Transformaciones normativas y de los comportamientos sociales

D1. What is your age? ________________________

D2. Using the categories below, what do you consider yourself? (Choose one) ____Female

____Male

D3. Using the categories below, what do you consider yourself? (Choose one or more) ____Hispanic / Latino (including Mexican, Mexican American, Chicano, Puerto

Rican, Cuban, other Spanish)

____White / Caucasian / European American ____Black / African American

____American Indian / Alaska Native

____Asian / Native Hawaiian / Pacific Islander (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or other Asian)

____Arab American / Middle eastern

____Other (specify)__________________________________

D4. What is your highest level of education completed? (Choose one) ____Less than high school

____High school graduate or G.E.D. ____Some college / Associate degree ____Bachelors degree

____Graduate or professional degree

D5. Have you ever participated in cultural diversity training? (Choose one) ____Yes

64

D6. If you have had prior diversity training, which option below best describes it? (Check all that apply)

____Separate college course for credit ____Content covered in a college course ____Professional conference or seminar ____Employer-sponsored program

____On-line (computer assisted) education ____Continuing education offering

____Other diversity training types

(Specify)___________________________________

D7. Which of the following best describes your current role? (Choose one) ____M.A. ____L.V.N. ____R.N. ____Clerical Worker ____Pharmacist ____Social Worker

____Therapist (occupational or physical) ____Physician / M.D.

Other (Specify)_____________________________________________

Thank you for taking this survey. Please return the survey back to the researcher. We appreciate your time and effort!

This instrument was derived from:

Doorenbos, A. Z., Schim, S., Benkert, R., & Borse, N. N. (2005). Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. Nursing Research, 54(5), 324-331. doi:10.1097/00006199-200509000- 00006

65 APPENDIX B INFORMED CONSENT

67 APPENDIX C

68

Debriefing Statement

This study you have just completed was designed to investigate cultural competence among oncology health care providers. The survey will be analyzed and the results will provide an indication of the level of cultural competence among oncology health care providers.

This study will provide an opportunity to measure cultural competence among oncology health care providers. The results of the study will indicate cultural competence among oncology health care providers.

Thank you for your participation and for not discussing the contents of the research with other participants. If you have any questions about the study, please feel free to contact Junelle F. Gemarino at [email protected] or Professor Dr. Janet C. Chang at [email protected]. If you would like to obtain a copy of the group results of this study, they will be available in the John M. Pfau Library at California State University, San Bernardino after December of 2014.

69 APPENDIX D LETTER OF APPROVAL

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