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

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

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  • 1College of Nursing, Wayne State University, Detroit, MI 48202, USA.


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.

Copyright © 2011 Wiley Periodicals, Inc.

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