Culture Assessment Instrument Research Articles

Comparative Analysis of the Nurse Cultural Competency Levels in Inpatient Rooms, Outpatient and Emergency Unit of Regional General Hospital dr. Haryoto Lumajang

Cultural diversity affects individual beliefs and understanding of treatment situations, influencing the treatment process. As care providers, nurses must deliver culturally sensitive care, so cultural competence is paramount. Cultural competence is a crucial element of cross-cultural care. Nevertheless, research on assessing nurses’ cultural competence across different care settings is lacking. This study was aimed to analyze differences in nurses’ cultural competence in inpatient, outpatient, and emergency rooms. The study used a non-experimental quantitative design with a cross-sectional approach conducted on 108 nurses in inpatient, outpatient, and emergency rooms. Data were collected using a Cultural Competence Assessment Instrument (CCAI) questionnaire. The data analysis used univariate and bivariate analysis. Descriptive analysis and the Kruskal Wallis test were used to analyze the data, with p<0.05. The analysis results documented no significant difference in cultural competence among the nurses, evidenced by p 0.841. Their cultural competence was not significantly related to the type of nursing service provided. However, cultural competence is dependent on nurses’ cultural knowledge and organizational support related to the provision of cultural competence training.

Clinical Relevance and Psychometric Properties of the Swedish Version of the Cultural Competence Assessment Instrument.

Based on the increasing diversity of Swedish society, health professionals, like occupational therapists, find it challenging to provide culturally competent services to international clients. Consequently, cultural competence among professionals needs to be measured and improved using psychometrically tested instruments. This study examines the clinical relevance, construct validity, and reliability of the Swedish version of the Cultural Competence Assessment Instrument among Swedish occupational therapists. Material and Methods. A randomised sample of 312 Swedish occupational therapists answered a survey based on the Swedish version of the Cultural Competence Assessment Instrument with supplementary questions on the clinical relevance of the instrument. Descriptive statistics were used to examine the clinical relevance of the Swedish version of the Cultural Competence Assessment Instrument. Factor analyses, both exploratory and confirmatory, were run to examine the factor structure. Cronbach's alpha was performed to assess the internal consistency of the instrument. Results. The participants reported that the 24 items had high clinical relevance. The validation yielded a three-factor model: openness and awareness, workplace support, and interaction skills. All three of these factors showed high loadings. Conclusions. The study results indicated positive clinical relevance and psychometric properties for the Swedish version of the Cultural Competence Assessment Instrument and strong support to be utilised in Sweden. The implications of this study are important given the rapid growth in migration over the last few decades. A self-rating instrument measuring cultural competence could support occupational therapists' professional knowledge and development when they interact with international clients. As the tool was originally developed in English in the United States, the feedback from the Swedish version could potentially be useful for the instrument in modified form and for use by occupational therapists in English-speaking countries.

Questionário de competências culturais para profissionais de ajuda (QCC-PA)

Objetivo: adaptar e validar o Cultural Competence Assessment Instrument para avaliar as competências culturais dos profissionais de ajuda. O questionário foi selecionado tendo em conta três critérios, nomeadamente: i) o processo de construção do mesmo, na sua versão original, com base numa revisão aprofundada da literatura e dos instrumentos existentes para avaliar o constructo; ii) os indicadores de ajustamento do modelo da validação do instrumento; iii) a adequabilidade e a possibilidade de adaptação aos contextos que se pretendiam avaliar, particularmente junto de profissionais de ajuda a vítimas.
 Método: a tradução e adaptação do questionário obedeceram às guidelines internacionais neste domínio e a validação foi conduzida com 313 profissionais de ajuda agrupados em três domínios profissionais: área social, área da saúde e área criminal.
 Resultados: as análises fatoriais exploratória e confirmatória permitiram identificar, para esta amostra e com bom ajustamento psicométrico (e.g., alfa .88), a competência cultural aferida através de quatro fatores: consciência cultural, conhecimento cultural, aptidões técnicas e apoio organizacional.
 Conclusão: o Questionário de Competências Culturais para Profissionais de Ajuda é uma versão mais pequena da versão original do instrumento, que pode ser utilizada em contextos diferenciados. Este instrumento revela-se, assim, útil na monitorização e supervisão das práticas institucionais no atendimento em contextos de ajuda, ao nível da competência cultural.

The Transition of Primary Care Group Practices to Next Generation Models: Satisfaction of Staff, Clinicians, and Patients

Restructuring primary care is essential to achieve the triple aim. This case study examines the human factors of extensive redesign on 2 midsized primary care clinics (clinics A and B) in the Midwest United States that are owned by a large health care system. The transition occurred when while the principles for patient-centered medical home were being rolled out nationally, and before the Affordable Care Act. After the transition, interviews and discussions were conducted with 5 stakeholder groups: health system leaders, clinic managers, clinicians, nurses, and reception staff. Using a culture assessment instrument, the responses of personnel at clinics A and B were compared with comparison clinics from another health system that had not undergone transition. Patient satisfaction scores are presented. Clinics A and B were similar in size and staffing. Three human factor themes emerged from interviews: responses to change, professional and personal challenges due to role redefinition, and the importance of communication. The comparison clinics had an equal or higher mean culture scores compared with the transition clinics (A and B). Patient satisfaction in improved in Clinic A. The transition took more time than expected. Health system leaders underestimated the stress and the role adjustments for clinicians and nurses. Change leaders need to anticipate the challenge of role redefinition until health profession schools graduate trainees with more experience in new models of team-based care. Incorporating experience with team based, interprofessional care into training is essential to properly prepare future health professionals.

Construct Validity of Almutairi's Critical Cultural Competence Scale.

Cultural diversity in health care settings can threaten the well-being of patients, their families, and health care providers. This psychometric study evaluated the construct validity of the recently developed four-factor, 43-item Critical Cultural Competence Scale (CCCS) which was designed to overcome the conceptual limitations of previously developed scales. The study was conducted in Canada with a random sample of 170 registered nurses. Comparisons with the Cultural Competence Assessment instrument, Scale of Ethnocultural Empathy, and Cultural Intelligence Scale provided mixed evidence of convergent validity. Modest correlations were found between the total scale scores suggesting that the CCCS is measuring a more comprehensive and conceptually distinct construct. Stronger correlations were found between the more conceptually similar subscales. Evidence for discriminant validity was also mixed. Results support use of the CCCS to measure health care providers' perceptions of their critical cultural competence though ongoing evaluation is warranted.

Development of a Cultural Competence Assessment Instrument

Development of a Cultural Competence Assessment Instrument