Date of Award

January 2025

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

David Vlahov

Abstract

Cultural Intelligence for Advanced Practice Providers: Moving a Contextually Based Model Forward for Workforce TrainingCultural Intelligence (CQ) among clinicians in primary care for the Hispanic population is inadequate (Da Costa, 2023). Cultural diversity training for patient care has been identified as a need to improve outcomes since the 1960s (Lin et al., 2017). In 2000, the Office of Minority Health (OMH) at the US Department of Health released the National Standards for Culturally and Linguistically Appropriate Services in Healthcare and updated those standards in 2013. Mainous et al. (2020) found that only 35% of primary care providers (PCPs) knew of the standards’ existence. The researchers also found that 47.9% of PCPs reported receiving CQ training in medical school, and only 18.5% of newly hired PCPs reported receiving CQ during their new hire process. While data is scarce, evidence to date suggests a lack of cultural knowledge by clinicians on Latinx patients (Greene, 2022). Latinos are the largest minority group in the US, yet literature on CQ training specific to Latinos is sparse; it is critical to create training programs covering their cultural practices and beliefs. This DNP project adapted a cultural intelligence model to train providers on CQ, shared values in the Latinx population, and the diversity of practices within its subgroups. Two sessions on two different dates were delivered, presenting in each the exact same material. Data on twenty-four participants was collected. The pre and post-test knowledge acquisition mean scores went from 51 to 85 (out of a possible 100) points (p<0.01). A program evaluation showed over 90% agreement with material relevance and willingness to use what was presented. Keywords: Latinx, Hispanic, primary care, Hispanic American, Latino, cultural competency, primary care, financial benefits, and inequity costs.

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