REVISION 3-3

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Results..docx

Results

Descriptive Results

The data was collected over a four-week period. The participants included three primary care providers who attended to African immigrant patients at the healthcare institution. The distribution of patients seen per provider per week is presented in Table 1. During the four-week duration of the project, a total of 187 African immigrant patients were attended to by the three providers. On average, each provider saw an average of 15.58 (SD = 4.71) patients per week with a range of 8 to 25 patients. However, the weekly averages of patients seen varied per provider and ranged between 14.25 (SD = 4.19) and 16.75 (SD = 2.21) as presented in Table 1. Similarly, the weekly averages for patients seen by the three providers varied, where the second and third weeks registered the least (M = 11, SD = 1) and most (M = 19.33, SD = 6.03) patients seen per provider.

Table 1

Demographic Characteristics

Measure

Average

Std. Dev

Min

Max

Provider

Provider 1

16.75

2.21

15

20

Provider 2

14.25

4.19

10

20

Provider 3

15.75

7.41

8

25

Week

Week 1

14

2

12

16

Week 2

11

1

8

15

Week 3

19.33

6.03

13

25

Week 4

18

2

16

20

Overall

15.58

4.71

8

25

Inferential Results

The project question was stated as: In healthcare workers caring for African Immigrant groups (P), how can an effective cultural competence training program (I) compared to no training program (C) be developed to improve the resource allocation and referrals for African Immigrants (O) in less than 4 weeks (T). The outcome variable was the allocation of toolkits to African immigrant patients by the attending providers. An Analysis of Variance (ANOVA) test was implemented to determine if there were significant differences in the patients who received the toolkit resources before and after the providers were educated. The providers were educated after the first week of data collection. The findings are presented in Table 2.

Table 2

ANOVA Results Presenting the Differences in the Average Number of Patients seen, Toolkits Issued, and Toolkits Utilized across the Four Weeks

Sum of Squares

df

Mean Square

F

Sig.

African immigrant Patients seen

Between Groups

130.250

3

43.417

3.029

.093

Within Groups

114.667

8

14.333

Total

244.917

11

Toolkits/Resources issued to providers

Between Groups

99.000

3

33.000

3.882

.055

Within Groups

68.000

8

8.500

Total

167.000

11

No of times the kits were utilized

Between Groups

292.917

3

97.639

17.230

.001

Within Groups

45.333

8

5.667

Total

338.250

11

Based on the results presented in Table 2, the number of patients seen (F(3,11) = 3.09, p = 0.093) and the number of toolkit resources issued to the providers (F(3,11) = 3.88, p = 0.055) did not differ across the four weeks as indicated by the p > 0.05. However, the number of times the providers utilized the kits for referral/issued them to patients differed significantly different across the four weeks (F(3,11) = 17.23, p = 0.001). Post-hoc comparisons using the Tukey HSD test indicated that the mean differences between week 1 and week 4 (Mdiff = 12.67, SE = 1.94, p = 0.001), week 2 and Week 4 (Mdiff = 11.33, SE = 1.94, p = 0.002), and week 3 and Week 4 (Mdiff = 7, SE = 1.94, p = 0.029) were statistically significant as indicated in Table 3.

Table 3

Multiple Comparisons of the Differences using Tukey HSD Tests

Dependent Variable

(I) Week

(J) Week

Mean Difference (I-J)

Std. Error

Sig.

95% Confidence Interval

Lower Bound

Upper Bound

No of times the kits were utilized

Week1

Week 2

-1.333

1.944

.900

-7.56

4.89

Week 3

-5.667

1.944

.075

-11.89

.56

Week 4

-12.667*

1.944

.001

-18.89

-6.44

Week 2

Week1

1.333

1.944

.900

-4.89

7.56

Week 3

-4.333

1.944

.195

-10.56

1.89

Week 4

-11.333*

1.944

.002

-17.56

-5.11

Week 3

Week1

5.667

1.944

.075

-.56

11.89

Week 2

4.333

1.944

.195

-1.89

10.56

Week 4

-7.000*

1.944

.029

-13.22

-.78

Week 4

Week1

12.667*

1.944

.001

6.44

18.89

Week 2

11.333*

1.944

.002

5.11

17.56

Week 3

7.000*

1.944

.029

.78

13.22

*. The mean difference is significant at the 0.05 level.