Implementing Standardized Patients to Teach Cultural Competency to Graduate Nursing Students

UMMS Affiliation

Graduate School of Nursing

Publication Date


Document Type



Medical Education | Nursing


Background: Although many programs emphasize knowledge enhancement on caring for patients from diverse cultural backgrounds, few integrate cultural assessments, skills, and encounters with these patients. To fill this gap, an objective structured clinical examination (OSCE) with culturally diverse standardized patients was introduced to 29 first-year graduate nursing students.

Method: The learning experience was implemented in three phases: (a) Pretest, (b) didactic introduction to culturally sensitive issues, and (c) video-recorded OSCE with two ethnically diverse, standardized patients. A posttest and final evaluation concluded the experience.

Results/Conclusions: The objective scoring of student competency from the SPs was positive, especially their assessment of patient use of alternative therapies. The students perceived that their critical thinking skills were enhanced.


objective structured clinical examination, standardized patients, simulation, cultural competence, cultural assessment, graduate nursing students, critical thinking skills, cultural assessment survey

DOI of Published Version



Ndiwane A, Koul O, Theroux R. Implementing standardized patients to teach cultural competency to graduate nursing students. Clinical Simulation in Nursing. 2014 2;10(2):e87-94. doi:10.1016/j.ecns.2013.07.002

Journal/Book/Conference Title

Clinical Simulation in Nursing