Abstract

As the United States continues to become increasingly more diverse, the health care industry must adjust and develop improved strategies for the effective provision of health care services to all. The Hispanic population is the fastest growing minority group in the United States. This population (ethnic group) faces many challenges to receiving adequate health care including: stereotyping by health professionals; language and cultural barriers; limited access to health care; and a lack of trust in the current health care system. Hispanic patients are frequently met by predominantly White (non-Hispanic) health care practitioners, who bring their own set of biases and stereotypes to the encounter. This study explores White (non-Hispanic) nurse practitioner (NP) student perceptions of Hispanic patients and how these perceptions may influence their provider/patient clinical encounter. Furthermore, the study assesses White (non-Hispanic) NP students' perceived cultural self-efficacy regarding Hispanic patients and investigates whether there is a relationship between their perceptions of Hispanic patients and their perceived cultural self-efficacy. A mixed methods research approach was used to investigate White (non-Hispanic) NP student perceptions of Hispanic patients. A modified version of the Cultural Self-Efficacy Scale (CSES) was used to assess the White (non-Hispanic) NP students' perceived Hispanic cultural self-efficacy. Strategies to enhance White (non-Hispanic) NP provider/patient clinical interactions as well as mechanisms to improve the development of a therapeutic relationship with Hispanic patients are discussed.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3489182; ProQuest document ID: 912998148. The author still retains copyright.

Author Details

Rose Iris Gonzalez, PhD, MPS, RN

Sigma Membership

Mu Epsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Mixed/Multi Method Research

Keywords:

Health Services for Ethnic Minorities, Nursing Care for Minorities, Nurses Perceptions

Advisor

Charlene Douglas

Degree

PhD

Degree Grantor

George Mason University

Degree Year

2011

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-12-03

Full Text of Presentation

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