Table 2 Components and psychometric properties of the questionnaire after scale construction

(1)

Attitude towards delivering culturally appropriate care

How important do you consider the patient's culture to be when providing care:

(a) to those from cultures different from your own?

(b) to those with health beliefs or practices at odds with Western medicine?

(c) to those who distrust the Dutch healthcare system?

(d) to those who are members of ethnic minorities?

(e) to those whose religious beliefs affect treatment?

1. not at all

2. not very

3. somewhat

4. fairly

5. extremely

5

10

15

20

25

0.871

(2)

Experienced barriers to the delivery of culturally appropriate care in general

How often during your work have you experienced cross-cultural or language barriers that led to:

(a) unnecessary encounters?

(b) unnecessarily long duration of treatment?

(c) difficulties with lifestyle counselling?

(d) patients' nonadherence?

(e) erosion of quality of care?

1. never

2. rarely

3. often

4. always

5

10

15

20

0.800

(3)

Experienced barriers to the delivery of culturally appropriate cardiovascular care and education

How much of a problem do you consider each of the following to be when you provide cardiovascular care and education to patients of different cultural backgrounds?

(a) Lack of practical experience in caring for ethnic minority patients.

b) Lack of time to adequately address immigration and culture-related aspects.

(c) Lack of training in culturally appropriate health education in cardiovascular care.

(d) Lack of information about culturally sensitive health education in the cardiovascular protocols used in routine practice.

1. no problem

2. small problem

3. moderate problem

4. big problem

4

8

12

16

0.803

(4)

Self-reported actions in delivering culturally appropriate care

How often do you consider a patient's cultural background while:

(a) determining how a patient wants to be addressed and interacted with?

(b) performing an anamnesis?

(c) eliciting patients' understanding of illness?

(d) eliciting patients' perceptions regarding prescribed medication?

(e) eliciting patients' perceptions regarding required lifestyle change?

(f) identifying patients' customs that might affect adherence to clinical care?

(g) assessing the influence of family or community members on adherence to clinical care?

1. never

2. rarely

3. often

4. always

7

14

21

28

0.865