Continuing Education Effects on Cultural Competence Knowledge and Skills Building among Health Professionals

Hall, MB and Guidry, JJ and McKyer, ELJ and Outley, C and Ballard, D (2013) Continuing Education Effects on Cultural Competence Knowledge and Skills Building among Health Professionals. [Journal (On-line/Unpaginated)]

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Racial and ethnic minority health data from a national perspective indicates there is much to learn in the public health workforce about the ongoing health disparities crisis. This suggests a level of urgency to assist our public health professionals in obtaining specific skills sets that will assist them in working better with vulnerable populations. The purpose of this research is to assess cultural competence knowledge and programmatic skill sets, utilizing an explorational case study, of individuals employed within an urban public health department. In order to effectively evaluate these constructs, a quantitative research approach was employed to examine participants’ knowledge and competencies of the subject matter. This data was further analyzed to determine if continuing education participation and training was correlated to the levels of culturally competent practice engagement and self-reported confidence. In addition, researchers obtained data on the availability of employer sponsored training opportunities. The data suggested when health professionals engage in cultural competence education, their level of awareness of unique characteristics between ethnic and racial minorities increased. Those who exhibited the healthiest behaviors, as it relates to effectively working with diverse populations, had a heightened sense of knowledge related to culture and healthcare services. Continuing education in cultural competence is an essential strategy for improving public health employees’ effectiveness in working with diverse clients and reducing racial and ethnic health disparities. As the finding illustrated, training programs must incorporate educational components which foster skill building to enable subsequent culturally appropriate clinical interactions.

Item Type:Journal (On-line/Unpaginated)
Keywords:Continuing education; Cultural competence; Skills building; Workforce development; Clinical interaction; Quality of care
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:9151
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:25 Feb 2014 12:41
Last Modified:25 Feb 2014 12:41

References in Article

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1. Harvard Catalyst. (2010). Cultural competence in research. Boston, MA: Harvard Medical School. Available at

2. Betancourt JR, Green AR, Carillo JE. Cultural competence and health care disparities: Key perspectives and trends. Health Aff. 2005;24:499-505.

3. Office of Minority Health & Health Disparities, 2007. National standards on culturally and linguistically appropriate services. Washington, DC: Department of Health and Human Services. Available at

4. Van Ryn M, Fu S. Paved with good intentions: Do public health and human services providers contribute to racial/ethnic disparities in health?. Am J Public Health. 2003;93:248-255.

5. Beach M, Price E, Gary T et al. Cultural competency: A systematic review of health care provider educational interventions. Med Care. 2005;43:356-373.

6. Webb E, Sergison M. Evaluation of cultural competence and antiracism training in child health services. Arch Dis Child. 2003;88:291-294.

7. Smith WR, Betancourt JR, Wynia MK et al. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 2007;147:654–665.

8. Kagawa-Singer M, Kassim-Lakha S. A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. J Assoc Am Med Coll. 2003;78:577-587.

9. National Cancer Institute, 2005. Theory at a glance: a guide for health promotion practice (2nd ed.). Washington, DC: National Institutes of Health. Available at bfaf5aa48ee1da4d/TAAG3.pdf.

10. Furneaux B. Theories used in research: theory of planned behavior. Toronto: York University. 2005. Available at

11. Ajzen I. Attitudes, personality, and behavior. Chicago, IL: The Dorsey Press; 1988.

12. Perkins M, Jensen P, Jaccard J, et al. Applying theory-driven approaches to understanding and modifying clinicians’ behavior: What do we know? Psych Serv. 2007;58:342-348

13. Schim S. Cultural competence survey. Detroit, MI: Wayne State University, 2009.

14. Doorenbos A, Schim S, Benkert R, et al. Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. Nurs Res. 2005;54:324-331.

15. Paez K, Allen J, Carson K, et al. Provider and clinic cultural competence in a primary care setting. Soc Sci Med. 2007:66;1204-1216.

16. Starr S, Wallace D. Self-reported cultural competence of public health nurses in a southeastern US public health department. Public Health Nurs. 2009:26;48-57.

17. Office of Minority Health & Health Disparities, 2010. About minority health. Washington, DC: Department of Health and Human Services. Available at


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