1. The Development of Cultural Competence within "Le Vinatier" Nursing Institute MC DURIER - B PEREL - J REGNIER Nursing Institute “Le Vinatier” - Bron (Rhône)- FRANCE

2. Joëlle REGNIER Experience with “Doctors without Frontiers" University degree in Public Health Bachelor's degree in Educational Sciences The implementation team: 3 teachers in the nursing institute "Le Vinatier" Marie-Chantal DURIER Coordinator for student hospital placements and international relationships Master’s Degree in “Culture and Health”… Béatrice PEREL Master in Educational Sciences University degree in Public Health Starting a Master’s Degree in "Culture and Health“… Marie-France HUGUET Nursing Institute’s director

3. Aim and objectives of the project Aim: Aim: To enable 2 nd year nursing students to notice and to take into account the cultural dimension of care according to the PTT/IENE model Objectives: Objectives: – To re-state the concept of culture – To know the four stages of cultural competences – To spot the importance of the cultural dimension in care – To take into account the cultural dimension through the specific exercise of an ethical approach

4. Implementation of the project Integration of the project within the credit unit of “Legislation, Ethics, Business" The Ethics project is taken during the 2 nd year of study, in which the cultural dimension was already present. The PTT model can be easily used in this context Groups study the care situations which students experienced during their training practice

5. The target group 108 second year nursing students Implementation of the project and the guidance of the students by several teachers of the IFSI Immediate enrolment of the students to the project Investment through proposed clinical situations Dynamism of the oral presentations Interactivity between the students

6. Details of the project Wide implication of the teachers and the students around the notion of culture Contribution of a new methodology (PTT/IENE model) from a theoretical support aspect Students take into account their own culture, the culture of the patient and the impact of these notions : - on the orientations of the multidisciplinary project of care - on the quality of the care

7. France Turquie Algérien Laotien Réunion/rasta Maroc

8. + film témoignage étudiants

9. What did the teachers say about the relevance, the usefulness and the benefits of the project? Raised greater awareness of all the teachers to the importance of the consideration of culture within care Acquisition of PTT/IENE model easily integrated into the educational approach of our institute and in agreement with our professional values Implementation was seen to be across board and progressive

10. What did the students say about the relevance, the usefulness and the benefits of the project? Developed their questioning of care given Deepened their reflexive position Comprehensive approach Progress concerning the acceptance of another person’s culture Developed their knowledge of the four stages of PTT model

11. Assessment of the project Assessment of the project - 90% students speak of their awareness of cultural identity - 79% implement this new competence in « caring » “… because of this experience, I became aware of my own culture and able to stand back from it to welcome the patient’s own culture…”

12. How will the change be sustained? Mobilization and training of the entire teaching team Extension of the PTT model to the other teaching: (public health, clinical approaches, analyses of practices…) Opening the nursing institute for cultural events (exhibitions, conferences…)

13. THANK YOU FOR YOUR ATTENTION

14. Intercultural Education of Nurses in Europe Marylène MERLE, Martine SAILLANT 01/07/12 From cultural awareness to cultural skill in the long term health care unit

15. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE15 Starting point Medical staffs who are badly treated by patients because of their skin colour Medical staffs who are badly treated by patients because of their skin colour increasing patients from other countries increasing patients from other countries Multicultural staff Multicultural staff

16. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE16 Cultural awareness Preparing meals with cultural themes help the patients identify the cultural differences among people from black or minority ethnic groups

17. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE17 Cultural awareness At the annual carnaval event, each staff wears a traditional costume representing their countries

18. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE18 Cultural knowledge To use every event related to culture, as a medium of exchange and discussion To use every event related to culture, as a medium of exchange and discussion

19. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE19 Cultural knowledge

20. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE20 Cultural knowledge An elderly Tunisian patient wishing to return to his country. We had a meeting with the Tunisian consul to discuss the possibilities of him returning despite of his frail health. An elderly Tunisian patient wishing to return to his country. We had a meeting with the Tunisian consul to discuss the possibilities of him returning despite of his frail health. Use of internal ressources to deepen our knowledge of various cultures. Use of internal ressources to deepen our knowledge of various cultures.

21. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE21 Cultural sensitivity During one of the meals with theme, a cameroonian care-provider showed us a movie of her wedding so that we can discover her country’s rites. During one of the meals with theme, a cameroonian care-provider showed us a movie of her wedding so that we can discover her country’s rites. The personal life project allows us to know the person, his background and his culture. The personal life project allows us to know the person, his background and his culture. All sorts of informations received around migrant, rural or urban patients or patients from various social classes are shared with all of the staff. All sorts of informations received around migrant, rural or urban patients or patients from various social classes are shared with all of the staff.

22. Marylène Merle,Martine Saillant 01/07/12 THE IENE CONFERENCE22 Cultural skill The PTT IENE project allowed us to switch from cultural awareness to cultural knowledge. The PTT IENE project allowed us to switch from cultural awareness to cultural knowledge. Project extension, by training medical staffs in order to achieve cultural skill. Project extension, by training medical staffs in order to achieve cultural skill.