title: Prerequisites to providing culturally competent care to Mexican migrant farmworkers: a Delphi study.
abstract: The purpose of this study was to identify prerequisites to providing culturally competent care to Mexican migrant farmworkers. A national sample of nurse experts who worked with Mexican migrant farmworkers (N = 93 [50.2%] in round 1; and N = 142 [54.8%] in round 2) participated during the period of August 1998 to April 1999. Using a two-round modified Delphi method, a list of 89 items was generated. The nurse experts agreed that the 89 items identified were prerequisites to cultural competence, showing consensus rates of 85.4% in round 1 and 88.8% in round 2. The prerequisites to culturally competent care identified by participants encompassed caring, cultural sensitivity, cultural knowledge (general/specific), cultural abilities/skills, and others (bi-cultural status; cultural and learning experiences).
authors.affiliation: School of Nursing at the University of North Carolina at Wilmington, USA. KIMY@uncw.edu
authors.forename: Yeoun Soo
authors.initials: YS
authors.lastname: Kim-Godwin
authors.forename: Judith W
authors.initials: JW
authors.lastname: Alexander
authors.forename: Gwen
authors.initials: G
authors.lastname: Felton
authors.forename: Marlene C
authors.initials: MC
authors.lastname: Mackey
authors.forename: Alice
authors.initials: A
authors.lastname: Kasakoff
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003142:Communication; D003220:Conflict, Psychological; D003466:Cultural Characteristics; D018864:Cultural Diversity; D003697:Delphi Technique; D004645:Empathy; D005163:Factor Analysis, Statistical; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D017058:Mexican Americans / Q000208:ethnology; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology*; D015404:Nursing Methodology Research; D011287:Prejudice; D011597:Psychomotor Performance; D012945:Social Values; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing / Q000458:organization & administration*; D014171:Transients and Migrants / Q000523:psychology; D035502:Trust; D014481:United States