A task force is meeting to determine the causes of dissatisfaction between a health care organization and members of a cultural group that receives care from the organization

Question

The task force finds the nurses to be motivated to provide culturally sensitive care. Using the U.S. Health Resources Service Administration's domains of cultural competence as a framework, what might the task force infer?
a. Nurses need more training to provide appropriate care to the group.
b. The organization presents barriers to culturally competent care.
c. There needs to be better communication between the two groups.
d. This cultural group is encountered infrequently by the organization.

Answer 1

B
The U.S. Health Resources Service Administration's critical domains of cultural competence include both individual and organizational factors. The nurses have taken the first step by being open and motivated. Now the organization needs to address domains pertaining to the organization itself so that the motivated nurses have the training and resources they need to provide culturally sensitive care.
Training and development is one of the nine critical domains of cultural competence, but lack of training is an organizational barrier. If there is one organizational barrier, there are probably more, which means this choice is too narrow in focus to be the best answer.
Better communication will always help when working with culturally diverse groups, but focusing solely on communication is not broad enough to consider the many factors that are hindering culturally competent care.
Nurses will never be experts on all cultures with whom they interact. Having personal and organizational resources that encourage culturally sensitive care provides the framework for working with any diverse culture.