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


  • This Research was partially supported by a Faculty Research Incentive Award from Wayne State University College of Nursing and National Institute for Nursing Research funding (NINR R21NR010896-01A1). The authors thank the research assistants who helped with survey mailing, data collection, and data input: Wilfred Allen, Anita Manns, Sheila Morrisette, E. Frank Thompson, and Sarah Witkopf. The authors also thank the manuscript reviewers for their careful and thoughtful review.


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. © 2011 Wiley Periodicals, Inc. Res Nurs Health 34:327–341, 2011

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