Trust, mistrust, racial identity and patient satisfaction in urban African American primary care patients of nurse practitioners.
J Nurs Scholarsh
; 41(2): 211-9, 2009.
Article
em En
| MEDLINE
| ID: mdl-19538706
ABSTRACT
PURPOSE:
To analyze relationships between cultural mistrust, medical mistrust, and racial identity and to predict patient satisfaction among African American adults who are cared for by primary-care nurse practitioners using Cox's Interaction Model of Client Health Behaviors.DESIGN:
A descriptive-correlational study was conducted with a convenience sample of 100 community-dwelling adults.METHODS:
Participants completed the Cultural Mistrust Inventory; Group Based Medical Mistrust Scale; Black Racial Identity Attitude Scale; Trust in Physician Scale; Michigan Academic Consortium Patient Satisfaction Questionnaire; and provided demographic and primary care data.ANALYSIS:
Correlations and stepwise multiple regression techniques were used to examine the study aims and correlational links between the theoretical constructs of client singularity, client-professional interaction, and outcome. FINDINGS ANDCONCLUSIONS:
Cox's model indicated a complex view of African American patients' perspectives on nurse practitioners. Participants simultaneously held moderate cultural mistrust of European American providers and mistrust of the health care system, and high levels of trust and satisfaction with their nurse practitioners. One racial identity schema (conformity) and trust of nurse-practitioner (NP) providers explained 41% of variance in satisfaction. CLINICAL RELEVANCE An African American patient's own attitudes about racial identity and the client-professional relationship have a significant effect on satisfaction with primary care.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Identificação Social
/
Percepção Social
/
População Urbana
/
Negro ou Afro-Americano
/
Etnicidade
/
Satisfação do Paciente
/
Confiança
/
Profissionais de Enfermagem
Tipo de estudo:
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Nurs Scholarsh
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos