Factor analysis of a modified version of the California Brief Multicultural Competence Scale with minority pharmacy students.
Factor analysis of a modified version of the California Brief Multicultural Competence Scale with minority pharmacy students.
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DOI：
10.1007/s10459-011-9280-9
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发表时间：
2011-12
期刊：
影响因子：
--
通讯作者：
Kennedy K
中科院分区：
文献类型：
--
作者：
Echeverri M;Brookover C;Kennedy K
虽然大多数更常用的自我报告措施的文化能力在卫生专业人员是针对执业医生和心理健康服务提供者从多数白人人口，没有措施专门为少数民族药学专业的学生。为了找到一个合适的工具，用于文化能力的课程开发，本研究采用了修改后的版本的加州简要多元文化能力量表（CBMCS），467名药学专业的学生在路易斯安那州泽维尔大学，历史上的黑人大学。进行了验证性和探索性因素分析，以检查CBMCS因素结构是否使用修改后的工具复制，并计算不同的人群和Cronbach α，以确定内部一致性可靠性。CBMCS的原始因素结构没有被复制，也许是因为在原始工具中引入的修改，或者是因为本研究中的样本人群（少数民族药学专业的学生）和原始CBMCS研究中使用的人群（多数白人心理健康提供者）之间的差异。然而，结果表明，修改后的因素结构，适合的数据。本研究发现的因素与CBMCS因素之间的主要区别是出现了一个新的因素，由三个与人际和种族动态相关的项目组成，包括种族歧视，白色特权和权力不平衡。被访者的种族与这三个项目之间的显着关系（p < 0.001）表明，当被访者不属于大多数人口时，这些项目的措辞应该修改。结果表明，种族主义，偏见和偏见不仅仅是白人占多数的医疗服务提供者的问题，并指出需要更多的种族多样化的样本。这项研究的独特结果推进了种族动态研究和少数民族卫生专业人员文化能力的自我评估。
While most of the more frequently used self-report measures of cultural competence in health professionals are targeted to practicing physicians and mental health providers from the majority-white population, no measures have been specifically developed for minority pharmacy students. With the objective to find a suitable tool to be used for curriculum development in cultural competence, this study applied a modified version of the California Brief Multicultural Competence Scale (CBMCS) to 467 pharmacy students at the Xavier University of Louisiana, a Historically Black University. Confirmatory and exploratory factor analyses were conducted to examine if the CBMCS factor structure was replicated using a modified tool and a different population and Cronbach alphas were calculated to determine internal consistency reliability. The CBMCS’s original factor structure was not replicated, perhaps because of modifications introduced in the original tool or because of differences between the sample population in this study (minority pharmacy students) and the population used in the original CBMCS study (majority-white mental health providers). However, results show that a modified factor structure fits the data well. The primary difference between the factors found in this study and the CBMCS factors is the appearance of a new factor composed of three items related to interpersonal and racial dynamics, which includes racial discrimination, white privilege, and power imbalance. The significant relationships (p < 0.001) found between respondents’ race and these three items suggest that the wording in these items should be modified when the respondents do not belong to the majority population. Results imply that racism, prejudice and bias are not just issues of the majority-white health providers and point to the need for more racially diverse samples. The unique results in this study advance research on racial dynamics and self-assessment of cultural competence of minority health professionals.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
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通讯作者：
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DOI：
10.1080/10705510903008220
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影响因子：
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DOI：
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发表时间：
2004-10-01
影响因子：
2
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影响因子：
7.4
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