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An analysis of the cultural competence for military health care professionals.

机译：军事保健专业人员的文化能力分析。

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摘要

As the demographics of the U.S. population continue to become progressively diverse and the continual commitment of the U.S. Government in responding to disasters worldwide offer compelling reasons for learning more about culturally competent care. The purpose of this comparative quasi-experimental study was to measure and compare the extent to which military health care professionals exhibit cultural competence. The quantitative analysis was measured using the Inventory for Assessing the Process of Cultural Competence Among Health Care Professionals-Revised (IAPCC-R) survey questionnaire by Campinha-Bacote (2007b). The target population was N=225 military and civilian members attending leadership courses at Navy Medicine Professional Development Center (NMPDC) located in Bethesda, Maryland.;The results revealed that participants in cultural competency training on average score higher than non-participants F (1,206) = 194.64, p= < .001 showing that 56.2% (N=121) of military health care professionals that participated in this study are operating at a culturally competent level. Furthermore, 40.9% (N=88) of participants are operating at a cultural aware level. It also indicated that 69.3% (N=149) of participants were within the construct category of cultural desire indicating the need for more cultural training opportunities. Therefore, it suggests that health care organizations need to anticipate which cultural communities they are likely to serve and then develop the competence to serve them appropriately. This in turns helps health care professionals to improve their culturally competent skills with the goal of becoming a better and more effective clinician.;These findings were consistent with the findings from other studies conducted in civilian health care organizations. The study additionally revealed that the covariates of age and provider type had a significant relationship for military cultural competency scores in contrast to civilian's where the covariate of ethnicity had significant relationship. Indicating that military health care professionals are exposed to a more diverse patient population however, the influx of new health care professionals requires organization leadership to be proactive in providing cultural competency training.
机译：随着美国人口的统计资料不断多样化，美国政府在应对全球灾难方面的持续承诺提供了令人信服的理由，使他们有必要更多地了解具有文化能力的护理。这项比较准实验研究的目的是测量和比较军事医疗保健专业人员展现出文化能力的程度。定量分析是使用Campinha-Bacote（2007b）的《卫生保健专业人员修订文化能力评估清单》（IAPCC-R）调查问卷进行的。目标人群为N = 225名军事和文职人员，他们参加了位于马里兰州贝塞斯达的海军医学专业发展中心（NMPDC）的领导力课程。结果表明，参加文化能力培训的参与者的平均得分高于未参加者F（1,206 ）= 194.64，p = <0.001，表明参加这项研究的56.2％（N = 121）军事卫生保健专业人员的工作在文化水平上。此外，有40.9％（N = 88）的参与者在文化意识的水平上工作。它还表明，69.3％（N = 149）的参与者属于文化渴望的建构类别，表明需要更多的文化培训机会。因此，它表明卫生保健组织需要预测他们可能服务的文化社区，然后发展为他们适当服务的能力。这反过来又有助于医疗保健专业人员提高其文化能力，以期成为一个更好，更有效的临床医生。这些发现与民用医疗保健组织进行的其他研究结果一致。该研究还显示，年龄和提供者类型的协变量与军事文化能力得分有着显着的关系，而平民的种族协变量则具有显着的关系。但是，表明军事医疗保健专业人员面对的患者人数更多，新医护人员的涌入要求组织领导者积极提供文化能力培训。

著录项

  • 作者

    Gonzalez, Jose R.;

  • 作者单位

    TUI University.;

  • 授予单位 TUI University.;
  • 学科 Military studies.;Cultural resources management.;Health care management.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医学心理学、病理心理学;
  • 关键词

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