title: Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners.
abstract: 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.
authors.affiliation: College of Nursing, Wayne State University, Detroit, MI 48202, USA.
authors.forename: Ramona
authors.initials: R
authors.lastname: Benkert
authors.forename: Thomas
authors.initials: T
authors.lastname: Templin
authors.forename: Stephanie Myers
authors.initials: SM
authors.lastname: Schim
authors.forename: Ardith Z
authors.initials: AZ
authors.lastname: Doorenbos
authors.forename: Sue Ellen
authors.initials: SE
authors.lastname: Bell
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D018864:Cultural Diversity; D005260:Female; D015276:Health Care Rationing; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000523:psychology / Q000592:standards*; D012928:Social Desirability; D011795:Surveys and Questionnaires