Development of an instrument to measure the cultural competence of health care workers
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng spa |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/167779 |
Resumo: | OBJECTIVE: To validate an instrument measuring the cultural competence in health care workers from Chile. METHODS: Using Sue & Sue’s theoretical model of cultural competence, we designed a scale, which was assessed by health care workers and experts. Subsequently, the scale was applied to a sample of 483 different health care workers, during 2018 in Santiago de Chile. The analysis included: exploratory and confirmatory factor analysis, estimation of reliability, and analysis of measurement bias. Finally, the level of cultural competence was calculated for every professional who participated in this study. RESULTS: The final scale include 14 items that are grouped into three dimensions concordant with the theoretical model: sensitivity to own prejudices, cultural knowledge, and skills to work in culturally diverse environments. This scale showed good fit in factor models, adequate reliability and lack of evidence of measurement bias. Regarding the performance of health care workers, sensitivity showed a lower level compared with the other dimensions evaluated. CONCLUSION: The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence. |
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Development of an instrument to measure the cultural competence of health care workersDesarrollo de un instrumento para medir competencia cultural en trabajadores de SaludCultural CompetencyCulturally Competent CareHealth Knowledge, Attitudes, PracticeValidation StudiesCompetencia CulturalAsistencia Sanitaria Culturalmente CompetenteConocimientos, Actitudes y Práctica en SaludEstudios de ValidaciónOBJECTIVE: To validate an instrument measuring the cultural competence in health care workers from Chile. METHODS: Using Sue & Sue’s theoretical model of cultural competence, we designed a scale, which was assessed by health care workers and experts. Subsequently, the scale was applied to a sample of 483 different health care workers, during 2018 in Santiago de Chile. The analysis included: exploratory and confirmatory factor analysis, estimation of reliability, and analysis of measurement bias. Finally, the level of cultural competence was calculated for every professional who participated in this study. RESULTS: The final scale include 14 items that are grouped into three dimensions concordant with the theoretical model: sensitivity to own prejudices, cultural knowledge, and skills to work in culturally diverse environments. This scale showed good fit in factor models, adequate reliability and lack of evidence of measurement bias. Regarding the performance of health care workers, sensitivity showed a lower level compared with the other dimensions evaluated. CONCLUSION: The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence.OBJETIVO: Validar un instrumento de medición de competencia cultural en trabajadores de salud de Chile. MÉTODOS: Utilizando el modelo teórico de Sue y Sue, se diseñó un instrumento de medición el cual fue evaluado por trabajadores de salud y expertos. Este instrumento se aplicó a una muestra diversa de 483 proveedores de salud, durante 2018 en Santiago de Chile. Se realizó análisis factorial exploratorio, confirmatorio, estimación de confiabilidad y análisis de sesgo de medición. Se estimó el nivel de competencia cultural alcanzado por los profesionales. RESULTADOS: El instrumento final contó con 14 ítems los cuales se agruparon en tres dimensiones: sensibilidad a los propios prejuicios, conocimiento cultural y habilidades para trabajar en entornos culturalmente diversos. Esta herramienta mostró buen ajuste en los modelos factoriales, adecuada confiabilidad y ausencia de evidencias de sesgo de medición. Los trabajadores de salud evaluados exhibieron un bajo nivel de sensibilidad a los propios prejuicios en comparación con las otras dimensiones evaluadas. CONCLUSIONES: La Escala de Medición de Competencia Cultural en trabajadores de salud (EMCC-14) es una herramienta confiable, con soporte inicial para su validez, que puede usarse en el contexto Chileno. Además, los resultados de este estudio podrían guiar algunas posibles intervenciones en el sector de la salud para fortalecer el nivel de competencia cultural.Universidade de São Paulo. Faculdade de Saúde Pública2020-03-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/16777910.11606/s1518-8787.2020054001695Revista de Saúde Pública; Vol. 54 (2020); 29Revista de Saúde Pública; Vol. 54 (2020); 29Revista de Saúde Pública; v. 54 (2020); 291518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengspahttps://www.revistas.usp.br/rsp/article/view/167779/159939https://www.revistas.usp.br/rsp/article/view/167779/159940https://www.revistas.usp.br/rsp/article/view/167779/159941Copyright (c) 2020 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessPedrero, VictorBernales, MargaritaChepo, MacarenaManzi, JorgePérez, MiguelFernández, Paulina2020-03-24T20:14:27Zoai:revistas.usp.br:article/167779Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-03-24T20:14:27Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Development of an instrument to measure the cultural competence of health care workers Desarrollo de un instrumento para medir competencia cultural en trabajadores de Salud |
title |
Development of an instrument to measure the cultural competence of health care workers |
spellingShingle |
Development of an instrument to measure the cultural competence of health care workers Pedrero, Victor Cultural Competency Culturally Competent Care Health Knowledge, Attitudes, Practice Validation Studies Competencia Cultural Asistencia Sanitaria Culturalmente Competente Conocimientos, Actitudes y Práctica en Salud Estudios de Validación |
title_short |
Development of an instrument to measure the cultural competence of health care workers |
title_full |
Development of an instrument to measure the cultural competence of health care workers |
title_fullStr |
Development of an instrument to measure the cultural competence of health care workers |
title_full_unstemmed |
Development of an instrument to measure the cultural competence of health care workers |
title_sort |
Development of an instrument to measure the cultural competence of health care workers |
author |
Pedrero, Victor |
author_facet |
Pedrero, Victor Bernales, Margarita Chepo, Macarena Manzi, Jorge Pérez, Miguel Fernández, Paulina |
author_role |
author |
author2 |
Bernales, Margarita Chepo, Macarena Manzi, Jorge Pérez, Miguel Fernández, Paulina |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pedrero, Victor Bernales, Margarita Chepo, Macarena Manzi, Jorge Pérez, Miguel Fernández, Paulina |
dc.subject.por.fl_str_mv |
Cultural Competency Culturally Competent Care Health Knowledge, Attitudes, Practice Validation Studies Competencia Cultural Asistencia Sanitaria Culturalmente Competente Conocimientos, Actitudes y Práctica en Salud Estudios de Validación |
topic |
Cultural Competency Culturally Competent Care Health Knowledge, Attitudes, Practice Validation Studies Competencia Cultural Asistencia Sanitaria Culturalmente Competente Conocimientos, Actitudes y Práctica en Salud Estudios de Validación |
description |
OBJECTIVE: To validate an instrument measuring the cultural competence in health care workers from Chile. METHODS: Using Sue & Sue’s theoretical model of cultural competence, we designed a scale, which was assessed by health care workers and experts. Subsequently, the scale was applied to a sample of 483 different health care workers, during 2018 in Santiago de Chile. The analysis included: exploratory and confirmatory factor analysis, estimation of reliability, and analysis of measurement bias. Finally, the level of cultural competence was calculated for every professional who participated in this study. RESULTS: The final scale include 14 items that are grouped into three dimensions concordant with the theoretical model: sensitivity to own prejudices, cultural knowledge, and skills to work in culturally diverse environments. This scale showed good fit in factor models, adequate reliability and lack of evidence of measurement bias. Regarding the performance of health care workers, sensitivity showed a lower level compared with the other dimensions evaluated. CONCLUSION: The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/167779 10.11606/s1518-8787.2020054001695 |
url |
https://www.revistas.usp.br/rsp/article/view/167779 |
identifier_str_mv |
10.11606/s1518-8787.2020054001695 |
dc.language.iso.fl_str_mv |
eng spa |
language |
eng spa |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/167779/159939 https://www.revistas.usp.br/rsp/article/view/167779/159940 https://www.revistas.usp.br/rsp/article/view/167779/159941 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 54 (2020); 29 Revista de Saúde Pública; Vol. 54 (2020); 29 Revista de Saúde Pública; v. 54 (2020); 29 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221801258680320 |