Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA.
J Gen Intern Med. 2009 Sep;24(9):1053-6. doi: 10.1007/s11606-009-1046-1. Epub 2009 Jun 26.
As patient populations become increasingly diverse, we need to be able to measure residents' preparedness and skillfulness to provide cross-cultural care.
To develop a measure that assesses residents' perceived readiness and abilities to provide cross-cultural care.
Survey items were developed based on an extensive literature review, interviews with experts, and seven focus groups and ten individual interviews, as part of a larger national mailed survey effort of graduating residents in seven specialties. Reliability and weighted principal components analyses were performed with items that assessed perceived preparedness and skillfulness to provide cross-cultural care. Construct validity was assessed.
A total of 2,047 of 3,435 eligible residents participated (response rate = 60%).
The final scale consisted of 18 items and 3 components (general cross-cultural preparedness, general cross-cultural skillfulness, and cross-cultural language preparedness and skillfulness), and yielded a Cronbach's alpha = 0.92. Construct validity was supported; the scale total was inversely correlated with a measure of helplessness when providing care to patients of a different culture (p < 0.001).
We developed a three-component cross-cultural preparedness and skillfulness scale that was internally consistent and demonstrated construct validity. This measure can be used to evaluate residents' perceived effectiveness of cross-cultural medical training programs and could be used in future work to validate residents' self assessments with objective assessments.
随着患者群体日益多样化，我们需要能够衡量居民提供跨文化护理的准备情况和技能水平。
开发一种衡量居民提供跨文化护理的准备情况和能力的测量工具。
调查项目是根据广泛的文献回顾、专家访谈以及七个焦点小组和十个个人访谈制定的，作为对七个专业的毕业住院医师进行更大规模全国邮寄调查的一部分。使用评估提供跨文化护理的准备情况和技能的感知项目进行可靠性和加权主成分分析。评估了结构效度。
共有 3435 名符合条件的居民中的 2047 名（应答率=60%）参加了调查。
最终量表由 18 个项目和 3 个组成部分（一般跨文化准备、一般跨文化技能、跨文化语言准备和技能）组成，克朗巴赫α系数为 0.92。结构效度得到支持；该量表总分与向不同文化背景的患者提供护理时的无助感呈负相关（p<0.001）。
我们开发了一个由三个组成部分组成的跨文化准备和技能量表，具有内部一致性，并表现出结构效度。该测量工具可用于评估居民对跨文化医学培训计划的感知效果，并可用于未来的工作，将居民的自我评估与客观评估进行验证。
