For behavioral health nurses, will implementation of a culturally competent mental health assessment tool as compared to a standard mental health assessment, reduce readmission rates for patients of color within a 30-day period or less?

PICOT-D Question - Samantha McCoy
P		Population	Behavioral Health Nurses
I		Intervention	Cultural Competence Assessment tool
C		Comparison	BH nurses not utilizing the tool
O		Outcome	Reduced readmission
T		Timeline	Within a 30-day period
D		Data	The data will be retrieved from EHR (patients' length of stay), a pre-test and posttest for BH nurses
PICOT	For behavioral health nurses, will implementation of a culturally competent mental health assessment tool as compared to a standard mental health assessment, reduce readmission rates for patients of color within a 30-day period or less?
Problem Statement	While the literature indicates the importance of culturally competent nursing care, it is not known if culturally competent mental health nurses make a difference when providing care to people of color. As culturally diverse communities continue to grow, and greater importance is placed on early interventions in the prevention of mental health crisis. That impetus falls short with providing culturally competent mental health nursing care. Historically, psychiatrist and clinicians are required to demonstrate competence in providing culturally competent and culturally sensitive mental health assessment and services to patients, nurses are not (McGregor et al., 2019). Having behavioral health nurses who are culturally competent and culturally sensitive may improve client outcomes in the inpatient setting. This is particularly important when providing care to underserved populations and providing culturally competent mental health nursing care for people of color. Problem: It is not known if implementing a culturally competent mental health assessment tool would reduce readmission rates within a 30-day period or less when compared to not implementing a culturally competent mental health assessment tool for behavioral health patients of color.
Purpose Statement	The purpose of this quantitative correlational practice improvement project is to evaluate the degree a relationship exists between nurses who have completed a cultural competence assessment to the length of stay of patients on an inpatient behavioral health unit at. The cultural competence assessment tool is defined as a 40-item questionnaire with four sections (1) awareness, (2) knowledge (3) sensitivity and, (4) competent practice, comprised of 10 questions each (Shen, 2015). Administered at the beginning of the shift and a revised questionnaire comprised of 10 questions that will assess the nurses’ feelings of cultural competency.

Creswell, J. W. (2003). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks: Sage Publications. References Maura, J., & Weisman de Mamani, A. (2017). Mental health disparities, treatment engagement, and attrition among racial/ethnic minorities with severe mental illness: A review Springer. doi:10.1007/s10880-017-9510-2 McGregor, B., Belton, A., Henry, T. L., Wrenn, G., & Holden, K. B. (2019). Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers. Ethnicity & disease, 29(Suppl 2), 359–364. https://doi.org/10.18865/ed.29.S2.359 Shen, Z. (2015). Cultural competence models and cultural competence assessment instruments in nursing: a literature review. Journal of Transcultural Nursing, 26(3), 308-321.

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper Type	Admission - Application Essay
Number of Pages	10 Page(s)/2750 words
Sources	5
Format	APA
Spacing	Double Spacing

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