Purpose: Discrepancy in quality of health care for patients with diverse backgrounds contributes to health outcome disparities. BSN students reveal surprise regarding the presence of health care disparities. Critical social theory guided this study. The psychometric properties of the Perception of Prejudice in Health Care Scale–Modified (PPHC-M) were evaluated, and the relationship between perceived discrimination in health care delivery and cultural sensitivity awareness was explored. Design: A descriptive, cross-sectional survey of 146 Midwest BSN students was conducted using Cultural Competence Assessment (CCA), PPHC-M, and the Marlowe–Crowne Social Desirability Scale. Results: PPHC-M demonstrated reliability (α = .781.) Cronbach’s alphas for General Perception of Prejudice (GPP) and Personal Experience of Prejudice (PEP) were .759 and .756, respectively. Construct validity was supported by contrasted groups. The PPHC was not significantly correlated with the CCA scores. Discussion/Conclusion: PPHC-M shows promise in measuring perceived prejudice in health care.
BenkertR.PetersR.ClarkR.Keves-FosterK. (2006). Effects of perceived racism, cultural mistrust and trust in providers on satisfaction with care. Journal of the National Medical Association, 98, 1532-1540.
2.
BoutainD. M. (2005). Social justice as a framework for professional nursing. Journal of Nursing Education, 44, 404-408.
3.
BurgessD. J.DingY.HargreavesM.van RynM.PhelanS. (2008). The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved, 19, 894-911.
4.
Centers for Disease Control and Prevention. (2006). Health disparities. Retrieved from National Center for Health Statistics.
5.
ConboyL. A.MacklinE.KelleyJ.KokkotouE.LemboA.KaptchukT. (2010). Which patients improve: Characteristic increasing sensitivity to a supportive patient-practitioner relationship. Social Science & Medicine, 70, 479-484.
6.
DedierJ.PensonR.WilliamsW.LynchT. (1999). Race, ethnicity, and the patient-caregiver relationship. The Oncologist, 4, 325-331.
7.
DoorenbosA. Z.SchimS. M.BenkertR.BorseN. N. (2005). Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. Nursing Research, 54, 324-330.
8.
DovidioJ. F.PennerL. A.AlbrechtT. L.NortonW. E.GaertnerS. L.SheltonJ. N. (2008). Disparities and distrust: the implications of psychological processes for understanding racial disparities in health and health care. Social Science & Medicine, 67, 478-486.
9.
EiserA. R.EllisG. (2007). Viewpoint: Cultural competence and the African American experience with health care: The case for specific content in cross-cultural education. Academic Medicine, 82, 176-183.
FacioneN. C.FacioneP. A. (2007). Perceived prejudice in healthcare and women’s health protective behavior. Nursing Research, 56, 175-184.
12.
FacioneN. C.GiancarloC. A. (1998). Narratives of breast symptom discovery and cancer diagnosis: Psychological risk for advanced cancer at diagnosis. Cancer Nursing, 216, 430-440.
13.
FacioneN. C.MiaskowskiC.DoddM. J.PaulS. M. (2002). The self-reported likelihood of patient delay in breast cancer: New thoughts for early detection. Preventive Medicine, 84, 397-407.
14.
FreemanH. P. (2004). Poverty, culture and social injustice: Determinants of cancer disparities. Cancer Journal for Clinicians, 54, 72-77.
15.
GigerJ.DavidhizarR. E.PurnellL.HardenJ. T.PhillipsJ.StricklandO. (2007). American Academy of Nursing Expert Panel report: Developing cultural competence to eliminate health disparities in ethnic minorities and other vulnerable populations. Journal of Transcultural Nursing, 18, 95-102.
16.
HausmannL. R. M.JeongK.BostJ. E.IbrahimS. A. (2008). Perceived discrimination in health care and health status in a racially diverse sample. Medical Care, 46, 905-914.
17.
KimH.HolterI. (1995). Critical theory for science of nursing practice. In OmeryA.KasperC.PageG. (Eds.) In search of nursing science. Thousand Oaks, CA: Sage.
18.
KincheloeJ. L.McLarenP. (2000). Rethinking critical theory and qualitative research. In DenzinN. K.LincolnY. S. (Eds.), Handbook of qualitative research (2nd ed., pp. 279-314). Thousand Oaks, CA: Sage.
19.
KirkhamS. R.AndersonJ. M. (2002). Postcolonial nursing scholarship: From epistemology to method. Advances in Nursing Science, 25, 1-17.
20.
KressinN. R.RaymondK. L.ManzeM. (2008). Perceptions of race/ethnicity-based discrimination: A review of measures and evaluation of their usefulness for the health care setting. Journal of Health Care for the Poor and Underserved, 19, 698-730.
21.
LantzP. M.LynchJ. W.HouseJ. S.LepkowskiJ. M.MeroR. P.MusickM. A.WilliamsD. R. (2001). Socioeconomic disparities in health change in longitudinal study of US adults: The role of health-risk behaviors. Social Science & Medicine, 53, 29-40.
22.
LeeA.HanrahanN. P.AikenL. H.BlankM. B. (2006). Perceived facilitators and barriers to the implementation of an advanced practice: nursing intervention for HIV regimen adherence among the seriously mentally ill. Journal of Psychiatric and Mental Health Nursing, 13, 626-628.
23.
LeiningerM. M. (1991). The theory of culture care diversity and universality. In LeiningerM. M. (Ed.), Culture care diversity & universality: A theory of nursing (pp 5-72). New York, NY: National League for Nursing Press.
24.
NewacheckP.StoddardJ.HughesD.PearlM. (1998). Health insurance and access to primary care for children. New England Journal of Medicine, 338, 513-519.
25.
NunnallyJ. C.BernsteinI. H. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.
26.
ReynoldsW. M. (1982). Development of reliable and valid short forms of the Marlowe-Crowne Social Desirability Scale. Journal of Clinical Psychology, 38, 119-125.
27.
SchimS. M. (2006). Cultural Competence Survey. Unpublished survey instrument.
28.
SchimS. M.DoorenbosA.BenkertR.MillerJ. (2007). Congruent care: Putting the puzzle together. Journal of Transcultural Nursing, 18, 103-110.
29.
SchimS. M.DoorenbosA. Z.MillerJ.BenkertR. (2003). Development of a cultural competence assessment instrument. Journal of Nursing Measurement, 11, 29-40.
