1 Georgia State University, Atlanta, GA, USA.
J Transcult Nurs. 2018 Jan;29(1):101-111. doi: 10.1177/1043659617699065. Epub 2017 Apr 3.
Racially/ethnically diverse children with disabilities experience increased risk for health care disparities when compared to non-Hispanic White children with disabilities or racially/ethnically diverse children without disabilities. The purpose of this study was to progress culturally congruent health care by exploring cultural competence (CC) for an interdisciplinary leadership training program designed to improve services for children with disabilities. The study also sought to bridge a gap in the literature by including the perspectives of diverse health care consumers.
Q-methodology was used to support participant groups' sorting of CC training outcomes by importance to identify factors of CC.
Data collected from 51 participants were subjected to a by-person factor analysis that yielded six factors explaining 50% of variance.
Findings validate some common elements of existing CC models and provide new perspectives regarding potentially overlooked aspects of CC, with many new perspectives provided by racially/ethnically diverse parents of children with disabilities.
与残疾非西班牙裔白人儿童或残疾非少数族裔儿童相比，残疾少数族裔儿童面临着更多的医疗保健差距。本研究的目的是通过探索跨学科领导力培训计划的文化能力（CC），为文化上一致的医疗保健提供进展，该计划旨在改善残疾儿童的服务。该研究还通过纳入不同医疗保健消费者的观点，试图弥合文献中的差距。
采用 Q 方法学支持参与者群体按重要性对 CC 培训结果进行排序，以确定 CC 的因素。
从 51 名参与者那里收集的数据进行了个体因素分析，得出了六个解释 50%方差的因素。
研究结果验证了现有 CC 模型的一些共同要素，并提供了关于 CC 潜在被忽视方面的新视角，残疾儿童的少数族裔父母提供了许多新视角。
