Observing cultural competence of healthcare professionals: A systematic review of observational assessment instruments
Autor: | Susanne Leij-Halfwerk, Mirjam Jager, Andrea den Boeft, Thomas Pelgrim, Annika Versteeg-Pieterse, Rob van der Sande, Maria van den Muijsenbergh |
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Rok vydání: | 2021 |
Předmět: |
Dieticians
Psychometrics Health Personnel education PsycINFO CINAHL Direct observation Rigour Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Outcome and process assessment (health care) Cultural Competency Medical education Assessment instrument 030503 health policy & services Cultural competence General Medicine Checklist Psychometric properties Cultural competence in healthcare Observational study 0305 other medical science Psychology Delivery of Health Care |
Zdroj: | Patient Education and Counseling, 104, 750-759 Patient Education and Counseling, 104, 4, pp. 750-759 |
ISSN: | 0738-3991 |
DOI: | 10.1016/j.pec.2020.10.010 |
Popis: | Contains fulltext : 232480.pdf (Publisher’s version ) (Open Access) OBJECTIVE: Observational instruments are preferred for assessment of cultural competence. The aim of the current study is to identify observational instruments to assess cultural competence in healthcare providers and dieticians specifically and assess their psychometric properties. METHODS: A systematic review was conducted in Cinahl, Cochrane, EMBASE, PsycInfo, Pubmed, and Web of Science using search terms related to cultural competency and measurement properties. Methodological quality of the selected studies of observational cultural competence instruments in dieticians, other healthcare professionals and psychological counsellors and the measurement properties of instruments were assessed using the COSMIN checklist. RESULTS: From 11,913 articles, six articles on five instruments were selected. Instruments were targeted at health professionals and counsellors only, and designed for face-to-face communication (n = 4) or verbal responses to videotaped simulated interactions (n = 1). The instruments' content varied largely, with main focus on attitude, and little on knowledge and skills. The measurement properties were suboptimal. CONCLUSION: No observational instrument are available to evaluate cultural competence of dieticians. Studies on psychometric properties of instruments targeted at other health professionals lack methodological rigour. PRACTICE IMPLICATIONS: Future work should focus on developing an instrument that encompasses both 'general' cultural competences necessary for all healthcare professionals and dietetic specific competences. |
Databáze: | OpenAIRE |
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