Developing a Cultural Competency Scale for Primary Health Care Professionals

Gözüm Sebahat; Tuzcu Ayla; Yurt Seher

doi:https://dx.doi.org/10.26650/SP2019-0043

Research Article

DOI :10.26650/SP2019-0043 IUP :10.26650/SP2019-0043 Full Text (PDF)

Developing a Cultural Competency Scale for Primary Health Care Professionals

Culturally competent healthcare professionals are important in improving the quality of health care. The lack of a measurement tool in the literature that evaluates the cultural competence of the multidisciplinary team in primary health care is noteworthy. The aim of this study is to develop a Primary Health Care Professionals’ Cultural Competency Scale (PHCP-CCS) by adapting the Nurse Cultural Competency Scale (NCCS) developed by Perng and Watson (2012), and to examine the various factors affecting cultural competency in Turkey. A total of 231 health professionals, including family doctors, family health nurses and community health professionals, participated in this study. In the item analysis, the correlations of the items with the total score varied between .60 and 82. Exploratory factor analysis revealed a three-factor structure that explained 73.5% of total variance. Items 1-8 of the PHCP-CCS were included under the heading “Cultural Skills,” items 9-16 under “Cultural Knowledge” and items 17-20 under “Cultural Sensitivity.” Cronbach’s Alpha coefficient for the overall scale was .84 and was calculated as .78, .76 and .87 for the respective factors. The experiences of the participants were grouped and compared for discriminant validity. It was found that being able to speak different languages, having contact with friends and neighbors from different cultures, and being educated about serving people from various cultures increased the cultural competency of primary health professionals. In addition, the PHCP-CCS scores of all the primary health professionals who were happy to be working with migrants and refugees were considerably higher. The results show that PHCP-CCS is a measurement tool that can be used to determine cultural competency among primary health care workers. In addition, the scale is also suitable for use in the clinical field for all professionals providing health services to the individual, families and the community

Keywords: Primary health care professional, Cultural Competency Scale, validity, reliability

DOI :10.26650/SP2019-0043 IUP :10.26650/SP2019-0043 Full Text (PDF)

Birinci Basamak Sağlık Çalışanlarına Yönelik Kültürel Yeterlilik Ölçeği Geliştirme

Sebahat Gözüm, Ayla Tuzcu, Seher Yurt

Kültürel yeterliğe sahip olan sağlık profesyonelleri, sağlık hizmetlerinin kalitesini iyileştirmede önemlidir. Birinci basamak sağlık hizmetlerinde multidisipliner ekibin kültürel yeterliliğini değerlendiren bir ölçüm aracının literatürdeki eksikliği dikkat çekmektedir. Bu çalışmanın amacı, Perng ve Watson (2012) tarafından geliştirilen Hemşire Kültürel Yeterlilik Ölçeği’ni uyarlayarak Birinci Basamak Sağlık Çalışanları için Kültürel Yeterlilik Ölçeği (BBSÇ-KYÖ) geliştirmek ve Türkiye’de birinci basamak sağlık profesyonellerinin kültürel yeterliliğini etkileyen çeşitli faktörleri incelemektir. Bu çalışmaya aile hekimi, aile sağlığı hemşiresi ve Toplum Sağlığı Merkezi’nde çalışan sağlık profesyonelleri olmak üzere 231 sağlık profesyoneli katılmıştır. Yürütülen madde analizinde maddelerin toplam puanla olan korelasyonlarının .60 ile .82 arasında değiştiği görülmüştür. Açımlayıcı faktör analizi sonucunda toplam varyansın %73.5'ini açıklayan üç faktörlü bir yapı ortaya çıkmıştır. BBSÇ-KYÖ'nün 1-8 maddeleri “Kültürel Beceri”, 9-16 maddeleri “Kültürel Bilgi” ve 17- 20 maddeleri “Kültürel Duyarlılık” olarak isimlendirilen faktörler altında yer almıştır. Cronbach Alpha katsayıları toplam puan için .84, faktörler için ise sırasıyla .78, .76 ve .87 olarak tespit edilmiştir. Ayırt edici geçerlik için katılımcıların deneyimleri gruplandırılarak karşılaştırılmıştır. Farklı bir dil konuşabilen, farklı kültürden arkadaş ve komşuyla daha sık iletişime geçen ve farklı kültürlere yönelik hizmet vermeyle ilgili eğitim alan birinci basamak sağlık profesyonellerinin kültürel yeterliliğinin daha yüksek olduğu bulunmuştur. Bunların yanı sıra, göçmenler ve mültecilerle çalışmaktan memnun olduğunu belirten tüm birinci basamak sağlık profesyonellerinin BBSÇKYÖ puanlarının belirgin derecede yüksek olduğu saptanmıştır. Elde edilen sonuçlar, BBSÇ-KYÖ’nün birinci basamak sağlık çalışanlarının kültürel yeterliliğini değerlendirmede kullanılabilir bir ölçüm aracı olduğunu göstermektedir. Ayrıca ölçek, bireye, aileye ve topluma sağlık hizmet sunumu gerçekleştiren tüm profesyoneller için de klinik alanda kullanıma uygundur.

Keywords: Birinci basamak sağlık çalışanı, Kültürel Yeterlilik Ölçeği, geçerlik, güvenirlik

References

Baldwin, D. M. (2003). Disparities in health and health care: Focusing efforts to eliminate unequal burdens. Online Journal of Issues in Nursing, 8(1), 2. google scholar
Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., ... Cooper, L. A. (2005). Cultural competence: A systematic review of health care provider educational interventions. Medical Care, 43(4), 356–373. https://doi.org/10.1097/01.mlr.0000156861.58905.96 google scholar
Cai, D., Kunaviktikul, W., Klunklin, A., Sripusanapan, A., & Avant, P. K. (2017). Developing a cultural competence inventory for nurses in China. International Nursing Review, 64(2), 205–214. https://doi.org/10.1111/inr.12350 google scholar
Campinha-Bacote, J. (2002). The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. Journal of Transcultural Nursing, 13(3), 181–184. https://doi.org/10.1177/10459602013003003 google scholar
Cerezo, P. G., Galceran, M. S., Soriano, M. G., Camps, L. M., & Moral, Jm. L. (2014). Design and Evaluation of an Educational Course in Cultural Competence for Nursing. Procedia - Social and Behavioral Sciences, 132, 262–268. https://doi.org/10.1016/j.sbspro.2014.04.308 google scholar
Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education. London: Routledge.Cruz, J. P., Alquwez, N., Cruz, C. P., Felicilda-Reynaldo, R. F. D., Vitorino, L. M., & Islam, S. M. S. (2017). Cultural competence among nursing students in Saudi Arabia: a cross-sectional study. International Nursing Review, 64(2), 215–223. https://doi.org/10.1111/inr.12370 google scholar
Cruz, J. P., Estacio, J. C., Bagtang, C. E., & Colet, P. C. (2016). Predictors of cultural competence among nursing students in the Philippines: A cross-sectional study. Nurse Education Today, 46, 121–126. https://doi.org/10.1016/j.nedt.2016.09.001 google scholar
Cruz, J. P., Machuca Contreras, F. A., Ortiz López, J. E., Zapata Aqueveque, C. A., & Vitorino, L. M. (2018). Psychometric assessment of the cultural capacity scale Spanish version in Chilean nursing students. International Nursing Review, 65(2), 262–269. https://doi.org/10.1111/inr.12388 google scholar
Downing, R., Kowal, E., & Paradies, Y. (2011). Indigenous cultural training for health workers in Australia. International Journal for Quality in Health Care, 23(3), 247–257. https://doi.org/10.1093/intqhc/mzr008 google scholar
Erdoğan, S., Nahcı̇van, N. Ö., & Esin, M. N. (2014). Hemşirelikte araştırma süreç, uygulama ve kritik [Nursing research: process, practice and critical]. İstanbul: Nobel Medical Bookstores. google scholar
Erkuş, A. (2007). Ölçek geliştirme ve uyarlama çalışmalarında karşılaşılan sorunlar. Türk Psikoloji Bülteni, 13(40), 17-25. google scholar
Gallagher, R. W., & Polanin, J. R. (2015). A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students. Nurse Education Today, 35(2), 333–340. https://doi.org/10.1016/j.nedt.2014.10.021 google scholar
Gozum, S., & Aydın, I. (2004). Validation evidence for Turkish adaptation of Champion’s Health Belief Model Scales. Cancer Nursing, 27(6), 491–498. google scholar
Gozum, S., Tuzcu, A., & Kirca, N. (2016). Validity and reliability of the Turkish version of the Nurse Cultural Competence Scale. Journal of Transcultural Nursing, 27(5), 487–495. https://doi.org/10.1177/1043659615582089 google scholar
Hayran, M., & Hayran, M. (2011). Sağlık araştırmaları için temel istatistik. Ankara: Omega Araştırma Organizasyon Eğitim Danışmanlık Ltd. Şti. google scholar
International Organization for Migration ([IOM], 2018). IOM Turkey. Retrieved from http://www.turkey.iom.int/migration-turkeyInternational Refugee Rights Association ([IRRA], 2018). Number of syrian refugees in Turkey. Retrieved from https://www.umhd.org.tr/2018/04/turkiyedeki-suriyeli-multeci-sayisi-20-bin-artti/ (in Turkish) google scholar
Jeffreys, M. R. (2000). Development and psychometric evaluation of the Transcultural Self-Efficacy Tool: A synthesis of findings. Journal of Transcultural Nursing, 11(2), 127–136. https://doi.org/10.1177/104365960001100207 google scholar
Karaman, H., Atar, B., & Aktan ÇD. (2017). Açımlayıcı faktör analizinde kullanılan faktör çıkartma yöntemlerinin karşılaştırılması [The comparison of factor extraction methods used in exploratory factor analysis]. Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, 37(3), 1173 – 1193. google scholar
Loftin, C., Hartin, V., Branson, M., & Reyes, H. (2013). Measures of cultural competence in nurses: An integrative review. The Scientific World Journal, 2013, 1-10. https://doi.org/10.1155/2013/289101 google scholar
Meydanlioglu, A., Arikan, F., & Gozum, S. (2015). Cultural sensitivity levels of university students receiving education in health disciplines. Advances in Health Sciences Education, 20(5), 1195–1204. https://doi.org/10.1007/s10459-015-9595-z google scholar
Papadopoulos, I. (2006). Transcultural health and social care (1st Ed). England: Churchill Livingstone. google scholar
Perng, S. J., & Watson, R. (2012). Construct validation of the Nurse Cultural Competence Scale: A hierarchy of abilities. Journal of Clinical Nursing, 21(11–12), 1678–1684. https://doi.org/10.1111/j.1365-2702.2011.03933.x google scholar
Public Health. (2011). Quad council public health nursing competencies. Retrieved from: http://www.phf.org/resourcestools/Pages/Public_Health_Nursing_Competencies.aspx google scholar
Repo, H., Vahlberg, T., Salminen, L., Papadopoulos, I., & Leino-Kilpi, H. (2017). The cultural competence of graduating nursing students. Journal of Transcultural Nursing, 28(1), 98–107. https://doi.org/10.1177/1043659616632046 google scholar
Rew, L., Becker, H., Cookston, J., Khosropour, S., & Martinez, S. (2003). Measuring cultural awareness in nursing students. The Journal of Nursing Education, 42(6), 249–257. https://doi.org/10.3928/01484834-20140122-01 google scholar
Shen, Z. (2015). Cultural competence models and cultural competence assessment instruments in nursing: A literature review. Journal of Transcultural Nursing, 26(3):308-321. https://doi.org/10.1177/1043659614524790 google scholar
Tanrıverdi, G. (2016). Hemşirelerde kültürel yeterli yaklaşımın önemi [The importance of culturally competence approach in nurses]. C. Ülker and H. İ. Birkök (Ed.), Hemşirelerde kültürel yeterliliği geliştirme yaklaşım ve önerileri içinde (pp. 7–15). Çanakkale: Pozitive Basım Yayın. google scholar
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14, 99. https://doi.org/10.1186/1472-6963-14-99 google scholar
Turkish Statistical Institute. ([TSI], 2018). Population and demography. Retrieved from http://www.tuik.gov.tr/UstMenu.do?metod=kategorist (in Turkish) google scholar
Turkish Statistical Institute. ([TSI], 2019). International migration statistics, 2018. Retrieved from http://www.tuik.gov.tr/PreHaberBultenleri.do?id=30711 (in Turkish) google scholar
Turkish Medical Association (2014). Syrian refugees and health services report. Retrieved from http://www.ttb.org.tr/kutuphane/siginmacirpr.pdf google scholar
Yağmur, Y., &, Aytekin, S. (2018). Mülteci kadınların üreme sağlığı sorunları ve çözüm önerileri [Refugee women’s reproductive health issues and suggested solutions]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 56–60. google scholar

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Gözüm, S., Tuzcu, A., & Yurt, S. (2020). Developing a Cultural Competency Scale for Primary Health Care Professionals. Studies in Psychology, 40(2), 429-450. https://doi.org/10.26650/SP2019-0043

AMA

Gözüm S, Tuzcu A, Yurt S. Developing a Cultural Competency Scale for Primary Health Care Professionals. Studies in Psychology. 2020;40(2):429-450. https://doi.org/10.26650/SP2019-0043

ABNT

Gözüm, S.; Tuzcu, A.; Yurt, S. Developing a Cultural Competency Scale for Primary Health Care Professionals. Studies in Psychology, [Publisher Location], v. 40, n. 2, p. 429-450, 2020.

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Gözüm, Sebahat, and Ayla Tuzcu and Seher Yurt. 2020. “Developing a Cultural Competency Scale for Primary Health Care Professionals.” Studies in Psychology 40, no. 2: 429-450. https://doi.org/10.26650/SP2019-0043

Chicago: Humanities Style

Gözüm, Sebahat, and Ayla Tuzcu and Seher Yurt. “Developing a Cultural Competency Scale for Primary Health Care Professionals.” Studies in Psychology 40, no. 2 (Apr. 2024): 429-450. https://doi.org/10.26650/SP2019-0043

Harvard: Australian Style

Gözüm, S & Tuzcu, A & Yurt, S 2020, 'Developing a Cultural Competency Scale for Primary Health Care Professionals', Studies in Psychology, vol. 40, no. 2, pp. 429-450, viewed 25 Apr. 2024, https://doi.org/10.26650/SP2019-0043

Harvard: Author-Date Style

Gözüm, S. and Tuzcu, A. and Yurt, S. (2020) ‘Developing a Cultural Competency Scale for Primary Health Care Professionals’, Studies in Psychology, 40(2), pp. 429-450. https://doi.org/10.26650/SP2019-0043 (25 Apr. 2024).

MLA

Gözüm, Sebahat, and Ayla Tuzcu and Seher Yurt. “Developing a Cultural Competency Scale for Primary Health Care Professionals.” Studies in Psychology, vol. 40, no. 2, 2020, pp. 429-450. [Database Container], https://doi.org/10.26650/SP2019-0043

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Gözüm S, Tuzcu A, Yurt S. Developing a Cultural Competency Scale for Primary Health Care Professionals. Studies in Psychology [Internet]. 25 Apr. 2024 [cited 25 Apr. 2024];40(2):429-450. Available from: https://doi.org/10.26650/SP2019-0043 doi: 10.26650/SP2019-0043

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Gözüm, Sebahat - Tuzcu, Ayla - Yurt, Seher. “Developing a Cultural Competency Scale for Primary Health Care Professionals”. Studies in Psychology 40/2 (Apr. 2024): 429-450. https://doi.org/10.26650/SP2019-0043

Volume 40, Issue 22020, P. 429-450

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Submitted	12.06.2019
Accepted	10.02.2020
Published Online	24.09.2020

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Developing a Cultural Competency Scale for Primary Health Care Professionals

Birinci Basamak Sağlık Çalışanlarına Yönelik Kültürel Yeterlilik Ölçeği Geliştirme

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