A Systematic Review of Assessment Tools Measuring Cultural Competence Outcomes Relevant to Pharmacy Education

Objective. To identify and describe validated assessment tools that measure cultural competence and are relevant to pharmacy education. Methods. A systematic approach was used to identify quantitative cultural competence assessment tools relevant to pharmacy education. A systematic search of the literature was conducted using the OVID and EBSCO databases and a manual search of journals deemed likely to include tools relevant to pharmacy education. To be eligible for the review, the tools had to be developed using a study sample from the United States, have at least one peer-reviewed validated publication, be applicable to the pharmacy profession, and be published since 2010. Results. The systematic literature and manual search identified 27 tools. Twelve assessment tools met the criteria to be included in the summary and their relevancy to pharmacy education is discussed. Conclusion. A review of literature demonstrates that assessment tools vary widely and there is no one tool that can effectively assess all aspects of cultural competence in pharmacy students or the Doctor of Pharmacy curriculum. As cultural competence is a priority within the accreditation standards for pharmacy education, PharmD programs are encouraged to develop additional tools that measure observed performance.

[1]  K. Markey,et al.  Intercultural readiness of nursing students: An integrative review of evidence examining cultural competence educational interventions. , 2021, Nurse education in practice.

[2]  L. Planas,et al.  Inclusion of Health Disparities, Cultural Competence, and Health Literacy Content in US and Canadian Pharmacy Curriculums , 2020, American Journal of Pharmaceutical Education.

[3]  Thaddeus T. Franz,et al.  Integrating Health Literacy and Cultural Competency Concepts Across the Doctor of Pharmacy Curriculum , 2020, American Journal of Pharmaceutical Education.

[4]  Aleda M. H. Chen,et al.  Assessment of a multi-institution integration of cultural competency activities. , 2020, Currents in pharmacy teaching & learning.

[5]  Monnica T. Williams,et al.  Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial , 2019, BMC medical education.

[6]  Amy Werremeyer,et al.  Comparing Photovoice to Traditional Reflection to Identify Student Learning on a Medical Mission Trip , 2019, American Journal of Pharmaceutical Education.

[7]  Paul B. Phelps,et al.  Baseline cultural competence in physician assistant students , 2019, PloS one.

[8]  Spencer E. Harpe,et al.  A Multi-School Validation of a Revised Scale for Assessing Cultural Competence in Pharmacy Students , 2018, American Journal of Pharmaceutical Education.

[9]  Therese I. Poirier,et al.  Scholarly and Best Practices in Assessment , 2017, American Journal of Pharmaceutical Education.

[10]  J. Kavookjian,et al.  Predisposition for Empathy, Intercultural Sensitivity, and Intentions for Using Motivational Interviewing in First Year Pharmacy Students , 2017, American Journal of Pharmaceutical Education.

[11]  Brigitte L. Sicat,et al.  A Systematic Review of Assessment Tools Measuring Interprofessional Education Outcomes Relevant to Pharmacy Education , 2017, American Journal of Pharmaceutical Education.

[12]  G. Regehr,et al.  A Call for an Integrated Program of Assessment , 2017, American Journal of Pharmaceutical Education.

[13]  T. Dise,et al.  Racial Dynamics and Cultural Competence Training in Medical and Pharmacy Education , 2017, Journal of health care for the poor and underserved.

[14]  M. Harwood,et al.  Identifying key elements of cultural competence to incorporate into a New Zealand undergraduate pharmacy curriculum , 2017 .

[15]  K. Mu,et al.  CHIP: Facilitating Interprofessional and Culturally Competent Patient Care Through Experiential Learning in China. , 2016, Occupational therapy international.

[16]  S. Crawford,et al.  A Cross Sectional and Longitudinal Study of Pharmacy Student Perceptions of Readiness to Serve Diverse Populations , 2016, American Journal of Pharmaceutical Education.

[17]  L. Purnell Are We Really Measuring Cultural Competence? , 2016, Nursing science quarterly.

[18]  F. Odedina,et al.  Determining the Sufficiency of Cultural Competence Instruction in Pharmacy School Curriculum , 2015, American Journal of Pharmaceutical Education.

[19]  Aleda M. H. Chen,et al.  Immediate and Longitudinal Effects of Incorporating Health Literacy and Cultural Competency into a Yearlong Pharmacy Curriculum , 2015 .

[20]  S. Sellers,et al.  Development and Psychometric Assessment of the Healthcare Provider Cultural Competence Instrument , 2015, Inquiry : a journal of medical care organization, provision and financing.

[21]  S. Thomas,et al.  Improving Ethnocultural Empathy in Healthcare Students through a Targeted Intervention. , 2015, Journal of cultural diversity.

[22]  Ana C. Quiñones-Boex,et al.  Pharmacy Students’ Perceptions of Cultural Competence Encounters During Practice Experiences , 2014, American Journal of Pharmaceutical Education.

[23]  Yong Gao,et al.  Psychometric Evaluation of a Cultural Competency Assessment Instrument for Health Professionals , 2014, Medical care.

[24]  Joseph R. Miles,et al.  Developing a comprehensive scale to assess college multicultural programming. , 2014, Journal of counseling psychology.

[25]  Therese I. Poirier,et al.  Cultural Competency in Health Care and Its Implications for Pharmacy Part 3A: Emphasis on Pharmacy Education, Curriculums, and Future Directions , 2013, Pharmacotherapy.

[26]  Melissa S Medina,et al.  Center for the Advancement of Pharmacy Education 2013 Educational Outcomes , 2013, American Journal of Pharmaceutical Education.

[27]  Sachin H. Jain,et al.  The Racist Patient , 2013, Annals of Internal Medicine.

[28]  B. Miller,et al.  A tool for assessing cultural competence training in dental education. , 2013, Journal of dental education.

[29]  L. Jack,et al.  Assessing Pharmacy Students’ Self-Perception of Cultural Competence , 2013, Journal of health care for the poor and underserved.

[30]  Amy Werremeyer,et al.  A Medical Mission to Guatemala as an Advanced Pharmacy Practice Experience , 2012, American Journal of Pharmaceutical Education.

[31]  J. Lonie,et al.  Assessing the cultural competency of practicing community pharmacists: A pilot study , 2012 .

[32]  F. Odedina,et al.  Clinical Cultural Competency and Knowledge of Health Disparities Among Pharmacy Students , 2012, American Journal of Pharmaceutical Education.

[33]  Margarita Echeverri,et al.  Factor analysis of a modified version of the California Brief Multicultural Competence Scale with minority pharmacy students , 2011, Advances in health sciences education : theory and practice.

[34]  Margarita Echeverri,et al.  Nine Constructs of Cultural Competence for Curriculum Development , 2010, American Journal of Pharmaceutical Education.

[35]  M. Kamaka Designing a cultural competency curriculum: asking the stakeholders. , 2010, Hawaii medical journal.

[36]  Jay B. Morrow,et al.  A validated cultural competence curriculum for US pediatric clerkships. , 2010, Patient education and counseling.

[37]  P. Hill,et al.  The relation of multicultural experiences to moral judgment and mindsets. , 2010 .

[38]  J. Betancourt,et al.  Cross‐Cultural Medical Education in the United States: Key Principles and Experiences , 2009, The Kaohsiung journal of medical sciences.

[39]  J. Hamilton Intercultural competence in medical education – essential to acquire, difficult to assess , 2009, Medical teacher.

[40]  S. Crandall,et al.  Revising the Tool for Assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus , 2008, Medical education online.

[41]  N. Cuellar,et al.  Developing a blueprint for cultural competence education at Penn. , 2008, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[42]  M. O’Connell,et al.  Cultural Competence in Health Care and Its Implications for Pharmacy , 2007, Pharmacotherapy.

[43]  J. Flaskerud CULTURAL COMPETENCE COLUMN WHAT ELSE IS NECESSARY? , 2007, Issues in mental health nursing.

[44]  Guo-Ming Chen,et al.  The Development and Validation of the Intercultural Sensitivity Scale. , 2000 .