Self-Administered Instruments to Measure Cultural Competence of Health Professionals: A Systematic Review (original) (raw)
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Journal of the National Medical Association, 2009
The purpose of this research was to examine the effectiveness of a cultural competency training program designed to improve the knowledge and skills of health care providers and administrators engaging in cross-cultural, clinical encounters. Methods: We conducted an evaluation study among 43 health care professionals (health care providers and health administrators) who attended a 4-hour cultural competency workshop. We used a post-then-pre method of self-reported evaluation to answer a key question: Does cultural competency training produce a measurable change in knowledge and skills relating to the care of patients from diverse cultural and ethnic backgrounds? Results: The study findings suggest that there are statistically significant change in participants' self-report of knowledge and skills related to cultural competency. Conclusions: Our study shows that a cultural competency training program that integrates key topics as recommended by the Institute of Medicine and includes Culturally and Linguistically Appropriate Services in Health Care standards improves the knowledge and skills of health care providers and administrators. Following the training, the participants self-reported not only an enhanced understanding of the health care experiences of patients with diverse backgrounds, but also an improvement in their skills to effectively work in cross-cultural situations. In addition, our study offers a reliable, innovative, and time-efficient strategy-post-thenpre method-for evaluating the outcomes of 4-hour cultural competency training programs.
Hawaii medical journal
Cultural competence education is relatively new in the United States, particularly in the area of graduate and post-graduate medical education. There is, however, wide acceptance that an understanding of the role culture plays in the treatment and care of patients is critical. Numerous studies and a variety of commentaries document this importance, but valid, uniform evaluation methods for assessing the efficacy of these efforts is lacking. This review discusses existing evaluation efforts and makes suggestions regarding future development of such tools.
Journal of health disparities research and practice, 2016
In the United States, medical students must demonstrate a standard level of "cultural competence," upon graduation. Cultural competence is most often defined as a set of congruent behaviors, attitudes, and policies that come together in a system, organization, or among professionals that enables effective work in cross-cultural situations. The Association of American Medical Colleges developed the Tool for Assessing Cultural Competence Training (TACCT) to assist schools in developing and evaluating cultural competence curricula to meet these requirements. This review uses the TACCT as a guideline to describe and assess pedagogical approaches to cultural competence training in US medical education and identify content gaps and opportunities for curriculum improvement. A total of 18 programs are assessed. Findings support previous research that cultural competence training can improve the knowledge, attitudes, and skills of medical trainees. However, wide variation in the co...
Psikoloji Çalışmaları Studies in Psychology , 2020
Culturally competent healthcare professionals are important in improving the quality of health care. The lack of a measurement tool in the literature that evaluates the cultural competence of the multidisciplinary team in primary health care is noteworthy. The aim of this study is to develop a Primary Health Care Professionals' Cultural Competency Scale (PHCP-CCS) by adapting the Nurse Cultural Competency Scale (NCCS) developed by Perng and Watson (2012), and to examine the various factors affecting cultural competency in Turkey. A total of 231 health professionals, including family doctors, family health nurses and community health professionals, participated in this study. In the item analysis, the correlations of the items with the total score varied between .60 and 82. Exploratory factor analysis revealed a three-factor structure that explained 73.5% of total variance. Items 1-8 of the PHCP-CCS were included under the heading "Cultural Skills," items 9-16 under "Cultural Knowledge" and items 17-20 under "Cultural Sensitivity." Cronbach's Alpha coefficient for the overall scale was .84 and was calculated as .78, .76 and .87 for the respective factors. The experiences of the participants were grouped and compared for discriminant validity. It was found that being able to speak different languages, having contact with friends and neighbors from different cultures, and being educated about serving people from various cultures increased the cultural competency of primary health professionals. In addition, the PHCP-CCS scores of all the primary health professionals who were happy to be working with migrants and refugees were considerably higher. The results show that PHCP-CCS is a measurement tool that can be used to determine cultural competency among primary health care workers. In addition, the scale is also suitable for use in the clinical field for all professionals providing health services to the individual, families and the community.
The Evaluation of Cultural Competence in Healthcare
Andragoška spoznanja
The article seeks to stimulate dialogue about the evaluation of cultural competence in healthcare. The first part of the paper presents the different attempts to measure cultural competence in the field of healthcare and critically analyses the problems that arise concerning the use of instruments that measure the cultural competence of health providers. The second part of the article focuses on the evaluation process of the first cultural competence educational programme for healthcare workers in Slovenia, serving as an example to demonstrate the importance of complementing quantitative methods with qualitative ones and to emphasize the need to shift the focus from measuring the cultural competence of individual healthcare workers to the evaluation of educator performances, patient perspectives, and the cultural competence of healthcare institutions as a whole.