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Cultural and ethnic differences in content validation responses.

Bronwynne C Evans1

  • 1Washington State University, College of Nursing, USA.

Western Journal of Nursing Research
|April 8, 2004
PubMed
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Instrument validation for nursing workforce diversity revealed differing expert reviewer perspectives. Cultural background significantly influenced responses, highlighting the need for inclusive faculty development to address implicit bias and promote equitable education for Hispanic/Latino and American Indian nurses.

Area of Science:

  • Nursing Workforce Development
  • Health Equity Research
  • Educational Psychology

Background:

  • Grant initiatives aim to boost recruitment and retention of underrepresented nursing groups.
  • Validated instruments are crucial for assessing the effectiveness of diversity interventions in nursing education.
  • Existing research indicates potential disparities in educational experiences for minority nursing students.

Purpose of the Study:

  • To develop and validate instruments for evaluating interventions targeting Hispanic/Latino and American Indian nurse recruitment and retention.
  • To compare expert reviewer responses to these instruments based on cultural and ethnic affiliations.
  • To identify potential biases in instrument content validation and inform inclusive educational practices.

Main Methods:

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  • Development of eight instruments for a Nursing Workforce Diversity Grant.
  • Content validation involving expert reviewers from diverse ethnic backgrounds (Hispanic/Latino, American Indian, White).
  • Comparison of reviewer responses with existing literature and qualitative data from filmed nurse interviews.

Main Results:

  • Significant differences observed in reviewer responses based on ethnic background (Hispanic/Latino and American Indian vs. White reviewers).
  • Hispanic/Latino and American Indian reviewers showed aligned responses, distinct from White reviewers.
  • Discrepancies prompted comparisons with literature and qualitative data to understand differing perspectives.

Conclusions:

  • Cultural and ethnic backgrounds influence expert judgment in instrument validation.
  • Implicit biases and differing cultural perspectives may impact the perceived validity of educational tools.
  • Recommendations include faculty development focused on cultural competence, anti-racism, and inclusive curriculum design for nursing education.