths.html.

Montagne,Renee.Black Mothers Keep Dying After Giving Birth. Shalon Irving’s story explains Why., NPR.com. December 7, 2017. U.S. Black Mothers Die In Childbirth At Three Times The Rate Of White Mothers : NPR

The Importance of Cultural Competence in Nursing. September 30, 2020. The Chicago School. The Importance of Cultural Competence in Nursing – Insight Digital Magazine (thechicagoschool.edu)

Grossman, S., Mager, D., Opheim, H. M., & Torbjornsen, A. (2011). A bi-national simulation study to improve cultural awareness in nursing students. Clinical Simulation in Nursing, e341–346, http://dx.doi.org/10.1016/j.ecns.2011.01.004.

(Visited 340 times, 1 visits today)

Subscribe To Our Blog

Get updates and learn from the best

More To Explore

NLN/Jefferies Framework for SP Methodology

Avkin CEO Highlighted for NLN/Jeffries Framework of Standardized Patients

The article, available at ScienceDirect.com, explores the evidence related to how undergraduate nursing education utilizes an established framework when integrating standardized patient simulation. The identified gaps included: The lack of safety application, standardized patient hiring, using higher-level outcomes, establishing policies and procedures specific to SPs, and discussing the experiences of students, facilitators, and standardized patients.

Avtrach, a high-fidelity, wearable tracheostomy simulator, is designed to replicate an anterior thorax so tracheostomy care and suctioning can be authentically replicated in simulation. Through a Bluetooth connection between Avtrach and the Avkin app, an assortment of lung sounds can be changed at any time by the educator from the control room. These lungs allow for the Avtrach to be connected to a ventilator and the patient to be in line with suctioning.

Wearable Tracheostomy Simulator

Avwound, a high-fidelity, wearable wound care simulator, is the most significant technological advancement for wound care in the industry. Learners can assess, measure, document, and provide care for all four stages of pressure wounds in addition to an assortment of surgical wounds providing educators with maximum flexibility for wound care education.

Wearable Wound Care Simulator

Meant to replace the need for including bulky ineffective earpieces in simulation, Avband, is a smartwatch look-a-like for inconspicuous 3-way communication between the control room, patient, and Avkin simulators. An alert button on the side of the product allows the live patient to send a panic notification to the control room if they feel psychologically and/or physically unsafe at any time during the simulation.

Simulated Participant Cueing Device

With the world’s only fully-automated, wearable birthing simulator, Avbirth, you can now include learning objectives such as closed-looped communication with an interprofessional team and therapeutic communication with the patient and their significant other through all phases of labor and delivery. Avbirth pairs with the Avkin App, allowing a multitude of simulations to be performed, including additional challenges for the development of critical thinking, such as shoulder dystocia or postpartum hemorrhage.

Simulated Birthing Device

Avcath, a high-fidelity, wearable urinary catheterization simulator, seamlessly replicates the human urinary system. The interchangeable male (circumcised or uncircumcised) and female genitalia allows learners to practice various types of urinary catheterization while also practicing essential communication skills. Our genitalia is made with high-quality silicone, allowing learners to use betadine and lubrication right out of their kits.

Wearable Urinary Catheterization Simulator

Avline, a wearable central line simulator, delivers a high-fidelity patient experience for a multitude of central venous care (CVC) simulations. This innovative simulator has two options for central venous treatment and care, a right subclavian triple lumen or a left subclavian implanted port; each option is removable, allowing the educator flexibility with learning outcomes.

Wearable Central Line Simulator

Avstick, a wearable IV simulator worn as a left-arm sleeve, allows learners to practice high-fidelity IV insertion during simulation. The wearable simulator cues the live patient wearing the sleeve through haptic vibration when the needle first pierces the smart skin. Multiple layers of woven plastic have been integrated into premium silicone to protect the wearer from any harm during the simulation.

Wearable IV Simulator

Avtone, the world’s only wearable auscultation simulator, offers a compact and lightweight design, comfortable for the live patient to wear. An anatomically correct chest piece allows novice and advanced students to identify proper landmarks just as they would in the clinical setting. Volume controls allow learners and educators to pinpoint the finer details of the actual patient recorded sounds contained within the Avtone.

Wearable Auscultation Simulator

Avthor, a wearable chest tube care simulator, replicates the intrathoracic pressures needed to realistically teach the assessment and care of a patient with a chest tube. When pairing the Avthor with a live patient, the simulation can include repositioning, transferring, and/or ambulating a patient with a chest tube.

Wearable Chest Tube Care Simulator

Get Your Resource

ACCESS AVKIN'S PRICING BROCHURE NOW.

Get Your Resource

EMPOWER YOURSELF TO DISCUSS PROGRAM CHANGES WITH LEADERSHIP.

Get Your Resource

THANK YOU FOR YOUR INTEREST IN AVKIN'S SIMULATIONS, MEET YOUR NEWEST PATIENT, JACOB.

KBPort's BPSim is a blood pressure cuff simulator. Used just like any other blood pressure cuff, the readings are controlled via a smartphone app. It can be programmed for any blood pressure range, including hypotension, normal, pre-hypertension, hypertension (stages 1 & 2), and hypertensive crisis.

BPSim

Getting accurate vital signs is critical when assessing a patient. With Innov2Learn's Thermometer and Oximeter devices, your learners will use real devices to capture and record simulated readings. No longer will you have to break fidelity to provide vital signs to your learners

Innov2Learn Pulse OX

Quality training is the most important element of working with live people in simulations. An untrained simulated participant (SP) can challenge the efficacy of your learning opportunities. A well-trained simulated participant (SP) can bring your simulations to life in ways you never thought possible. With all of this in mind, training an entire group of SPs can be time-consuming and feel intimidating.

Desktop

Innov2Learn's training devices function the same as any thermometer or oximeter you would find in a clinic. Your learners will take vital signs using real devices with readouts you control via Bluetooth. You can use a smartphone app or desktop computer.

Innov2Learn Thermometer

Get Your Resource

9 KEYS TO HIGH FIDELITY SIMULATION WITH LIVE PEOPLE​

Get Your Resource

STANDARDIZED PATIENT CHARACTER DESCRIPTION OUTLINE

Get Your Resource

INTERVIEW QUESTIONS FOR STANDARDIZED PATIENT ONBOARDING

Get Your Resource

STANDARDIZED PATIENT FEEDBACK TEMPLATE

Get Your Resource

STANDARDIZED PATIENT SAMPLE JOB POSTING

Get Your Resource

5 KEYS TO CONSIDER WHEN UTILIZING STANDARDIZED PATIENTS

Get Your Resource

A SIMULATIONIST'S GUIDE TO HIGH FIDELITY SIMULATION