Development of a cultural competence assessment instrument for unit managers in public sector hospitals in Gauteng

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dc.contributor.authorMaboko, Disebo Rita
dc.date.accessioned2021-10-28T14:05:03Z
dc.date.available2021-10-28T14:05:03Z
dc.date.issued2020
dc.descriptionA thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Faculty of Health Sciences, School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, 2020en_ZA
dc.description.abstractManaging cultural diversity in South Africa is a challenging task for nursing unit managers in public sector hospitals due to the complexities resulting from the high levels of cultural diversity and socio-political issues that affect the healthcare sector. The purpose of the study was to develop a cultural competence assessment instrument for unit managers to identify levels of cultural competence in their nursing units in public sector hospitals in Gauteng Province. The study setting was three public sector hospitals of different levels of care in Gauteng. The research design utilised in this study was the exploratory sequential design of mixed methodology, specifically, the instrument development variant. The theoretical framework that guided the study was Campinha-Bacote’s Process of Cultural Competence in the Delivery of Healthcare Services model. It was conducted in two phases using a combination of mostly qualitative and some quantitative data collection and analysis methods. The first phase explored patients’, nurses’ and unit managers’ perspectives regarding cultural competence and identified components of cultural competence from the literature. The second phase of the study included the development and selected validation of the cultural competence assessment instrument for unit managers. The results of 21 patient interviews and a scoping review were utilised to compile statements for Q-sorts using Q-Methodology. Twenty one unit managers and 21 frontline nurses sorted the statements. The Q-sort results were utilised to obtain items for the cultural competence assessment instrument. These items were selected through a nominal group technique discussion with a group of seven experts who helped to select the initial 30 items for the instrument. The instrument was pilot-tested and participants found the instrument useful and able to assess cultural competence in their nursing units. The pilot-test results revealed strengths and weaknesses regarding cultural competence in the nursing units. This shows a need for education about and monitoring of cultural competence in nursing units. Adjustments for the instrument were suggested which also necessitated ensuring further content validity through calculating the content validity index. This resulted in a final 17 item instrument. Further validity and reliability testing of the instrument with a larger sample of unit managers is required.en_ZA
dc.description.librarianTL (2021)en_ZA
dc.facultyFaculty of Health Sciencesen_ZA
dc.identifier.urihttps://hdl.handle.net/10539/31822
dc.language.isoenen_ZA
dc.phd.titlePHDen_ZA
dc.schoolSchool of Therapeutic Sciencesen_ZA
dc.titleDevelopment of a cultural competence assessment instrument for unit managers in public sector hospitals in Gautengen_ZA
dc.typeThesisen_ZA
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