title: The cultural competence of health care professionals: conceptual analysis using the results from a national pilot study of training and assessment.
abstract: The cultural competence of health professionals affects the satisfaction with, and outcomes of, patient care. Patient-centered cultural training was implemented with 76 trainees. Four months later, they were assessed using standardized patient scenarios and their performance compared to a control group. A questionnaire was used to evaluate the training. Assessment scores were analyzed using t tests to compare groups. Interrater reliability was calculated for individual scenarios. The cultural training received positive evaluations with many trainees indicating their intention to change future practice. Those who received cultural training gained higher scores upon assessment than those who had not. This difference was significant for three scenarios with nonclinical evaluators. Interrater reliability ranged from .913 to .427. The significant difference in performance between the groups supports the validity and educational impact of this approach. However, variable reliability highlights the difficulties with developing robust assessments in this area that are feasible within resource constraints.
authors: School of Health, Community and Education Studies, Northumbria University, Benton, Newcastle-upon-Tyne, United Kingdom. lindaeprescott@hotmail.com
authors: Linda
authors: L
authors: Prescott-Clements
authors: Lambert
authors: L
authors: Schuwirth
authors: Cees
authors: C
authors: van der Vleuten
authors: Yvonne
authors: Y
authors: Hurst
authors: Gerald
authors: G
authors: Whelan
authors: Elizabeth
authors: E
authors: Gibb
authors: James
authors: J
authors: Rennie
mesh_terms: D054521:Cultural Competency / Q000193:education*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011795:Surveys and Questionnaires