医疗服务提供者的文化能力、自我效能感和谦逊态度：伊朗东南部的一项调查

Cultural capacity, self-efficacy, and humility of healthcare providers: a survey in Southeast Iran.

作者信息

Gadari Shima, Jouparinejad Somayeh, Noori Farsangi Sara, Sabzi Amirreza, Jafari Aida, Farokhzadian Jamileh

机构信息

Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Prim Care. 2025 May 29;26(1):188. doi: 10.1186/s12875-025-02898-8.

DOI:10.1186/s12875-025-02898-8

PMID:40442578

Abstract

BACKGROUND

With the increasing cultural diversity in healthcare settings, it is essential for healthcare providers to possess the three key characteristics of cultural capacity, self-efficacy, and humility in order to deliver optimal and culturally congruent care. The present study aimed to assess the relationship between cultural capacity, self-efficacy, and humility among healthcare providers.

METHOD

This cross-sectional study used a convenience sampling method to include 203 healthcare providers from comprehensive health centers and facilities affiliated with Kerman University of Medical Sciences in Kerman, southeastern Iran. Data were collected through a demographic information questionnaire, the Cultural Capacity Scale Arabic (CCS-A), the Cultural Self-Efficacy Scale (CSES), and the Foronda's Cultural Humility Scale.

RESULTS

The results indicated that healthcare providers exhibited a moderate level of cultural capacity (60.38 ± 19.12) and cultural self-efficacy (60.29 ± 19.39), and occasionally demonstrated cultural humility (60.22 ± 11.43). Furthermore, cultural capacity showed a direct and significant correlation with both self-efficacy and cultural humility (P < 0.001). Additionally, cultural humility exhibited a direct and significant correlation with cultural self-efficacy (P < 0.001). Academic degree (β = 0.13, p = 0.005), education outside of place of residence (β = 0.1, p = 0.02), attendance in cultural care training (β = 0.21, p = 0.01), self-efficacy (β = 0.56, p = 0.001), and cultural humility (β = 0.11, p = 0.001) were significant predictors of the cultural capacity.

CONCLUSION

The results suggested that the cultural capacity, self-efficacy, and humility of healthcare providers were at a moderate level, and these variables were interrelated. Given that cultural capacity, competence, and humility are fundamental concepts in addressing ethnic and cultural diversity in societies, healthcare policymakers should strive to improve the levels of these important cultural attributes and develop strategies to enhance these qualities in healthcare providers.

摘要

背景

随着医疗环境中文化多样性的增加，医疗服务提供者具备文化能力、自我效能感和谦逊这三个关键特征对于提供最佳的、符合文化的护理至关重要。本研究旨在评估医疗服务提供者的文化能力、自我效能感和谦逊之间的关系。

方法

本横断面研究采用便利抽样方法，纳入了伊朗东南部克尔曼市克尔曼医科大学附属综合健康中心和机构的203名医疗服务提供者。通过人口统计学信息问卷、阿拉伯文化能力量表（CCS-A）、文化自我效能量表（CSES）和福龙达文化谦逊量表收集数据。

结果

结果表明，医疗服务提供者表现出中等水平的文化能力（60.38±19.12）和文化自我效能感（60.29±19.39），偶尔表现出文化谦逊（60.22±11.43）。此外，文化能力与自我效能感和文化谦逊均呈直接且显著的相关性（P<0.001）。此外，文化谦逊与文化自我效能感呈直接且显著的相关性（P<0.001）。学术学位（β=0.13，p=0.005）、居住地以外的教育经历（β=0.1，p=0.02）、参加文化护理培训（β=0.21，p=0.01）、自我效能感（β=0.56，p=0.001）和文化谦逊（β=0.11，p=0.001）是文化能力的显著预测因素。