Testing a Multi-Group Model of Culturally Competent Behaviors Among Underrepresented Nurse Practitioners

被引:15
作者
Benkert, Ramona [1 ]
Templin, Thomas [1 ]
Schim, Stephanie Myers
Doorenbos, Ardith Z. [2 ]
Bell, Sue Ellen [3 ]
机构
[1] Wayne State Univ, Coll Nursing, Ctr Hlth Res, Detroit, MI 48202 USA
[2] Univ Washington, Sch Nursing, Seattle, WA 98195 USA
[3] Minnesota State Univ, Sch Nursing, Mankato, MN 56001 USA
关键词
advanced practice; culture diversity; discrimination/barriers to care; LISREL/SEM/path analysis; SOCIAL-DESIRABILITY-SCALE; MULTICULTURAL COUNSELING COMPETENCE; HEALTH-CARE PROVIDERS; SHORT FORMS; STUDENTS; PROFESSIONALS; JUSTICE; ATTRIBUTIONS; POPULATIONS; EXPERIENCES;
D O I
10.1002/nur.20441
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Diversifying the health professional workforce and enhancing cultural competence are recommended for decreasing health disparities. We tested a structural equation model of the predictors of culturally competent behaviors in a mailed survey of three groups of underrepresented nurse practitioners (n = 474). Our model had good fit and accounted for 29% of the variance in culturally competent behaviors. Life experiences with diversity had direct effects on awareness/sensitivity and behaviors, and diversity training had a direct effect on behaviors. Cultural awareness/sensitivity mediated the relationship between life experiences with diversity and culturally competent behaviors; all paths remained after controlling for covariates. For unique experiences that contribute to workplace diversity, life experiences with diversity, and diversity training are important for culturally competent behaviors. (C) 2011 Wiley Periodicals, Inc. Res Nurs Health 34:327-341, 2011
引用
收藏
页码:327 / 341
页数:15
相关论文
共 54 条
[21]  
Ekblad S, 2000, J ADV NURS, V31, P623
[22]   MEASURING SOCIAL DESIRABILITY - SHORT FORMS OF THE MARLOWE-CROWNE SOCIAL DESIRABILITY SCALE [J].
FISCHER, DG ;
FICK, C .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1993, 53 (02) :417-424
[23]  
Fortier J.P., 2004, Setting the agenda for research on cultural competence in health care: Final report
[24]   Moral judgments in the rationing of health care resources: A comparative study of clinical health professionals [J].
Foster, LW ;
McLellan, LJ .
SOCIAL WORK IN HEALTH CARE, 1997, 25 (04) :13-36
[25]   Health disparities, social injustice, and the culture of nursing [J].
Giddings, LS .
NURSING RESEARCH, 2005, 54 (05) :304-312
[26]  
Godkin MA, 2001, FAM MED, V33, P178
[27]  
Goolsby Mary Jo, 2005, J Am Acad Nurse Pract, V17, P337, DOI 10.1111/j.1745-7599.2005.00060.x
[28]  
Hagman Lynda Wilson, 2006, J Cult Divers, V13, P105
[29]   Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria Versus New Alternatives [J].
Hu, Li-tze ;
Bentler, Peter M. .
STRUCTURAL EQUATION MODELING-A MULTIDISCIPLINARY JOURNAL, 1999, 6 (01) :1-55
[30]   SIMULTANEOUS FACTOR ANALYSIS IN SEVERAL POPULATIONS [J].
JORESKOG, KG .
PSYCHOMETRIKA, 1971, 36 (04) :409-&