Application:
The Inventory For Assessing The Process Of Cultural Competemility Among Healthcare Professionals (IAPCC-HCP) is a tool designed to measure the level of cultural competemility among healthcare professionals and healthcare students. It is specifically intended for the following healthcare clinicians, educators and students: physicians, physician assistants, medical students/residents, licensed practical/ vocational nurses, registered nurses, advanced practice nurses, nursing students, health professions’ faculty (medicine, nursing, dentistry, pharmacy), dentists, dental students, clinical pharmacists, pharmacy students, physical therapists and physical therapy students, and occupational therapists. With modifications, the IAPCC-HCP can be and has been used with other healthcare professionals/students and allied health professions.

Description:
The IAPCC-HCP© is a pencil/paper self-assessment tool that measures one’s level of cultural competemility in healthcare delivery. Cultural competemility is defined as the synergistic process between cultural humility and cultural competence in which cultural humility permeates the five components of cultural competence: cultural awareness, cultural knowledge, cultural skill, cultural desire, and cultural encounters.  It consists of 24 items that measure the six constructs of cultural humility, cultural desire, cultural awareness, cultural knowledge, cultural skill and cultural encounters. There are 4 items that address each construct. The IAPCC-HCP uses a 4-point Likert scale reflecting the response categories of strongly agree, agree, disagree, and strongly disagree. Completion time is approximately 10 -15 minutes. Scores range from 24 -96 and indicate whether a healthcare professional is operating at a level of cultural proficiency, cultural competence, cultural awareness or cultural incompetence. Higher scores depict a higher level of cultural competence. 

Development of the Instrument:
The IAPCC-HCP was developed by Dr. Campinha-Bacote in 2020. It is a revision of the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Revised (IAPCC-R). The revision involved three changes: 1) the infusion of cultural humility into the five constructs of cultural competence; 2) a linguistic change from the term cultural competence to the term cultural competemility; and 3) the model’s name change to, “The Process of Cultural Competemility in the Delivery of Healthcare Services.”  The IAPCC-R only measured five of the six constructs of this model and not the sixth construct of cultural humility. In 2020, Campinha-Bacote revised the IAPCC-R, by adding additional questions to measure the sixth construct of cultural humility. This revision led to the instrument’s final name, IAPCC-HCP.

Obtaining a Copy Of The IAPCC-HCP For Review Purposes Only:
The IAPCC-HCP© is available for review by purchasing one hard copy of the tool (order form).  Please attach a formal letter of request along with your payment and order form. There are additional requirements and a fee associated with use of the IAPCC-HCP© beyond a review of the tool (see Permission To Use IAPCC-HCP© and Cost of Using IAPCC-HCP©).

Permission to Use IAPCC-HCP in A Study/Project:
The IAPCC-HCP is copyrighted and formal permission and a fee is required before the tool can be used. To obtain permission to use the IAPCC- HCP, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241. In your request, please include the title of your project, purpose, target population, specific time frame of use (specific dates), method of administration (personally hand-administered or non-hand-administered), study design (i.e. one-time testing or pre/post- test design) and a money order (US Dollars only) or check (US Dollars and drawn from a US Bank) for fees associated with your method of administration (see Cost of Using IAPCC- HCP). Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools if being used in a hand-administered pencil/paper format or internal/external mailings. Only one copy of the tool will be provided if the request is for online/electronic administration or to be translated. You can utilize this copy for conversion into an electronic format or to translate, if granted permission, into another language for the designated time granted.

Permission to Submit IAPCC-HCP for A Proposal (i.e., Institutional Review Board, Research Committee, Academic Proposal):
The IAPCC- HCP is copyrighted and formal permission and a fee is required before the tool can be submitted in a proposal. To obtain permission to use the IAPCC- HCP, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241. In your request, please include the title of your project, specific time frame you plan to submit the tool in the proposal, method of administration (personally hand-delivered to the committee or non-hand-delivered, which includes all other formats; such as electronic submission, internal/external mailings, etc.), and a money order (US Dollars only) or check (US Dollars and drawn from a US Bank) for fees associated with your method of your submission (see Cost of Using IAPCC- HCP). Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools requested. Only one hard copy of the tool will be provided if the request is for online/electronic administration.

Permission to Translate IAPCC-HCP:
A formal letter of request is required to translate the IAPCC- HCP into another language, with the understanding that: 1) there will only be one copy of the IAPCC-HCP that will be sent for translation when permission is granted and the researcher must pay, in advance, for the number of translated copies that will be used in the study; 2) there must be psychometric rigor in translating each of the items on the IAPCC- HCP to its original meaning; 3) the translated copy must be sent to Dr. Campinha-Bacote; 4) the name of the tool and Dr. Campinha-Bacote’s name as the author of the tool is to be put on all translated versions exactly as it appears on the English version; 5) Dr. Campinha-Bacote will retain the copyright ownership of all translated versions of the IAPCC-HCP; and 6) the translated version of the IAPCC-HCP is for a one-time use and any further/future use of the translated version in any studies, publications, presentations or any other use, cannot be done without first seeking and obtaining written permission from Dr. Campinha-Bacote.

Cost of Using IAPCC-HCP:
There is a fee of $8.00 per tool when personally hand-administered in a pencil/paper format for research studies, grants, projects or in any onsite pencil/paper distribution to a group of subjects/participants. In this personally hand-administered format the IAPCC- HCP is to be personally (face-to-face) hand-distributed to each subject/participant and then personally collected immediately following the subjects’/participants’ completion of the IAPCC-HCP. For example, if you are assessing 20 subjects/participants in a hand-administered format the cost would be $160 plus shipping and handling. Please note that the fee is for the number of tools distributed to complete the study; not necessarily the number of subjects/ participants in the study. Therefore, if you are conducting a pre/posttest design with 20 subjects and testing the subjects/participants before and after an intervention, such as an educational program, you will need to double the number of tools (40 tools) as the number of participants and the cost would be $320 plus shipping and handling. There is a fee of $20 fee per subject access when non-personally hand-administered in all other formats (e.g., electronically; internal or external mailing; online secure format for a training program, in-service educational program, academic course or continuing education offering; an external postal mailing offsite or internal mailing distribution) or any form of administration that is not personally hand-administered to each subject/participant and then personally collected immediately following the subjects’/participants’ completion of the IAPCC-HCP. Fees associated with this tool are for a one-time use per aggregate distribution in one study and not for unlimited use. Permission is required for further use of the IAPCC-HCP in any additional projects related or unrelated to its initial use. Please use an order form when purchasing the IAPCC-HCP (order form).

Brown, J. and Campinha-Bacote, J. (2020). Psychometric Measures of the Inventory for Assessing the Process of Cultural Competemility Among Healthcare Professionals (IAPCC-HCP): A Pilot Study. The purpose of this study was to establish reliability of the IAPCC-HCP and to  measure the level of cultural competence of occupational students studying at Saginaw Valley State University In MI. A sample of 53 participants were surveyed. The IAPCC-HCP  was used to assess the level of cultural competence. Reliability of the IAPCC-R indicated a Cronbach’s alpha of .867.

Construct Validity
Construct validity of the IAPCC-HCP is based on Campinha-Bacote’s theoretical model of cultural competemility in healthcare delivery [Fitzgerald, E., and Campinha-Bacote, J.  (2019).  Cultural Competemility Part II: An Intersectionality Approach to the Process of Competemility. Online Journal of Issues in Nursing, 24(2); Campinha-Bacote, J. (December, 2018). Cultural Competemility: A Paradigm Shift in the Cultural Competence versus Cultural Humility Debate – Part I.  OJIN: The Online Journal of Issues in Nursing, 24(1); Campinha-Bacote, J. (2020). The Process of Cultural Competemility in the Delivery Healthcare Services: Unremitting Encounters (6th Edition). Springboro, OH: Braughler Books LLC.].

Content Validity
Content Validity was established, in that the items on the IAPCC-HCP clearly reflect the review of the literature of cultural competence and cultural humility in healthcare delivery that identifies awareness/attitudes, skill, humility and knowledge as domains of cultural competence. In addition, the IAPCC-HCP was reviewed by experts in the field of transcultural healthcare.

Face Validity
Face Validity was established by reviews of national experts in the field of transcultural healthcare.

Selected Publications

Ellis, A. L., Pappadis, M. R., Li, C. Y., Rojas, J. D., & Washington, J. S. (2023). Interprofessional Perceptions of Diversity, Equity, Inclusion, Cultural Competence, and Humility Among Students and Faculty. Journal of Allied Health, 52(2), 89-96.

Kean, N. (October 23, 2023). Cultural Competency Training Changes Behavior Among Emergency Department Nurses: Study conducted by Charlene Hollins,  entitled, "Cultural Competence and Humility Training for Emergency Room Nurses." Presented at the DNPs of Color; October 19-22, 2023; Washington, DC. Hollins, C. (2023). Cultural Competence and Humility Training for Emergency Room Nurses. Presented at DNPs of Color Conference: DNPs of Color: Calling all Game Changers and Trailblazers. October 19-22, Washington, DC. Clinical Advisor. https://www.clinicaladvisor.com/home/meeting-coverage/dnps-of-color-2023/cultural-competency-training-emergency-department/

*Duplication/Copying Of IAPCC-HCP: The IAPCC-HCP is copyrighted and therefore cannot be duplicated/copied without written permission from the author, Dr. Josepha Campinha-Bacote, or her designee. Transcultural C.A.R.E. Associates has a policy regarding the unauthorized use of this copyrighted tool.