The study examined the relationship between cultural competence and ethnocentrism among health care professionals. Physical therapists, occupational therapists, and nurses ( N = 71) from three hospitals in Vancouver, British Columbia, Canada, participated in the survey research project. The survey questionnaire incorporated the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals—Revised and the Generalized Ethnocentrism Scale. Cultural competence scores and ethnocentrism scores were inversely related (r = –.28, p = .017). Results suggest that cultural competence may not be entirely distinct from ethnocentrism. The construct of cultural competence warrants further study vis-à-vis its correlates and its impact on clinical outcomes.
Anderson, L.M., Schimshaw, S.C., Fullilove, M.T., Fielding, J.E., & Normand, J. (2003). Culturally competent healthcare systems: A systematic review. American Journal of Preventative Medicine, 24(Suppl. 3), 68-79.
2.
Andrews, M. (1992). Cultural perspectives on nursing in the 21st century . Journal of Professional Nursing, 8(1), 7-15.
3.
Beach, M., Price, E., Gary, T., Robinson, K., Gozu, A., & Palacio, A. (2005). Cultural competence: A systematic review of health care provider educational interventions. Medical Care, 43(4), 356-373.
4.
Brach, C., & Fraserirector, I. (2000). Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model . Medical Care Research and Review, 57(Suppl. 1), 181-217.
5.
Butcher, L., Klemm, P., & Adepoju, J. (1996). Fostering cultural competence: A multicultural plan. Journal of Nursing Education, 35(7), 334-336.
6.
Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181-184.
7.
Campinha-Bacote, J. (2003). The process of cultural competence in the delivery of healthcare services (4th ed.). Cincinnati, OH: Transcultural CARE Associates Press .
8.
Carpio, B., & Majumdar, B. (1993). Experimental learning: An approach to transcultural education for nurses. Journal of Transcultural Nursing, 4(2), 4-11.
9.
Davidson, K., Scott, J., Schmidt, U., Tata, P., Thornton, S., & Tyrer, P. (2004). Therapist competence and clinical outcome in the prevention of parasuicide by manual assisted cognitive behaviour therapy trial: The POPMACT. Psychological Medicine, 34(5), 855-863.
10.
Doutrich, D., & Storey, M. (2004). Education and practice: Dynamic partners for improving cultural competence in public health. Family Community Health , 27(4), 298-307.
11.
Gabbay, M., Shields, C., Bower, B., Sibbald, M., King, M., & Ward, E. (2003). Patient-practitioner agreement: Does it matter ? Psychological Medicine, 33(2), 244-249.
12.
Gudykunst, W.B. (1998). Bridging differences: Effective intergroup communication (3rd ed.). Thousand Oaks, CA : Sage.
13.
Harris, S., & Cummings, S. (1996). Reflections of ethnocentrism and racism: A challenge for advanced practice nurses. Advanced Practice Nursing Quarterly , 2(2), 70-74.
14.
Kirby, J.L., & LeBreton, M. (2002). The health of Canadians-The federal role. Ottawa, Ontario, Canada: Government of Canada, Standing Senate Committee on Social Affairs, Science, and Technology .
15.
Neuliep, J. (2002). Assessing the reliability and validity of the generalized ethnocentrism scale. Journal of Intercultural Communication Research, 31(4), 201-215.
16.
Neuliep, J., & McCroskey, J. (1997). The development of a U.S. and generalized ethnocentrism scale. Communication Research Reports, 14(4), 385-398.
17.
Noble, A. (2005). Cultural competence and ethnic attitudes of Israeli midwives concerning Orthodox Jewish couples in labour and delivery. Unpublished doctoral dissertation, University of Tennessee, Memphis.
18.
Office of Minority Health. (2000). A practical guide for implementing the recommended national standards for culturally and linguistically appropriate services in health care. Retrieved March 12, 2006, from http://www.omhrc.gov/templates/browse.aspx?lvl=1&lvlID=3
19.
Romanow, R. (2002). Building on values: The future of health care in Canada-Final report. Ottawa, Ontario, Canada: Parliament of Canada, Commission on the Future of Health Care in Canada.
20.
Rothschild, S.K. (1998). Cross-cultural issues in primary care medicine . Disease Management, 44, 298-319.
21.
Sargent, S.E. (2005). Cultural competence among nursing students and faculty. Nurse Education Today, 25(3), 214-221.
22.
Scholten, C., Brodowicz, T., Graninger, W., Gardavsky, I., Pils, K., & Pesau, B. (1999). Persistent functional and social benefit 5 years after a multidisciplinary arthritis training program. Archives of Physical Medicine Rehabilitation, 80(10), 1282-1287.
23.
Statistics Canada. (2001). Vancouver (census metropolitan area), British Columbia. Ottawa, Ontario , Canada: Author.
24.
Suh, E.E. (2004). The model of cultural competence through an evolutionary concept analysis. Journal of Transcultural Nursing, 15(2), 93-102.
