Cultural Humility in Simulation Education: A Missing Standard? – INACSL Journal Article
Just read this interesting article from the Journal of Clinical Simulation In Nursing (operated by INACSL) entitled ‘Cultural Humility in Simulation Education: A Missing Standard?‘. I agree with the sentiments in the paper that call for a greater diversity in manikin skin tones to better represent the realities of healthcare. The article summary includes:
- Cultural humility warrants consideration as a future International Nursing Association for Clinical Simulation standard.
- Cultural humility should be interpreted in the broadest sense in simulation—from addressing differences in ethnicity to differences among professions.
- Students must be prepared to be competent in a multicultural world.
“Creating inclusive environments is a broad term and must be viewed from many angles. Anecdotally speaking, in touring many simulation centers, most high-fidelity simulators are Caucasian. Although unintentional, this reality sends a powerful unspoken message to students of color. This glaring inequality appears relatively easy to rectify through purchase of diverse manikins, but the problem may be unnoticed when most educators are of the same racial background. Diversity is much deeper and broader than race alone.
A comprehensive, variety of simulations must be offered and evaluated throughout the curriculum to ensure that diversity is represented in terms of patient’s ages, weights, ethnicity, gender, level of disability, religion, sexual orientation, and profession.
Similarly, simulation team members should include diverse faculty members, and faculty members should demonstrate cultural humility when working with students. Concepts of diversity including values, health beliefs and practices must be addressed in every debriefing as a standard. Discussing these differences in every simulation normalizes the process and increases experience and comfort with diversity. Students must be prepared to be competent in a multicultural world.
To increase opportunities to learn cultural humility, interprofessional simulations should be prevalent throughout the curriculum. The different disciplines involved in the simulation may be present physically in person, by phone, virtually, or by Web conference, with the goal in mind to simulate actual practice conditions. Emphasis on communication and flattening egos and hierarchies between disciplines is recommended in the interest of patient safety.”
This article is a must read for simulation champions making the case for stronger cultural diversity in their educational programs.
Lance Baily, BA, EMT-B, is the Founder & CEO of HealthySimulation.com, which he started while serving as the Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas back in 2010. Lance is also the Founder and acting Advisor to the Board of SimGHOSTS.org, the world’s only non-profit organization dedicated to supporting professionals operating healthcare simulation technologies. His new co-edited Book: “Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice” is available now. Lance’s background also includes serving as a Simulation Technology Specialist for the LA Community College District, EMS fire fighting, Hollywood movie production, rescue diving, and global travel. He lives with his wife Abigail in Las Vegas, Nevada.