Ismail Fatima, Wessels Myra
J Chiropr Educ. 2025 May 31;39. doi: 10.7899/JCE-24-22.
Cultural and linguistic competence in health care is a universal necessity, compelling educational institutions to prepare graduates for diverse, multicultural environments. This study aimed to explore chiropractic students' perceptions of cultural and linguistic competency at a South African university.
A cross-sectional anonymous survey was distributed to bachelor of health sciences and master of health sciences chiropractic students at the University of Johannesburg from February 27, 2023, to March 24, 2023. The survey consisted of 33 Likert-scale questions related to 3 subscales: cultural competence, role of language, and student responsiveness. A digital presentation explaining cultural competency was provided to all potential participants. Data were analyzed using frequencies, descriptive statistics, exploratory factor analysis, and reliability testing.
The response rate was 43.56% (n = 105) with participants predominantly aged 18-23 years (74.3%, n = 78), female (76.2%, n = 80), White (70.5%, n = 74), and identifying as Christian (63.8%, n = 67); 68.6% (n = 72) were bilingual. Students showed high agreement on the importance of cultural and linguistic competence in health care but expressed a need for additional training in these areas. An interesting association was found between the role of language and the year of study (p = .043) with junior students perceiving higher linguistic competency. The survey demonstrated acceptable reliability (α = 0.877).
Student respondents expressed the importance of cultural competence and language proficiency and further demonstrated a clear need for further training to enhance their ability to serve diverse cultural and linguistic groups. The value of respecting patients' cultural backgrounds in clinical settings was aligned with global trends.
医疗保健中的文化和语言能力是一项普遍需求，促使教育机构培养毕业生以适应多样化的多元文化环境。本研究旨在探讨南非一所大学的整脊疗法专业学生对文化和语言能力的认知。
于2023年2月27日至2023年3月24日，对约翰内斯堡大学健康科学学士和健康科学硕士整脊疗法专业的学生进行了一项横断面匿名调查。该调查由33个李克特量表问题组成，涉及3个分量表：文化能力、语言的作用和学生反应能力。向所有潜在参与者提供了一个解释文化能力的数字演示文稿。使用频率、描述性统计、探索性因素分析和可靠性测试对数据进行分析。
回复率为(43.56%)（(n = 105)），参与者主要年龄在18 - 23岁（(74.3%)，(n = 78)），女性（(76.2%)，(n = 80)），白人（(70.5%)，(n = 74)），且认定为基督教徒（(63.8%)，(n = 67)）；(68.6%)（(n = 72)）的学生具备双语能力。学生们高度认同文化和语言能力在医疗保健中的重要性，但表示需要在这些领域接受更多培训。在语言的作用和学习年份之间发现了一个有趣的关联（(p = 0.043)），低年级学生认为自己的语言能力更高。该调查显示出可接受的信度（(\alpha = 0.877)）。
学生受访者表达了文化能力和语言熟练程度的重要性，并进一步表明显然需要进一步培训以提高他们为不同文化和语言群体服务的能力。在临床环境中尊重患者文化背景的价值与全球趋势一致。
