*Inventory for Assessing a Biblical Worldview of
Cultural Competence Among Healthcare Professionals (IABWCC)©
"The will of God will never take you
where the grace of God will not protect you."
ABOUT THE IABWCC©
Application:
The IABWCC© is designed to measure the level of cultural competence among healthcare professionals who render care based on biblical principles. It is specifically intended for the following healthcare clinicians, educators and students: physicians, physician assistants, medical students/residents, mental health counselors/ therapists, licensed practical/ vocational nurses, registered nurses, advanced practice nurses, nursing students, health professions' faculty (medicine, nursing, dentistry, pharmacy), dentists, dental students, clinical pharmacists, pharmacy students, physical therapists and physical therapy students. With modifications, the IABWCC© can be used with other healthcare professionals/students, allied health professions, medical anthropologists, counselors, theologians, seminary students and pastors.
Description:
The IABWCC© is a pencil/paper self-assessment tool that measures one's level of cultural competence in healthcare delivery that is based on biblical principles. It consists of 25 items that measure the five cultural constructs of desire, awareness, knowledge, skill and encounters. There are 5 items that address each construct. The IABWCC© uses a 4-point likert scale reflecting the response categories of strongly agree, agree, disagree, strongly disagree. Completion time is approximately 10 -15 minutes. Scores range from 25 -100 and indicate whether a healthcare professional is operating at one of the following levels: biblically cultural proficient, biblically cultural competent, biblically culturally aware or biblically culturally incompetent. Higher scores depict a higher level of biblically based cultural competence.
Development of the Instrument:
The IABWCC© was developed in 2005 and is based on Campinha-Bacote's Biblically Based Model of Cultural Competence in the Delivery of Healthcare Services which integrates the eighteen intellectual and moral virtues of love, caring, humility, love of truth, teachableness, intellectual honesty, inquisitiveness, wisdom, discernment, judgment, prudence, attentiveness, studiousness, practical wisdom, understanding, temperance, patience and compassion into the five constructs of cultural awareness, cultural knowledge, cultural desire, cultural skill and cultural encounters (link to model).
Obtaining the IABWCC© :
The IABWCC© is available for review and personal use only by purchasing the book, “A Biblically Based Model of Cultural Competence in the Delivery of Healthcare Services, (2005), authored by Campinha-Bacote (order form). There are additional requirements and a fee associated with use of the IABWCC© beyond a personal self-assessment (see Permission To Use IABWCC© and Cost of Using IABWCC©).
Permission To Use IABWCC©
The IABWCC© is copyrighted and formal permission and a fee is required before the tool can be used in a format other than for personal/individual use. To obtain permission to use the IABWCC©, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241. In your request, please include the title of your project, purpose, target population, specific time frame of use, method of administration, study design (i.e. one-time testing or pre/post test design) and a money order (US Dollars only) or check (US Dollars and drawn from a US Bank) for fees associated with your method of administration (see Cost of Using IABWCC©). Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools if being used in an onsite pencil/paper format or internal/external mailings. Only one copy of the tool will be provided if the request is for online/electronic administration. You can utilize this copy for conversion into an electronic format for the designated time granted.
Cost of Using IABWCC©:
There is a fee of $8.00 per tool when administered onsite in a pencil/paper format for research studies, grants, projects or in any onsite pencil/paper distribution to a group of subjects/participants. In this onsite administration format the IABWCC© is to be hand-distributed to each subject/participant and then personally collected immediately following the subjects'/participants' completion of the IABWCC©. For example, if you are assessing 20 subjects/participants in an onsite administration the cost would be $160 plus shipping and handling. Please note that the fee is for the number of tools distributed to complete the study; not necessarily the number of subjects/participants in the study. Therefore, if you are conducting a pre/post test design with 20 subjects and testing the subjects/participants before and after an intervention, such as an educational program, you will need to double the amount of tools as the number of participants and the cost would be $320 plus shipping and handling. There is a fee of $20 fee per subject access when administered offsite in such formats as an online secure format for a training program, in-service educational program, academic course or continuing education offering, an external or internal postal mailing distribution or any form of administration that is not hand-distributed to each subject/participant and then personally collected immediately following the subjects'/participants' completion of the IABWCC©. Fees associated with this tool are for a one-time use per aggregate distribution in one study and not for unlimited use. Permission is required for further use of the IABWCC© in any additional projects related or unrelated to its initial use. Please use an order form when purchasing the IABWCC© (order form).
REPORTED RELIABILITY & VALIDITY OF THE IABWCC©
Cochran, J. (2005). Cultural Competence Among Nursing Students: Exploring Global Scores and the Influence of Personal Characteristics. Indiana Wesleyan University, Marion, IN. Contact: Barbara.Ihrke@indwes.edu (faculty member on the thesis)
Cochran conducted a study using the IABWCC to assess cultural competence among senior nursing and pre-nursing students at a small, private, Christian university in Midwestern United States. One-hundred and twelve surveys were distributed and 109 (97%) returned with usable data. Cronbach's alpha was calculated at .72
Kattner, M. (2006). Creating an Educational Template to Enhance Cultural Competence. Buntain School of Nursing, Northwest University, Kirkland, WA. Contact email: melba.kattner@northwestu.edu
Kattner conducted a study in which she used the IABWCC and the IAPCC to evaluate the level of cultural competence of 28 senior nursing students before a month-long immersion clinical course. Cronbach's alpha based on standardized items for the IABWCC was calculated at .877 (Time 2). Content validity was established from experts at Northwest University.
*Duplication/Copying of IABWCC©: Transcultural C.A.R.E. Associates has a policy preventing unauthorized use of tools.
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Last Updated: May, 2008