McLennon Susan M, Rogers Tara L, Davis Altheria
J Contin Educ Nurs. 2019 Oct 1;50(10):469-474. doi: 10.3928/00220124-20190917-09.
RNs must be culturally competent to facilitate optimal health outcomes for diverse patients and families. The purpose of this study was to identify factors associated with cultural competence in hospital nurses.
In this cross-sectional, descriptive study, the Cultural Competence Assessment Tool was administered to RNs (N = 74) from a 500-bed urban medical center in the southeastern United States. The mean age of participants averaged 40.6 (SD = 11.0) years, and most participants were White (63%) and had encountered more than five (66%) different cultures in their work environment in the prior 12 months. Forty-two percent had received two or more different types of diversity training (M = 1.6, SD = 1.1).
Mean score for overall cultural competence was 7.3 (SD = 0.8) on a scale of 0 to 10 (10 = highest possible). Years of education was positively associated with diversity training (r = 0.31, p < .01) and cultural competence (r = 0.25, p < .05). Only diversity training predicted greater cultural competence (β = 0.40, p = .001).
Results suggest that diversity training is associated with greater cultural competence. Further research is needed to identify optimal types, dose, and frequency of diversity training to enhance overall cultural competence. [J Contin Educ Nurs. 2019;50(10):469-474.].
注册护士必须具备文化胜任力，以促进不同患者及其家庭获得最佳健康结果。本研究的目的是确定与医院护士文化胜任力相关的因素。
在这项横断面描述性研究中，对美国东南部一家拥有500张床位的城市医疗中心的74名注册护士使用了文化胜任力评估工具。参与者的平均年龄为40.6岁（标准差 = 11.0），大多数参与者是白人（63%），并且在过去12个月里，他们在工作环境中遇到过五种以上（66%）不同文化。42%的人接受过两种或更多不同类型的多元化培训（均值 = 1.6，标准差 = 1.1）。
在0至10分的量表上（10分为最高分），总体文化胜任力的平均得分为7.3分（标准差 = 0.8）。受教育年限与多元化培训呈正相关（r = 0.31，p < 0.01），与文化胜任力也呈正相关（r = 0.2, p < 0.05）。只有多元化培训能预测更高的文化胜任力（β = 0.40，p = 0.001）。
结果表明，多元化培训与更高的文化胜任力相关。需要进一步研究以确定多元化培训的最佳类型、剂量和频率，以提高整体文化胜任力。[《护理学继续教育杂志》。2019；50(10):469 - 474。]
