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Constructing a questionnaire for assessment of awareness and acceptance of diversity in healthcare institutions
Karolinska Institutet.
University of Alberta.
2013 (English)In: BMC Health Services Research, ISSN 1472-6963, Vol. 13, no 145Article in journal (Refereed) Published
Abstract [en]

Background

To develop a healthcare environment that is congruent with diversity among care providers and care recipients and to eliminate ethnic discrimination, it’s important to map out and assess caregivers’ awareness and acceptance of diversity. Because of a lack of standardized questionnaires in the Swedish context, this study designed and standardized a questionnaire: the Assessment of Awareness and Acceptance of Diversity in Healthcare Institutions (AAAD, for short). 

Method

The questionnaire was developed in four phases: a comprehensive literature review, face and content validity, construct validity by factor analysis, and a reliability test by internal consistency and stability assessments. 

Results

Results of different validity and reliability analyses suggest high face, content, and construct validity as well as good reliability in internal consistency (Cronbach’s alpha: 0.68 to 0.8) and stability (test-retest: Spearman rank correlation coefficient: 0.60 to 0.76). The result of the factor analysis identified six dimensions in the questionnaire: 1) Attitude toward discrimination 2) Interaction between staff, 3) Stereotypic attitude toward working with a person with a Swedish background, 4) Attitude toward working with a patient with a different background, 5) Attitude toward communication with persons with different backgrounds, 6) Attitude toward interaction between patients and staff.

Conclusion

This study introduces a newly developed questionnaire with good reliability and validity values that can assess healthcare workers’ awareness and acceptance of diversity in the healthcare environment and healthcare delivery. 

Place, publisher, year, edition, pages
BioMed Central, 2013. Vol. 13, no 145
Keyword [en]
Assessment; Culture; Cultural awareness; Diversity; Environment; Healthcare; Questionnaire development; Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:lnu:diva-37433DOI: 10.1186/1472-6963-13-145OAI: oai:DiVA.org:lnu-37433DiVA: diva2:751915
Available from: 2014-10-02 Created: 2014-10-02 Last updated: 2015-03-03Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf