Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' "Caring for Women Veterans" Program

Annie B. Fox; Alison B. Hamilton; Susan M. Frayne; Shannon Wiltsey-Stirman; Bevanne Bean-Mayberry; Diane Carney; Brooke A. L. Di Leone; Jennifer M. Gierisch; Karen M. Goldstein; Yasmin Romodan; Anne G. Sadler; Elizabeth M. Yano; Ellen F. Yee; Dawne Vogt

doi:10.1097/CEH.0000000000000073

Back

Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' "Caring for Women Veterans" Program

Journal article

Peer reviewed

Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' "Caring for Women Veterans" Program

Annie B. Fox, Alison B. Hamilton, Susan M. Frayne, Shannon Wiltsey-Stirman, Bevanne Bean-Mayberry, Diane Carney, Brooke A. L. Di Leone, Jennifer M. Gierisch, Karen M. Goldstein, Yasmin Romodan, …

The Journal of continuing education in the health professions, Vol.36(2), pp.96-103

03/01/2016

DOI: 10.1097/CEH.0000000000000073

PMCID: PMC8082471

PMID: 27262152

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/8082471View

Open Access

Abstract

Introduction: Although providing culturally sensitive health care is vitally important, there is little consensus regarding the most effective strategy for implementing cultural competence trainings in the health care setting. Evidence-based quality improvement (EBQI), which involves adapting evidence-based practices to meet local needs, may improve uptake and effectiveness of a variety of health care innovations. Yet, to our knowledge, EBQI has not yet been applied to cultural competence training. To evaluate whether EBQI could enhance the impact of an evidence-based training intended to improve veterans affairs health care staff gender sensitivity and knowledge (Caring for Women Veterans; CWV), we compared the reach and effectiveness of EBQI delivery versus standard web-based implementation strategies of CWV and assessed barriers and facilitators to EBQI implementation. Methods: Workgroups at four diverse veterans affairs health care sites were randomized to either an EBQI or standard web-based implementation condition (SI). All EBQI sites selected a group-based implementation strategy. Employees (N = 84) completed pretraining and posttraining assessments of gender sensitivity and knowledge, and focus groups/interviews were conducted with leadership and staff before and after implementation. Results: Reach of CWV was greater in the EBQI condition versus the SI condition. Whereas both gender sensitivity and knowledge improved in the EBQI condition, only gender sensitivity improved in the SI condition. Qualitative analyses revealed that the EBQI approach was well received, although a number of barriers were identified. Discussion: Findings suggest that EBQI can enhance the uptake and effectiveness of employee trainings. However, the decision to pursue EBQI must be informed by a consideration of available resources.

Social Sciences

Education & Educational Research

Education, Scientific Disciplines

Health Care Sciences & Services

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' "Caring for Women Veterans" Program
Creators: Annie B. Fox - VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr Posttraumat Stress Disorder, Boston, MA USA
Alison B. Hamilton - Health Services Research & Development
Susan M. Frayne - Health Services Research & Development
Shannon Wiltsey-Stirman - VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr Posttraumat Stress Disorder, Boston, MA USA
Bevanne Bean-Mayberry - Health Services Research & Development
Diane Carney - Health Services Research & Development
Brooke A. L. Di Leone - Philadelphia VA Med Ctr, Ctr Hlth Equ Res & Promot, Philadelphia, PA USA
Jennifer M. Gierisch - Durham VA Med Ctr, Ctr Hlth Serv Res Primary Care, Durham, NC USA
Karen M. Goldstein - Durham VA Med Ctr, Ctr Hlth Serv Res Primary Care, Durham, NC USA
Yasmin Romodan - Health Services Research & Development
Anne G. Sadler - University of Iowa
Elizabeth M. Yano - Health Services Research & Development
Ellen F. Yee - University of New Mexico
Dawne Vogt - Boston University
Resource Type: Journal article
Publication Details: The Journal of continuing education in the health professions, Vol.36(2), pp.96-103
DOI: 10.1097/CEH.0000000000000073
PMID: 27262152
PMCID: PMC8082471
NLM abbreviation: J Contin Educ Health Prof
ISSN: 0894-1912
eISSN: 1554-558X
Publisher: Lippincott Williams & Wilkins
Number of pages: 8
Grant note: RCS 05-195 / VA HSR&D Senior Research Career Scientist Award VA HSRD QUERI National Center for PTSD SDR 10-012 / Department of Veterans Affairs, Veterans Health Administration, Health Services Research Development R25MH080916 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) R25 MH080916-01A2 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
Language: English
Date published: 03/01/2016
Academic Unit: Psychiatry; Injury Prevention Research Center
Record Identifier: 9984281654402771

Metrics

7 Record Views

32 Times Cited - Web of Science