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Development and Assessment of Cultural Competemility Among Supervised Experiential Learning Preceptors in Nutrition and Dietetics Education

Passerrello, Caroline (2023) Development and Assessment of Cultural Competemility Among Supervised Experiential Learning Preceptors in Nutrition and Dietetics Education. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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A gap in the literature exists on how to develop and assess cultural competemility in dietetics; however, there is potential to adapt models from other allied health disciplines. The problem of practice this inquiry focuses on is the Dietitian Nutritionist Program is not confident in the assessment strategy of student’s cultural competence to know if we are graduating healthcare professionals who will practice with cultural competemility.
Using an improvement science inquiry design, I explored how 22 preceptor’s knowledge of, and confidence in assessing, cultural competence changed after adding benchmark criteria to the existing assessment tool coupled with a training module on the concepts and assessment tool. Preceptors completed surveys before, immediately following, and two months after the training to examine these changes in knowledge and confidence.
The preceptors’ knowledge of cultural competence was 5.67 ± 1.24 at baseline and 6.38 ± 1.24 (maximum score possible: 8.0) immediately following the training. Total confidence score (range 1 – 5) was 3.85 ± 0.55 at baseline, 4.23 ± 0.43 post-immediate, and 4.00 ± 0.71 at post-delayed.
This study showed initial success of modifications to an assessment tool and a brief training module in improving preceptor’s knowledge of, and confidence in their ability to develop and assess Dietitian Nutritionist Program student’s, cultural competemility. We will expand the training module content to include self-reflection, scale the population to all preceptors for the Dietitian Nutritionist Program, and center culturally sustaining teaching methods to better support students in the process of becoming culturally competent healthcare practitioners.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairRoss, Sharonseross@pitt.edu0000-0002-3556-598X
Committee CoChairDavis,
Committee MemberOnufer, Lindsaylro8@pitt.edulro80000-0003-3191-9311
Date: 7 July 2023
Date Type: Publication
Defense Date: 20 March 2023
Approval Date: 7 July 2023
Submission Date: 7 June 2023
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 114
Institution: University of Pittsburgh
Schools and Programs: School of Education > Health and Physical Activity
Degree: EdD - Doctor of Education
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: cultural competence, cultural humility, dietetics, dietitian, preceptor, assessment, competency-based education
Date Deposited: 07 Jul 2023 15:45
Last Modified: 07 Jul 2023 15:45


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