Cultural Competence of Healthcare Providers: A Systematic Review of Assessment Instruments

Lin, Chia Jung; Lee, Chia Kuei; Huang, Mei Chih

doi:10.1097/jnr.0000000000000153

Cited by 52 publications

(47 citation statements)

References 33 publications

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“…First, the instrument of cultural competence was self-reported and thus based on individuals’ perceptions, which are susceptible to social desirability effects. As immigration policies in Finland and elsewhere are also political issues, the participants may have hesitated to answer questions on these issues and thus the answers they gave might not have reflected their true perceptions [8, 28]. We tried to minimize this bias by taking care that the respondents knew that their anonymity was maintained throughout the whole process of collecting, analysing and reporting data.…”

Section: Discussionmentioning

confidence: 99%

“…Another problem associated with evaluating the respondent’s answers is a finding that people tend to overestimate their cultural competence [29], which might then mislead the managers to believe that their workers’ cultural competence is at a good level and therefore needs no improvement. Hence, in order to obtain more objective data on cultural competence in the future, different measurements using quantitative and qualitative methods are needed [8]. For example, direct observation in clinical interactions between healthcare professionals and patients from different cultures could be used.…”

Section: Discussionmentioning

confidence: 99%

“…However, many limitations in these instruments have been noted (e.g. [4, 8–10]). Definitions of cross-cultural competence and its dimensions vary in different instruments and are based on several different theoretical models.…”

Section: Introductionmentioning

confidence: 99%

“…nurses) or contexts (e.g. primary care) [4, 8]. The Cross-Cultural Competence instrument of Healthcare Professionals (CCCHP) [11] was developed to overcome some of the limitations of previous instruments.…”

Section: Introductionmentioning

confidence: 99%

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Testing the psychometric properties of the Finnish version of the cross-cultural competence instrument of healthcare professionals (CCCHP)

Hietapakka

Elovainio

Wesołowska

et al. 2019

BMC Health Serv Res

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Background To test the validity of the Finnish version of the Bernhard et al.’s Cross-Cultural Competence instrument of Healthcare Professionals (CCCHP). Methods The study sample comprised registered nurses ( N = 810) from the Finnish “Competent workforce for the future” -project (COPE). Exploratory factor analyses and structural equation modelling were applied to test structural validity of the CCCHP. Internal consistency of the sub-scales was evaluated using the Cronbach’s alphas. Criterion validity was explored in terms of received education for multicultural work, perceived difficulty of patients, and job satisfaction variables. Results The revised version of the instrument including four (motivation/curiosity, attitudes, skills and emotions/empathy) of the five original dimensions provided satisfactory psychometric properties (internal consistency, a good model fit of the data). Of the four remaining competence sub-scales, motivation/curiosity, attitudes and emotions/empathy were associated with the amount of received education for multicultural work, and all with perceived difficulty of patients, and all but attitudes with job satisfaction. Conclusion This revised Finnish version of the CCCHP provides a useful tool for studies focusing on the healthcare personnel’s cross-cultural competence in delivering effective and culturally sensitive healthcare services for patients from different cultures. Electronic supplementary material The online version of this article (10.1186/s12913-019-4105-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Testing the psychometric properties of the Finnish version of the cross-cultural competence instrument of healthcare professionals (CCCHP)

Hietapakka

Elovainio

Wesołowska

et al. 2019

BMC Health Serv Res

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“…To the best of our knowledge, there are no validated research instruments to measure cultural safety outcomes in health care providers. A recent systematic review [ 31 ] exploring instruments to assess cultural competence (and aligned concepts) identified 10 instruments. All of them were self-administered and based on respondent perceptions.…”

Section: Methodsmentioning

confidence: 99%

Impact of Co-Designed Game Learning on Cultural Safety in Colombian Medical Education: Protocol for a Randomized Controlled Trial

Pimentel¹,

Cockcroft²,

Andersson³

2020

JMIR Res Protoc

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Background Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients’ worldviews. Lack of cultural safety in health care is linked to stigma and discrimination toward culturally diverse patients. Training in cultural safety poses considerable challenges. It is an unappealing subject for medical students and requires behavioral changes in their clinical practice. Game jams—collaborative workshops to create and play games—have recently shown effectiveness and engaging potential in university-level education. Objective The trial aims to determine if medical students’ participation in a game jam to design an educational game on cultural safety is more effective than a standard lesson on cultural safety in terms of change in the students’ self-reported intended patient-oriented behavior. Methods A parallel-group, 2-arm randomized controlled trial with a 1:1 allocation ratio will randomize 340 medical students and 60 medical interns (n=400) at the Faculty of Medicine at La Sabana University, Colombia (170 students and 30 medical interns to each arm). The intervention group will participate in an 8-hour game jam comprising (1) a preliminary lecture on cultural safety and game design, (2) a game building session where groups of students will create educational games about cultural safety, and (3) a play-test session in which students will play and learn from each other’s games. The control group will receive a standard lesson, including a 2-hour lecture on cultural safety, followed by a 6-hour workshop to create posters about cultural safety. Web-based self-administered 30-item Likert-type questionnaires will assess cultural safety self-reported intended behavior before, immediately after, and 6 months after the intervention. An intention-to-treat approach will use a t-test with 95% CIs to determine the significance of the effect of the intervention, including within- and between-group comparisons. The qualitative most significant change technique will explore the impact of the intervention on the clinical experience of the students. Results Study enrollment began in July 2019. A total of 531 students completed the baseline survey and were randomized. Data collection is expected to be complete by July 2020, and results are expected in October 2020. The study was approved by the institutional review board of the Faculty of Medicine at McGill University (May 31, 2017) and by the Subcommittee for Research of the Faculty of Medicine at La Sabana University (approval number 445). Conclusions The research will develop participatory methods in game-based learning co-design that might be relevant to other subjects. Ultimately, it should foster improved cultural safety skills for medical students, improve the quality of health services for diverse cultural groups, and contribute to enhanced population health. Game learning may provide an innovative solution to a long-standing and neglected problem in medical education, helping to meet the educational expectations and needs of millennial medical students. Trial Registration ISRCTN Registry ISRCTN14261595; http://www.controlled-trials.com/ISRCTN14261595

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Evaluation of cross-cultural competence among German health care professionals: A quasi-experimental study of training in two hospitals

Beck,

Matusiewicz,

Schouler-Ocak

et al. 2024

Heliyon

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Cultural Competence of Healthcare Providers: A Systematic Review of Assessment Instruments

Abstract: This systematic review may assist researchers to choose appropriate instruments to assess the cultural competence of healthcare providers. The findings of this review indicate that no single instrument is adequate to evaluate cultural competence in all contexts.

Cited by 52 publications

References 33 publications

Testing the psychometric properties of the Finnish version of the cross-cultural competence instrument of healthcare professionals (CCCHP)

Testing the psychometric properties of the Finnish version of the cross-cultural competence instrument of healthcare professionals (CCCHP)

Impact of Co-Designed Game Learning on Cultural Safety in Colombian Medical Education: Protocol for a Randomized Controlled Trial

Evaluation of cross-cultural competence among German health care professionals: A quasi-experimental study of training in two hospitals

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