Student Provider Perceptions of Latino Patients in Cancer Care Settings

描述(由申请人提供)：拟议研究的目标是开发和评估一种工具，以评估未来医疗保健提供者的种族/民族歧视态度、信念和行为。收集的数据将被用来识别和描述在癌症护理背景下医学和护理专业学生对拉丁裔的歧视行为。这是一个创新的应用程序，具有重要的研究群体，具有以前测试过的数据收集方法。对这一群体进行的关于准备治疗拉美裔人口的研究很少，如果有的话。 该项目将使用基于网络的调查来评估医学和护理专业的学生 对接受癌症教育的拉丁裔患者的知识、态度、信念和行为， 筛查和治疗。调查参与者约为946名医学和护理专业的学生。 来自南卡罗来纳州和佐治亚州的四所教育机构。该仪器将评估学生 愿意在癌症护理环境中治疗拉美人，以及与拉美人的舒适感，文化能力 与拉丁裔的关系，对拉丁裔的态度/信仰，对拉丁裔的了解，对拉丁裔癌症的了解， 语言熟练，有与拉丁裔打交道的经验。调查文书初稿 根据专家评审，研究小组收集的现有仪器和试点数据为 附加的。该项目的具体目标是：1)开发和完善一份调查工具，以评估医学和护理专业的学生对接受癌症教育、筛查和治疗的拉美裔患者的知识、态度、信念和行为；2)评估该工具的心理测量特性；3)评估医学和护理专业的学生是否准备好在癌症护理环境中治疗拉美裔以及其他指数衡量标准；4)用文化能力、与拉美裔的舒适度、对拉美裔的态度和信念、对拉美裔的知识、西班牙语水平和与拉美裔的经验等指数衡量医学和护理专业学生在癌症护理环境中治疗拉美裔的意愿之间的关系。检查未来医疗保健提供者对拉丁裔患者的知识、态度和行为可以为设计有重点的有效的医疗和护理教育干预提供依据。由于拉丁美洲人在东南部是一个相对较新的人口，应该制定适合该地区需要的干预措施。 公共卫生相关性：开发一种设计良好的调查工具来评估护理和医科学生治疗拉丁裔患者的准备情况，这将为未来提供有用的研究工具 关于健康差距的研究。这项研究的发现将为未来的教育干预提供信息，以防止癌症护理方面的差异。

DESCRIPTION (provided by applicant): The goal of the proposed study is to develop and evaluate an instrument to assess racial/ethnic discriminatory attitudes, beliefs and behavior among future healthcare providers. Data collected will be used to identify and describe discriminatory behavior toward Latinos among medical and nursing students in the context of cancer care. This is an innovative application with an important research population with previously tested data collection methods. Few if any studies have been conducted with this population regarding readiness to treat Latino populations. The project will use a web-based survey that will assess medical and nursing student knowledge, attitudes, beliefs and behaviors toward Latino patients receiving cancer education, screening, and treatment. Survey participants will be approximately 946 medical and nursing students from four educational institutions in South Carolina and Georgia. The instrument will assess student readiness to treat Latinos in cancer care settings as well as comfort with Latinos, cultural competence with Latinos, attitudes/beliefs toward Latinos, knowledge of Latinos, knowledge of cancer in Latinos, language proficiency and previous experience with Latinos. A preliminary draft of the survey instrument based on expert review, existing instruments and pilot data collected by the research team is appended. Specific aims of the project are to: 1) Develop and refine a survey instrument to assess medical and nursing student knowledge, attitudes, beliefs and behaviors toward Latino patients receiving cancer education, screening, and treatment; 2) Assess the instrument's psychometric properties;3) Assess medical and nursing students' readiness to treat Latinos in cancer care settings as well as other index measures; 4) Examine relationships between medical and nursing student readiness to treat Latinos in cancer care settings with index measures of cultural competency, comfort with Latinos ,attitudes and beliefs toward Latinos, knowledge of Latinos, Spanish proficiency and experience with Latinos. Examining the knowledge, attitudes and behaviors of future health care providers toward Latino patients can inform the design of focused and effective interventions in medical and nursing education. Because Latinos are a relatively new population in the Southeast, interventions should be developed that are appropriate to the needs of the region. Public Health Relevance: The development of a well-designed survey instrument to assess nursing and medical students' readiness to treat Latino patients will provide a useful research tool for future studies in health disparities. Findings from this study will inform future educational interventions to prevent disparities in cancer care.