Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners

Diversifying the health professional workforce and enhancing cultural competence are recommended for decreasing health disparities. We tested a structural equation model of the predictors of culturally competent behaviors in a mailed survey of three groups of underrepresented nurse practitioners (n ...

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Bibliographic Details
Published in:Research in nursing & health 2011-08, Vol.34 (4), p.327-341
Main Authors: Benkert, Ramona, Templin, Thomas, Schim, Stephanie Myers, Doorenbos, Ardith Z., Bell, Sue Ellen
Format: Article
Language:English
Subjects:
Adult
advanced practice
Aged
Attitude of Health Personnel
Behavior
Biological and medical sciences
Clinical competence
Cross-Sectional Studies
Cultural Competency
Cultural Diversity
culture diversity
discrimination/barriers to care
Female
Health Care Rationing
Health participants
Humans
Life Change Events
LISREL/SEM/path analysis
Male
Medical research
Medical sciences
Middle Aged
Miscellaneous
Nurse Practitioners - psychology
Nurse Practitioners - standards
Nurses
Nursing
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Social Desirability
Surveys and Questionnaires
Work environment
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Summary:Diversifying the health professional workforce and enhancing cultural competence are recommended for decreasing health disparities. We tested a structural equation model of the predictors of culturally competent behaviors in a mailed survey of three groups of underrepresented nurse practitioners (n = 474). Our model had good fit and accounted for 29% of the variance in culturally competent behaviors. Life experiences with diversity had direct effects on awareness/sensitivity and behaviors, and diversity training had a direct effect on behaviors. Cultural awareness/sensitivity mediated the relationship between life experiences with diversity and culturally competent behaviors; all paths remained after controlling for covariates. For unique experiences that contribute to workplace diversity, life experiences with diversity, and diversity training are important for culturally competent behaviors. © 2011 Wiley Periodicals, Inc. Res Nurs Health 34:327–341, 2011
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.20441