This page is a preview of the survey instrument.

 

Survey: Caring for Patients Across Cultures

For the purposes of this questionnaire, diverse patients are defined as patients who are members of a culture different from the perceived predominant culture, including racial/ethnic minorities, LGBTQI+ populations, persons with disabilities and persons from another country, among others.

A. Training

A1.  In your advanced nursing education, how much time was devoted to teaching you care of people from other cultures related to: 

Response Choices: – A Lot, Some, Very Little, None, Prefer not to answer

a. Determining how a patient wants to be addressed and interacted with?
b. Taking a social history?
c. Assessing the patient’s understanding of their illness?
d. Identifying whether a patient is mistrustful of the health care system or the provider?
e. Negotiating with the patient about key aspects of the treatment plan?
f. Identifying how well a patient can read or write English?
g. Identifying religious beliefs that might affect clinical care?
h. Identifying cultural (non-religious) customs that might affect clinical care?
i. Identifying how a patient makes decisions with other family members?
j. Delivering services effectively through a medical interpreter?
k. Providing care via telehealth?

A2. On which of the following interpreter topics did you receive instruction during your nurse practitioner education:
Response Choices: Yes, No, Prefer not to answer

a. A patient’s legal right to have a professional medical interpreter?
b. The procedure for obtaining a medical interpreter at your clinical site?
c. Potential dangers of using untrained interpreters, including family members?
d. How to maintain eye contact with the patient when using an interpreter?
e. How to respond when you sense that the interpreter has misinterpreted the content of your (or the patient’s) remarks?
f. How to use repeat-back techniques to verify patients understanding of your diagnosis and instructions?

A3.  Please rate each of the following experiences during your education for their usefulness to you in treating culturally diverse populations:
Response Choices: Very Useful, Useful, Somewhat Useful, Not At All Useful, Prefer not to answer

a. Lectures and seminars
b. Case-based discussions
c. Clinical education/experiences
d. Experiential learning with simulation and standardized patients
e. The diversity of your colleagues

A4. How prepared do you feel to care for patients:
Response Choices: Very Well-prepared, Well-prepared, Somewhat Unprepared, Very Unprepared, Prefer not to answer

a. In general?
b. From cultures different from your own?
c. With health beliefs or practices at odds with Western medicine?
d. With a distrust of the US healthcare system?
e. With limited English proficiency?
f. Who are new immigrants?
g. Whose religious beliefs affect treatment?
h. Who use alternative or complementary medicines?
i. Who are members of racial and ethnic minorities?
j. Who are transgender?
k. Who identify as LGBTQI+?
l. Who are persons with disabilities?

A5. How prepared do you feel to care for patients:
Response Choices: Very Well-prepared, Well-prepared, Somewhat Unprepared, Very Unprepared, Prefer not to answer

a. With substance use disorders?
b. Who are victims of domestic violence?
c. Using telehealth?

B. Future Practice Setting

B1. How important is it to you to practice in a setting that has a diverse racial and ethnic patient mix?

• Very Important
• Moderately Important
• Not Very Important
• Not At All Important
• Prefer not to answer

C. Personal & Professional Characteristics

C1. Do you identify as:

• Male
• Female
• Additional gender category/identity:
• Prefer not to answer

C2. Please indicate your ethnicity:

• Hispanic or Latino
• Not Hispanic or Latino

C3. Please indicate your race: 

• American Indian or Alaskan Native
• Asian
• Black or African American
• Native Hawaiian or Other Pacific Islander
• White
• Other (Specify):
• More than one race (Specify):
• Prefer not to answer

C4. What degree are you seeking?

• MSN/MN
• Post-Baccalaureate DNP
• Post-Master’s DNP
• Other (Specify):
• Prefer not to answer

C5. What type of program are you currently in?

• Family NP
• Psychiatric-Mental Health NP
• Adult-Gerontology NP
• Pediatric NP
• Nurse Midwife
• Other (Specify):
• Prefer not to answer

C6. Are you a recipient of Health Resources and Services Administration (HRSA) Advanced Nursing Education Workforce (ANEW) financial support?

• Yes
• No
• Prefer not to answer