Development of a Cultural Competence Assessment Instrument

Schim, Stephanie Myers; Doorenbos, Ardith Z.; Miller, June; Benkert, Ramona

doi:10.1891/jnum.11.1.29.52062

Cited by 149 publications

(138 citation statements)

References 7 publications

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“…This difference in number of items retained in each component may be related to the depth of the theoretical explanations of these components. Our final scale with 43 items is longer than many of the other published cultural competence scales which contain 20 to 31 items (e.g., see [12,15,[42][43][44]). This difference could be related to the richness of theoretical meanings underpinning the CCC model.…”

Section: Discussionmentioning

confidence: 99%

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Almutairi

Dahinten

2017

Administrative Sciences

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This paper reports on a psychometric study conducted to explore the factor structure and refine the Critical Cultural Competence Scale (CCCS). Critical Cultural Competence (CCC) functions to promote the safety, equity, and well-being of patients, their families, and health care professionals. The development process of this measurement scale was systematic and iterative, and included generating a pool of potential items based on the theoretical definitions of CCC. In this study, conducted with a sample of 170 registered nurses from British Columbia, Canada, we used Principal Component Analysis (PCA) to explore the factor structure of the initial set of 84 items as a final step in developing the CCCS. The final version of the measure consists of 43 items, and the PCA results supported a four-factor solution consistent with the theoretical underpinnings of the scale. Future research is recommended to further assess the construct validity of this newly created scale.

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Section: Discussionmentioning

confidence: 99%

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Almutairi

Dahinten

2017

Administrative Sciences

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“…In a study among acute care nurses, Cronbach alpha for the CCA was 0.89; 0.76 for the CAS subscale; and 0.93 for the CCB subscale . Content and face validity of the CCA were initially established by a panel of expert reviewers and also supported in contrasted groups validity tests (Schim et al, 2003). An examination of concurrent validity between Campinha-Bacote's (1999) Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals (IAPCC) and the CCA revealed that scores from the CCA moderately correlated (r = 0.66) with those from the IAPCC (Schim et al, 2003).…”

Section: Instrumentsmentioning

confidence: 99%

Cultural Competence and Psychological Empowerment Among Acute Care Nurses

Bauce¹,

Kridli²,

Fitzpatrick³

2014

OJCCNH.org

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“…Over the past 5 years, the CCA has been used in numerous studies identifying the cultural competence of various health care professions. 12,13 The self-administered inventory consists of 30 questions on a 7-point Likert scale (1 5 strongly agree to 7 5 strongly disagree) that assesses 4 constructs of culturally competent care: cultural diversity, cultural awareness, cultural sensitivity, and cultural competence. 13 Each construct is operationally defined.…”

Section: Surveymentioning

confidence: 99%

“…12,13 The self-administered inventory consists of 30 questions on a 7-point Likert scale (1 5 strongly agree to 7 5 strongly disagree) that assesses 4 constructs of culturally competent care: cultural diversity, cultural awareness, cultural sensitivity, and cultural competence. 13 Each construct is operationally defined. Cultural diversity is the difference between groups based on distinguishing factors, such as race, ethnicity, national origin, sexual orientation, sex, ideology, language, disability, and generation.…”

Section: Surveymentioning

confidence: 99%

Assessment of Certified Athletic Trainers' Levels of Cultural Competence in the Delivery of Health Care

Marra

Covassin

Shingles

et al. 2010

Journal of Athletic Training

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Context: The concept of culture and its relationship to athletic training beliefs and practices is virtually unexplored. The changing demographics of the United States and the injuries and illnesses of people from diverse backgrounds have challenged health care professionals to provide culturally competent care.Objective: To assess the cultural competence levels of certified athletic trainers (ATs) in their delivery of health care services and to examine the relationship between cultural competence and sex, race/ethnicity, years of athletic training experience, and National Athletic Trainers' Association (NATA) district.Design: Cross-sectional survey. Setting: Certified member database of the NATA.Patients or Other Participants: Of the 13 568 ATs contacted, 3102 (age 5 35.3 6 9.41 years, experience 5 11.2 6 9.87 years) responded.Data Collection and Analysis: Participants completed the Cultural Competence Assessment (CCA) and its 2 subscales, Cultural Awareness and Sensitivity (CAS) and Cultural Competence Behavior (CCB), which have Cronbach alphas ranging from 0.89 to 0.92. A separate univariate analysis of variance was conducted on each of the independent variables (sex, race/ ethnicity, years of experience, district) to determine cultural competence.Results: The ATs' self-reported scores were higher than their CCA scores. Results revealed that sex (F 1,2929 5 18.63, P 5 .001) and race/ethnicity (F 1,2925 5 6.76, P 5 .01) were indicators of cultural competence levels. However, we found no differences for years of experience (F 1,2932 5 2.34, P 5 .11) or NATA district (F 1,2895 5 1.09, P 5 .36) and cultural competence levels.Conclusions: Our findings provide a baseline for level of cultural competence among ATs. Educators and employers can use these results to help develop diversity training education for ATs and athletic training students. The ATs can use their knowledge to provide culturally competent care to athletes and patients and promote a more holistic approach to sports medicine.Key Words: delivery of health care, diversity, culturally competent care Key Points N Although certified athletic trainers (ATs) self-reported a high level of cultural competence, their Cultural Competence Assessments revealed they operated at a lower level of cultural competence, and their cultural behaviors did not mirror their cultural awareness or sensitivity.N Female ATs were more culturally competent than male ATs. N Multiracial/other and black/African American groups had the highest cultural competence scores; the white/Caucasian group, midrange scores; and the American Indian/Alaskan native group, the lowest scores.N Cultural competence level was not different between newly certified and experienced ATs or among National Athletic Trainers' Association districts.

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Development of a Cultural Competence Assessment Instrument

Cited by 149 publications

References 7 publications

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Cultural Competence and Psychological Empowerment Among Acute Care Nurses

Assessment of Certified Athletic Trainers' Levels of Cultural Competence in the Delivery of Health Care

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