Identifying interest of pharmacy faculty for formal cultural competence training or credentialing
DOI:
https://doi.org/10.46542/pe.2024.241.703713Keywords:
Credentialing, Cultural competency, Diversity equity inclusion, Education, Faculty, Pharmacy trainingAbstract
Background: Accreditation standards in the United States acknowledge the link between health disparities and cultural differences while going beyond recognising that health disparities exist with higher expectations. Pharmacy trainees must practice cultural competence; however, faculty are unprepared to teach this content. This project aims to assess pharmacy faculty's perceived need and interest in targeted and specialised training in cultural competence.
Methods: This was a cross-sectional study using an electronic survey which was built with items based on study objectives. The survey collected information on demographics, cultural competence terminology, and perceptions of training and resulting credentialing.
Results: The survey had 398 respondents. The mean response regarding interest in an advanced credential was 3.09 on a scale of one to five. The most common response was “probably yes”. A theoretical model emerged from the analysis of qualitative comments that describe respondents’ perceptions of cultural competence training.
Conclusion: Intentional design when developing a cultural competence credential and/or training is necessary to ensure value. Pharmacy faculty have strong differing opinions regarding the need for a credential in this space. Additional reflection on the design and structure of any potential training is necessary before moving forward.
References
Accreditation Council for Pharmacy Education. (2015). Accreditation standards and key elements for the professional program leading to the doctor of pharmacy degree standards 2016. https://www.acpeaccredit.org/pdf/Standards2016FINAL.pdf
American Association of Colleges of Pharmacy. (2022). Fall 2022 Enrollments—Profile of Pharmacy Students. AACP Website. https://www.aacp.org/research/institutional-research/student-applications-enrollments-and-degrees-conferred
American Association of Colleges of Pharmacy. (2023). 2022-2023 Profile of Pharmacy Faculty. AACP Website. https://www.aacp.org/research/institutional-research/pharmacy-faculty-demographics-and-salaries.
Arya, V., Butler, L., Leal, S., Maine, L., Alvarez, N., Jackson, N., & Varkey, A. C. (2020). Systemic racism: Pharmacists’ role and responsibility. Journal of the American Pharmacists Association, 60(6), e43–e46. https://doi.org/10.1016/j.japh.2020.09.003
Beach, M. C., Somnath, S., & Cooper, L. A. (2006, October 1). The role and relationship of cultural competence and patient-centeredness in health care quality. https://www.commonwealthfund.org/publications/fund-reports/2006/oct/role-and-relationship-cultural-competence-and-patient
Boutin-Foster, C., Foster, J. C., & Konopasek, L. (2008). Viewpoint: Physician, know thyself: The professional culture of medicine as a framework for teaching cultural competence. Academic Medicine, 83(1), 106–111. https://doi.org/10.1097/ACM.0b013e31815c6753
Chen, A. M. H., Armbruster, A. L., Buckley, B., Campbell, J. A., Dang, D. K., Devraj, R., Drame, I., Edwards, A., Haack, S. L., Ma, Q., Petry, N., Planas, L. G., Sadowski, C. A., Santee, J., Wade, L., & Borja-Hart, N. (2021). Inclusion of health disparities, cultural competence, and health literacy content in US and Canadian pharmacy curriculums. American Journal of Pharmaceutical Education, 85(1), 8200. https://doi.org/10.5688/ajpe8200
Cook, C. T., Kosoko-Lasaki, O., & O’Brien, R. (2005). Satisfaction with and perceived cultural competency of healthcare providers: The minority experience. Journal of the National Medical Association, 97(8), 1078–1087. https://pubmed.ncbi.nlm.nih.gov/16173322/
Council on Credentialing in Pharmacy. (2014). Credentialing and privileging of pharmacists: A resource paper from the Council on Credentialing in Pharmacy. American Journal of Health-System Pharmacy, 71(21), 1891–1900. https://doi.org/10.2146/ajhp140420
Field, A. P. (2018). Discovering statistics using IBM SPSS statistics (5th edition, North American edition). Sage Publications Inc.
Govere, L., & Govere, E. M. (2016). How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews on Evidence-Based Nursing, 13(6), 402–410. https://doi.org/10.1111/wvn.12176
Institute of Medicine (US) Committee on Quality of Health Care in America. (2000). To err is human: Building a safer health system (L. T. Kohn, J. M. Corrigan, & M. S. Donaldson, Eds.). National Academies Press (US).
Isaacs, M. R., & Benjamin, M. P. (1991). Towards a culturally competent system of care. Volume II: Programs which utilize culturally competent principles. CASSP Technical Assistance Center, Center for Child Health and Mental Health Policy, Georgetown University Child Development Center. https://eric.ed.gov/?id=ED345393
Khanna, S. K., Cheyney, M., & Engle, M. (2009). Cultural competency in health care: Evaluating the outcomes of a cultural competency training among health care professionals. Journal of the National Medical Association, 101(9), 886–892. https://doi.org/10.1016/s0027-9684(15)31035-x
Lee, S., Dao, N., Hata, M., & Law, A. (2019). Credentialing in pharmacy ractice: Examining pharmacist views and perceptions. INNOVATIONS in Pharmacy, 10(4), 1. http://doi.org/10.24926/iip.v10i4.2099
MacPhail, C., Khoza, N., Abler, L., & Ranganathan, M. (2016). Process guidelines for establishing Intercoder Reliability in qualitative studies. Qualitative Research, 16(2), 198–212. https://doi.org/10.1177/1468794115577012
Medina, M., Stolte, S., Conry, J., Culhane, N., Farland, M. Z., Kennedy, D. R., Lockman, K., Malcom, D. R., Mirzaian, E., Vyas, D., Steinkopf, M., & Ragucci, K. (2023). Revising the Center for the Advancement of Pharmacy Education (CAPE) Educational Outcomes and Entrustable Professional Activities (EPAs): The report of the 2021-2022 academic affairs standing committee. American Journal of Pharmaceutical Education, 87(1), ajpe9453. https://doi.org/10.5688/ajpe9453
Onyoni, E. M., & Ives, T. J. (2007). Assessing implementation of cultural competency content in the curricula of colleges of pharmacy in the United States and Canada. American Journal of Pharmaceutical Education, 71(2), 24. https://doi.org/10.5688/aj710224
Schouten, B. C., Meeuwesen, L., Tromp, F., & Harmsen, H. A. M. (2007). Cultural diversity in patient participation: The influence of patients’ characteristics and doctors’ communicative behaviour. Patient Education and Counseling, 67(1–2), 214–223. https://doi.org/10.1016/j.pec.2007.03.018
Sharif, M. Z., García, J. J., Mitchell, U., Dellor, E. D., Bradford, N. J., & Truong, M. (2022). Racism and structural violence: Interconnected threats to health equity. Frontiers in Public Health, 9, 676783. https://doi.org/10.3389/fpubh.2021.676783
Shepherd, S. M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: Perspectives of healthcare providers. BMC Health Services Research, 19, 135. https://doi.org/10.1186/s12913-019-3959-7
Sullivan, G. M., & Artino, A. R. (2013). Analyzing and interpreting data from Likert-Type scales. Journal of Graduate Medical Education, 5(4), 541–542. https://doi.org/10.4300/JGME-5-4-18
Tilburt, J. C., (2010). The role of worldviews in health disparities education. Journal of General Internal Medicine, 25(Suppl 2), S178‒S181. https://doi.org/10.1007/s11606-009-1229-9
Tucker, C. M., Marsiske, M., Rice, K. G., Nielson, J. J., & Herman, K. (2011). Patient-centered culturally sensitive health care: Model testing and refinement. Health Psychology, 30(3), 342–350. https://doi.org/10.1037/a0022967
US Census Bureau. (2022). United States Census Bureau: Quick facts. https://www.census.gov/quickfacts/fact/table/US/PST045222
Wollen, J., Lieu, H. H., Yu, S., White, J. C., & Davis, S. R. (2023a). Comparison of community pharmacist and non-community pharmacist perceptions of a community pharmacy specialty board certification. Journal of Pharmacy Practice, 08971900231202647. https://doi.org/10.1177/08971900231202647
Wollen, J., Rosario, N., & Kiles, T. M. (2023b). Training student pharmacists how to mtigate racial or ethnic microaggressions in patient encounters. American Journal of Pharmaceutical Education, 87(6), 100068. https://doi.org/10.1016/j.ajpe.2023.100068
Yamane, T. (1967). Statistics, An introductory analysis, 2nd Ed. Harper and Row.
Yeager, K. A., & Bauer-Wu, S. (2013). Cultural humility: Essential foundation for clinical researchers. Applied Nursing Research, 26(4), 251–256. https://doi.org/10.1016/j.apnr.2013.06.008