October 13, 2015By Lance Baily

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.

Article Excerpt:

“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.

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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.

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Read the full article here and Visit INACSL’s Journal Website for more great research!

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