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Updated: Aug 13, 2026

Assessment of Social Interaction Behaviors
Published on: February 25, 2011
Cultural competence among Ontario and Michigan healthcare providers
Stephanie Myers Schim1, Ardith Z Doorenbos, Nagesh N Borse
1College of Nursing, Wayne State University, Detroit, MI 48202, USA. s.schim@wayne.edu
Purpose:
To examine variables associated with cultural competence among urban, hospital-based healthcare providers in Ontario (Canada) and Michigan (US).
Design And Sample:
A cross-sectional descriptive design with a convenience sample of hospital-based providers was used. The sample was 145 providers (n=71 Ontario; n=74 Michigan).
Methods:
Providers completed a survey which included the Cultural Competence Assessment (CCA) instrument. Regression analysis was used to examine associations.
Findings:
Providers with diversity training and higher levels of educational attainment scored significantly higher on cultural awareness and sensitivity and on cultural competence behaviors.
Conclusions:
Variables significantly associated with cultural competence included prior training in cultural competency and higher educational attainment among both Ontario and Michigan healthcare providers.
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