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The Department of Veterans Affairs (VA) manages the largest healthcare system under a single management structure in the United States. Providing access to high quality healthcare to the VA’s nearly 9 million enrollees is a mission priority for the Veterans Health Administration (VHA), the arm of the VA that oversees all medical facilities and operations. Geographic Information Systems (GIS) tools enable analysts to construct data-driven recommendations to policy makers for providing the best and most timely healthcare to those individuals who have honorably served their country. This paper illustrates how GIS is being used by the VHA and provides the example of acute stroke care access for Veterans in one Veterans Integrated Service Network (VISN) within the VHA.
The purpose of this study was to examine the level of cultural competence of
undergraduate nursing students at a large Midwestern University. Background: Developing cultural competence of nurses is critical to meet the needs of our growing diverse society. Methods: A
convenience sample of 150 undergraduate nursing students completed a one-time
questionnaire assessing students’ cultural competence. Results: Nursing students’ rated their overall knowledge and comfort
moderate to poor with only 28% rated themselves as very comfortable and 15% as
very skillful in providing culturally competent care. Students rated their
knowledge and comfort highest in taking a family history, whereas, the lowest
scores were related to pregnancy and childbirth, death and dying, and organ
donation in other cultures. Conclusions: Findings suggest that nursing
students feel inadequately prepared to provide culturally competent care.