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Advanced Nursing Education Workforce Program Washington State University


Cross-Cultural Survey

The Washington State University Advanced Nursing Education Workforce cross-cultural survey is an adapted instrument based on the Cross-Cultural Care Survey, and measures students’ perceptions of how well-prepared they are to provide care for populations of patients who are from a culture different from their own, their attitudes towards cross-cultural care, self-assessment of skills, and report of educational experiences.1,2 The original instrument was psychometrically tested and demonstrated internally consistency and construct validity.2 It is one of the few formally validated instruments focusing on cultural competency in medicine.3  In 2017, Green and colleagues added items related to preparedness to care of persons who were lesbian, gay or bisexual, transgender and persons with disabilities.3 In the current survey, we added questions about patient populations that are emphasized in the Advanced Nursing Education Workforce  program (e.g. those with substance use disorders). We have permission to use the instrument from the authors. Washington State University’s Institutional Review Board approved this project as a multiple site survey.

1 Weissman JS, Betancourt J, Campbell EG, Park ER, Kim M, Clarridge B, et al. Resident physicians’ preparedness to provide crosscultural care. JAMA. 2005;294(9):1058–67.

2 Park ER, Chun MBJ, Betancourt JR, et al. Measuring residents’ preparedness and skillfulness to deliver cross-cultural care, J Gen Int MED 24(9):1052-6.

3 Green AR, Chun M, Cervantes MC, et al. Measuring medical student’s preparedness and skills to provide cross-cultural care. Health Equity, 2017;1(1):15-22


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