A focused ethnography: Nursing students' perceptions of cultural competence and social justice

2011 2011

Other formats: Order a copy

Abstract (summary)

Disparities in health care suggest a need for greater social justice in national and international health care systems. Nurses are uniquely involved with disparities since the nursing profession has emphasized social justice not only as a moral value but also as the foundation for social action. Social justice, however, may be difficult to conceptualize, especially for nursing students. Since cultural competence has been identified as an important aspect for decreasing disparities, it may be a vehicle or tool students could use for the social action necessary for social justice.

A focused ethnographic design was selected for this study because of the shortened period of the international clinical immersion experience, the researcher's background and experience, and the dynamics of the concepts involved. Interview and focus group data were collected in two phases. The first phase concentrated on ten American students' perceptions while in Zambia, Africa during January 2008. The data included information on the students' definitions and examples of social justice and cultural competence, along with their journaling and summary papers. The second phase included Zambian nursing students' and tutors' perceptions, obtained again through focus groups for the students and interviews with the tutors during June 2008.

Emergent themes were identified. The American students' perceptions and themes suggested that a change in view, like the twist of a kaleidoscope, along with self-awareness, aids understanding cultural sensitivity and competence, which in turn aids implementation of social justice. The Zambian perspectives suggested that professional competence is practicing "as a nurse" which incorporates cultural competence and social justice.

Implications from the study include the addition of cultural humility as a concept when discussing cultural competence and social justice. Synthesis of the findings suggests a "kaleidoscope effect" motif, in that the novice student should be affected by nursing education so as to become a well-rounded competent professional acting "as a nurse" for social justice. The shards of glass at the bottom of the kaleidoscope represent the multiple ways and concepts involved with initiating social justice for an individual or community. Motivated by cultural humility, twisting the kaleidoscope should reveal different but equally beautiful possibilities for accomplishing social justice. The hope is that sharing knowledge from these different perspectives will lead to meaningful change as nurses work to decrease health disparities by "doing the best for all" and attaining social justice.

Indexing (details)

College students;
Social psychology;
0569: Nursing
Identifier / keyword
Health and environmental sciences; Cultural competence; Cultural humility; International collaboration; Nursing students; Social justice; Zambia
A focused ethnography: Nursing students' perceptions of cultural competence and social justice
Thuma-McDermond, Wanda
Number of pages
Publication year
Degree date
School code
DAI-B 72/08, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
Widener University School of Nursing
University location
United States -- Pennsylvania
Source type
Dissertations & Theses
Document type
Dissertation/thesis number
ProQuest document ID
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
Access the complete full text

You can get the full text of this document if it is part of your institution's ProQuest subscription.

Try one of the following:

  • Connect to ProQuest through your library network and search for the document from there.
  • Request the document from your library.
  • Go to the ProQuest login page and enter a ProQuest or My Research username / password.