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Assessment of certified athletic trainers' levels of cultural competence in the delivery of health care.

机译:评估经医疗保健提供的经过认证的运动培训师的文化能力水平。

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CONTEXT: The concept of culture and its relationship to athletic training beliefs and practices is virtually unexplored. The changing demographics of the United States and the injuries and illnesses of people from diverse backgrounds have challenged health care professionals to provide culturally competent care. OBJECTIVE: To assess the cultural competence levels of certified athletic trainers (ATs) in their delivery of health care services and to examine the relationship between cultural competence and sex, race/ethnicity, years of athletic training experience, and National Athletic Trainers' Association (NATA) district. DESIGN: Cross-sectional survey. SETTING: Certified member database of the NATA. PATIENTS OR OTHER PARTICIPANTS: Of the 13 568 ATs contacted, 3102 (age = 35.3 +/- 9.41 years, experience = 11.2 +/- 9.87 years) responded. DATA COLLECTION AND ANALYSIS: Participants completed the Cultural Competence Assessment (CCA) and its 2 subscales, Cultural Awareness and Sensitivity (CAS) and Cultural Competence Behavior (CCB), which have Cronbach alphas ranging from 0.89 to 0.92. A separate univariate analysis of variance was conducted on each of the independent variables (sex, race/ethnicity, years of experience, district) to determine cultural competence. RESULTS: The ATs' self-reported scores were higher than their CCA scores. Results revealed that sex (F(1,2929) = 18.63, P = .001) and race/ethnicity (F(1,2925) = 6.76, P = .01) were indicators of cultural competence levels. However, we found no differences for years of experience (F(1,2932) = 2.34, P = .11) or NATA district (F(1,2895) = 1.09, P = .36) and cultural competence levels. CONCLUSIONS: Our findings provide a baseline for level of cultural competence among ATs. Educators and employers can use these results to help develop diversity training education for ATs and athletic training students. The ATs can use their knowledge to provide culturally competent care to athletes and patients and promote a more holistic approach to sports medicine.
机译:背景:文化的概念及其与运动训练信仰和实践的关系几乎是未开发的。来自各种背景的人口和伤害和疾病的变化,有挑战的医疗保健专业人员提供文化能力的护理。目的:评估经过认证的运动培训师(ATS)的文化能力水平,以便审查文化能力和性别,种族/种族,年运动训练经验和国家运动培训经验的关系( Nata)区。设计:横断面调查。设置:NATA的认证会员数据库。患者或其他参与者:13 568接触,3102(年龄= 35.3 +/- 9.41年,经验= 11.2 +/- 9.87岁)作出了回应。数据收集和分析:参与者完成了文化能力评估(CCA)及其2个分量,文化意识和敏感度(CAS)以及文化能力行为(CCB),其中Cronbach alpha范围为0.89至0.92。对各种变量(性别,种族/种族,经验,区)的每个独立变量进行了单独的单变量分析,以确定文化能力。结果:ATS的自我报告的分数高于CCA分数。结果表明,性别(F(1,2929)= 18.63,p = .001)和种族/种族(f(1,2925)= 6.76,p = .01)是文化能力水平的指标。然而,我们发现多年经验(F(1,2932)= 2.34,p = .11)或Nata区(F(1,2895)= 1.09,p = .36)和文化能力水平没有差异。结论:我们的调查结果为特性的文化能力水平提供了基准。教育工作者和雇主可以利用这些结果来帮助开展ATS和运动培训学生的多样性培训教育。 ATS可以利用他们的知识为运动员和患者提供文化称职的护理,并促进更全面的体育医学方法。

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