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价一种工具，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。收集的数据将用于识别和描述在癌症护理背景下医学和护理学生对拉丁美洲人的歧视行为。这是一个创新的应用程序，具有重要的研究人群，具有以前测试过的数据收集方法。很少有研究已经进行了与这个人口准备治疗拉丁美洲人口。 该项目将使用一个基于网络的调查，将评估医学和护理学生 对接受癌症教育的拉丁美洲患者的知识、态度、信念和行为， 筛查和治疗。调查参与者将是大约946名医学和护理学生 来自南卡罗来纳州和格鲁吉亚的四所教育机构。该仪器将评估学生 准备在癌症护理环境中治疗拉丁美洲人，以及与拉丁美洲人，文化能力 与拉丁美洲人，对拉丁美洲人的态度/信仰，拉丁美洲人的知识，拉丁美洲人的癌症知识， 语言能力和以前与拉丁美洲人打交道的经验。调查文书初稿 根据专家审查，研究小组收集的现有工具和试点数据， 追加。该项目的具体目标是：（1）开发和完善一个调查工具，以评估医学和护理学生的知识，态度，信仰和行为对拉丁美洲病人接受癌症教育，筛查和治疗;（2）评估该工具的心理测量特性;（3）评估医学和护理学生的准备治疗拉丁美洲人在癌症护理设置以及其他指标的措施; 4）检查医学和护理学生准备在癌症护理环境中治疗拉丁美洲人与文化能力，拉丁美洲人的舒适度，对拉丁美洲人的态度和信仰，拉丁美洲人的知识，西班牙语水平和拉丁美洲人的经验的指数指标之间的关系。检查的知识，态度和未来的医疗保健提供者对拉丁美洲患者的行为可以告知医疗和护理教育的重点和有效的干预措施的设计。由于拉丁美洲人是东南部相对较新的人口，因此应制定适合该地区需求的干预措施。 公共卫生相关性：一个设计良好的调查工具，以评估护理和医学生的准备，以治疗拉丁美洲病人的发展将提供一个有用的研究工具，为未来 健康差异的研究。这项研究的结果将为未来的教育干预提供信息，以防止癌症护理中的差异。

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.