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UMHS Cultural Compentency Survey

The purpose of this survey was to take care of our own by giving all UMHS employees a platform to express their needs which can then be tied to action plans.

The goal of this survey was to address what employees have learned, would like to learn, and are concerned about when providing culturally competent health care. Preferred educational methods were also assessed.

The survey results are helping to guide UMHS's cultural competency efforts and to document and increase compliance with Joint Commission's cultural standards.

Survey findings are also helping to determine UMHS's direction to better serve its patients and employees' needs.

  Survey Results Summary:
 
  • 1,016 respondents
  • Accessed January 22 - February 2, 2007
  • 22 questions
 
Questions 1-13 pertain to awareness, education, and knowledge of cultural competency at UMHS
Questions 14-18 show participant demographics
Questions 19-22 address comments, concerns, and ideas for improvement
 
    Question 1:
Cultural Competency is defined as the acceptance and respect for difference, a continuous self-assessment regarding culture, an attention to the dynamics of difference, the ongoing development of cultural knowledge, and the resources and flexibility within service models to meet the needs of minority populations (Cross et al., 1989).

Cultural competency is relevant to my job.
   
   
Response Percent
Response Total
Strongly agree
64.3%
653
Agree
27.6%
280
Neither agree nor disagree
6.6%
67
Disagree
1.1%
11
Strongly disagree
0.5%
5
       
  Total Respondents  
1016
  (Skipped this question)  
0
   
    Question 2:
My work area tries to improve its responsiveness to the cultural issues of patients.
   
   
Response Percent
Response Total
Strongly agree
29.3%
283
Agree
44.1%
426
Neither agree nor disagree
22.3%
215
Disagree
3.5%
34
Strongly disagree
0.8%
8
       
  Total Respondents  
966
  (Skipped this question)  
50
   
    Question 3:
My work area encourages me to listen to and/or ask patients how their culture interrelates with their healthcare.
   
   
Response Percent
Response Total
Strongly agree
21.9%
211
Agree
34.1%
329
Neither agree nor disagree
22.7%
219
Disagree
6.4%
62
Strongly disagree
1.1%
11
Work area does not interact directly with patients
13.8%
133
       
  Total Respondents  
965
  (Skipped this question)  
51
   
   

Question 4:
I accept that the patient and family members make the ultimate healthcare decisions even though their decisions may be different from my personal and professional values and beliefs.
   
   
Response Percent
Response Total
Always
68.3%
641
Almost always
25.4%
238
Often
4.9%
46
Sometimes
1.2%
11
Almost never
0.1%
1
Never
0.1%
1
       
  Total Respondents  
937
  (Skipped this question)  
79
   
   

Question 5:
Ethnicity is defined as a group identity based on culture, language, religion, or a common attachment to a place or kin ties. Ethnicity is a relational concept.

I reflect on and examine my own cultural background, biases, and prejudices related to ethnicity that may influence my behaviors.

   
   
Response Percent
Response Total
Always
30.1%
282
Almost always
34.2%
321
Often
19.8%
186
Sometimes
11.8%
111
Almost never
2.2%
21
Never
1.8%
17
       
  Total Respondents  
937
  (Skipped this question)  
79
     
   
Back to top
   

Question 6:
Within the next six months, I am likely to make the time to learn more about: (check all that apply)
   
Response Percent
Response Total
-
 Eliciting cultural health beliefs
40.5%
363
-
 Developing culturally appropriate treatment plans
25.4%
228
-
 Developing culturally appropriate patient education materials
29.4%
263
-
 Cross-cultural interviewing skills
33.0%
296
-
 Conducting a cultural self-assessment
31.6%
283
-
 Conducting a cultural competency assessment for my work area
15.2%
136
-
 Developing cultural and/or linguistic policies and/or procedures for my work area
12.2%
109
-
 14 National Standards for Culturally and Linguistically Appropriate Services in Health Care (US Dept. of Health and Human Services, Office of Minority Health)
9.7%
87
-
 ''Joint Commission Standards that Support the Provision of Culturally and Linguistically Appropriate Services''
23.3%
209
-
 Collecting and/or using patients' race and ethnicity data
17.3%
155
-
 Other (please specify)
14.0%
125
       
  Total Respondents  
896
  (Skipped this question)  
120
     
    Question 7:
I have an understanding of how cultural competency impacts patient safety.
   
   
Response Percent
Response Total
Strongly agree
32.9%
292
Agree
51.6%
458
Neither agree nor disagree
12.3%
109
Disagree
3.2%
28
Strongly disagree
0.1%
1
       
  Total Respondents  
888
  (Skipped this question)  
128
     
   

Question 8:
I know where in the patient chart to find information about cultural matters.
   
   
Response Percent
Response Total
Always
12.5%
111
Almost always
21.6%
192
Often
12.2%
108
Sometimes
14.8%
131
Almost never
5.3%
47
Never
5.5%
49
My work does not utilize patient charts
28.2%
250
       
  Total Respondents  
888
  (Skipped this question)  
128
     
   

Question 9:
How do I feel about integrating cultural and linguistic competency performance measures into:
   
 
Strongly support
Support
Neither support nor oppose
Oppose
Strongly oppose
Patient Satisfaction Surveys
42%
(368)
41%
(355)
14%
(124)
2%
(20)
1%
(8)
Employee Satisfaction Surveys
37%
(326)
41%
(355)
18%
(158)
3%
(28)
1%
(8)
Performance Planning and Evaluation
32%
(281)
38%
(330)
24%
(206)
5%
(44)
2%
(14)
Internal Audits
28%
(242)
36%
(311)
32%
(280)
3%
(30)
1%
(12)
     
Total Respondents  
874
(Skipped this question)  
142
   




   

Question 10:
Please describe any cultural competency procedures or policies your work area has been involved in developing.
   
Total Respondents  
224
(Skipped this question)  
792

(This question required a typed response.)
     
    Question 11:
In my work area, personnel recruitment, hiring, and retention practices include efforts to match the diversity of the patient service area.
   
   
Response Percent
Response Total
Always
14.5%
122
Almost always
14.1%
119
Often
28.3%
239
Sometimes
23.9%
202
Almost never
9.2%
78
Never
10.0%
84
       
  Total Respondents  
844
  (Skipped this question)  
172
     
    Question 12:
In my work area, members for committees are recruited and supported to ensure diverse cultural representation.
   
   
Response Percent
Response Total
Always
13.6%
115
Almost always
14.5%
122
Often
24.0%
202
Sometimes
24.6%
207
Almost never
11.4%
96
Never
12%
101
       
  Total Respondents  
843
  (Skipped this question)  
173
     
    Question 13:
I speak another language other than English for my job.
   
   
Response Percent
Response Total
Every day
2.4%
20
Once a week
2.0%
17
Once a month
3.0%
25
Almost never
15.0%
125
Never
77.3%
645
(If you work as an interpreter for UMHS's Interpreter Services Program, please select only this response.)
0.2%
2
       
  Total Respondents  
832
  (Skipped this question)  
184
   
    Question 14:
Ethnicity is defined as a group identity based on culture, language, religion, or a common attachment to a place or kin ties. Ethnicity is a relational concept.

In regards to my ethnicity, I identify myself as:
   
Total Respondents  
832
(Skipped this question)  
184

(This question required a typed response.)
     
    Question 15:
My UMHS work area is:
   
   
Response Percent
Response Total
-
 Adult Psychology
1.8%
15
-
 Ambulatory Care Administration
3.5%
29
-
 Anesthesiology
1.4%
12
-
 Cardiovascular Center Administration
0.4%
3
-
 Central Staffing Resource
2.1%
17
-
 Chaplain Services
0.2%
2
-
 Child/Adolescent Psychology
1.1%
9
-
 Comprehensive Cancer Center
3.4%
28
-
 Contracting/UMHS Office
0.1%
1
-
 Dentistry and Oral Surgery
0%
0
-
 Dermatology
0.8%
7
-
 Discharge Planning
0.6%
5
-
 ECMO
0%
0
-
 Educational Services for Nursing
0.2%
2
-
 Emergency Department
1.4%
12
-
 Environmental Services
0.7%
6
-
 EVPMA Office
0.2%
2
-
 Facility Services
0.6%
5
-
 Family Medicine
1.4%
12
-
 Finance
0.7%
6
-
 Food and Nutrition Services
0.7%
6
-
 Geriatrics Center
1.0%
8
-
 Graduate Medical Education
0%
0
-
 Guides/iCare
0%
0
-
 Health System Administration
0.7%
6
-
 Home Care Services
0.2%
2
-
 Human Resources
2.3%
19
-
 Internal Medicine
2.4%
20
-
 Laundry Services
0.1%
1
-
 Legal Affairs
0%
0
-
 Maintenance
0%
0
-
 Managed Care Operations
0.4%
3
-
 Material Services
1.9%
16
-
 Medical Center Information Technology (MCIT)
1.0%
8
-
 Medical School Administration
0.6%
5
-
 Medical Information Services (MIS)
3.5%
29
-
 MFit
0.5%
4
-
 Michigan Visiting Nurses
1.1%
9
-
 MWorks/Employee Health
1.1%
9
-
 Neurology
0.6%
5
-
 Neurosurgery
0.7%
6
-
 Nursing
17.5%
145
-
 Nursing Administration
1.0%
8
-
 Obstetrics/Gynecology
1.2%
10
-
 Office of Clinical Affairs--CIDSS/Infection Control/Medical Staff Services
0.2%
2
-
 Office of the Executive Director
0.1%
1
-
 Off-site Health Center
1.8%
15
-
 Operations, Mott, Women's
0%
0
-
 Operations
0%
0
-
 Operating Room/Recovery Room
1.8%
15
-
 Ophthalmology
0.5%
4
-
 Orthopedic Surgery
0.1%
1
-
 Otolaryngology
0.7%
6
-
 Pathology
2.1%
17
-
 Patient Relations
0.1%
1
-
 Pediatrics
3.4%
28
-
 Pharmacy Services
0.4%
3
-
 Physical Medicine and Rehabilitation
4.9%
41
-
 Program for Multicultural Health
0.4%
3
-
 Program and Operation Analysis/Strategic Planning
0.1%
1
-
 Public Relations and Marketing Communications
0.8%
7
-
 Quality Improvement
0.6%
5
-
 Radiation Oncology
0.1%
1
-
 Radiology
1.0%
8
-
 Respiratory Therapy
0.2%
2
-
 Risk Management
0.1%
1
-
 Safety Management
0%
0
-
 Security and Entrance Services
0.1%
1
-
 Social Work Services
5.7%
47
-
 Speech and Language Pathology
0.1%
1
-
 Supply Chain
0%
0
-
 Surgery
1.3%
11
-
 Survival Flight
0.1%
1
-
 Transplant Center
0.7%
6
-
 Urology
0.4%
3
-
 Utilization Review
0.2%
2
-
 Vascular Access Services
0.6%
5
-
 Other (please specify)
11.8%
98
       
  Total Respondents  
829
  (Skipped this question)  
187
     
   
Back to top
    Question 16:
In my immediate work area, my position at the University of Michigan Health System is: (Please select the response which best reflects your position.)
   
   
Response Percent
Response Total
Administrative/Office Staff
9.9%
81
Attending/Fellow/House Officer
2.2%
18
Clerical/Secretarial
4.0%
33
Clerk/Receptionist
2.6%
21
Managerial/Executive
10.8%
88
Nurse/Nurse Assistant
34.7%
283
Patient Care Services
3.1%
25
Professional
11.0%
90
Research
1.7%
14
Security
0.1%
1
Service/Maintenance
1.0%
8
Social Worker
5.3%
43
Technician
2.0%
16
Therapist/Dietician
2.0%
16
Trades
0%
0
Other UMHS Staff (please specify)
9.7%
79
       
  Total Respondents  
817
  (Skipped this question)  
199
     
    Question17:
I self-identify my gender as:
   
   
Response Percent
Response Total
Female
87.0%
710
Male
11.6%
95
Other
1.3%
11
       
  Total Respondents  
816
  (Skipped this question)  
200
     
    Question 18:
My year of birth is:
   
   
Response Percent
Response Total
1981-2000
3.9%
32
1965-1980
28.1%
229
1946-1964
62.7%
516
1900-1945
5.3%
43
       
  Total Respondents  
816
  (Skipped this question)  
200
   
    Question 19:
Three things concerning me the most about my work area and providing culturally competent services are:
   
Total Respondents  
381
(Skipped this question)  
635

(This question required a typed response.)
     
    Question 20:
Three things concerning me the most about UMHS and providing culturally competent services are:
   
Total Respondents  
288
(Skipped this question)  
728

(This question required a typed response.)
     
    Question 21:
If I could change three things that I think would most improve providing culturally competent services, they would be:
   
Total Respondents  
275
(Skipped this question)  
741

(This question required a typed response.)
     
    Question 22:
Please share any additional comments.
   
Total Respondents  
118
(Skipped this question)  
898

(This question required a typed response.)
     
    We welcome your Feedback/Questions regarding these survey results.