Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners

Res Nurs Health. 2011 Aug;34(4):327-41. doi: 10.1002/nur.20441. Epub 2011 Jun 8.

Abstract

Diversifying the health professional workforce and enhancing cultural competence are recommended for decreasing health disparities. We tested a structural equation model of the predictors of culturally competent behaviors in a mailed survey of three groups of underrepresented nurse practitioners (n = 474). Our model had good fit and accounted for 29% of the variance in culturally competent behaviors. Life experiences with diversity had direct effects on awareness/sensitivity and behaviors, and diversity training had a direct effect on behaviors. Cultural awareness/sensitivity mediated the relationship between life experiences with diversity and culturally competent behaviors; all paths remained after controlling for covariates. For unique experiences that contribute to workplace diversity, life experiences with diversity, and diversity training are important for culturally competent behaviors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Cultural Competency*
  • Cultural Diversity
  • Female
  • Health Care Rationing
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Nurse Practitioners / psychology
  • Nurse Practitioners / standards*
  • Social Desirability
  • Surveys and Questionnaires