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ORIGINAL ARTICLE
Open Access

Global Health Competency Self-Confidence Scale: Tool Development and Validation

Cynthia Stuhlmiller and Barry Tolchard
Global Health: Science and Practice October 2018, 6(3):528-537; https://doi.org/10.9745/GHSP-D-18-00031
Cynthia Stuhlmiller
aSchool of Nursing, University at Buffalo, Buffalo, NY, USA.
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  • For correspondence: cstuhlmi@buffalo.edu
Barry Tolchard
bSchool of Health and Human Science, Department of Nursing and Midwifery, University of Huddersfield, Queensgate, Huddersfield, UK, and School of Health, University of New England, Armidale, Australia.
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Figures & Tables

Tables

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    TABLE 1.

    Exploratory Factor Analysis (Test 1)

    DomainsGlobal Components
    Component 1: Ethical, Professional, and Collaborative PartnershipComponent 2: Capacity Strengthening and PlanningComponent 3: Structural and Social Determinants of HealthComponent 4: Strategic Analysis
    D1. Global burden of disease
        D1.10.551
        D1.20.576
    D2. Globalization of health and health care
        D2.10.753
        D2.20.751
    D3. Social and environmental determinants of health
        D3.10.776
        D3.20.695
    D4. Capacity strengthening
        D4.10.629
        D4.20.555
    D5. Collaboration, partnering, and communication
        D5.10.793
        D5.20.811
    D6. Ethics
        D6.10.744
        D6.20.734
    D7. Professional practice
        D7.10.653
        D7.20.658
    D8. Health equity and social justice
        D8.10.486
        D8.20.713
    D9. Program management
        D9.10.700
        D9.20.723
    D10. Sociocultural and political awareness
        D10.10.772
        D10.20.687
    D11. Strategic analysis
        D11.10.801
        D11.20.814
    • Extraction method: Principal Component Analysis. Rotation method: Varimax with Kaiser Normalization. Refer to Table 2 for a full list of the 2 competencies included under each of the 11 domains.

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    TABLE 2.

    Mean and Standard Deviations for Individual Items

    DomainsMean (SD)
    D1. Global burden of disease
        D1.1 I can describe the basic causes of morbidity and mortality and their variations between high-, middle-, or low-income regions and where the population I will be spending time with fits into the global picture.1.84 (.73)
        D1.2 I can describe the efforts to reduce health disparities in global health and specifically for my population of study.1.98 (.70)
    D2. Globalization of health and health care
        D2.1 I can describe the major models or systems of health care and where my population of study fits in these systems and the effect it has on the health of the people.1.71 (.72)
        D2.2 I can describe the major trends and influences in the global availability and movement of health care workers in my study population.1.65 (.63)
    D3. Social and environmental determinants of health
        D3.1 I can list the major social, economic, and structural determinants of health, their effects on access and quality of health services, and their relationship to mortality and morbidity generally and specifically in my population of study.2.09 (.76)
        D3.2 I can describe how cultural context influences perceptions of health and disease generally and specifically in my population of study.2.31 (.72)
    D4. Capacity strengthening
        D4.1 I can collaborate with my host or partner organization to assess knowledge, skills, and resources needed to enhance the organization's operational capacity.2.31 (.82)
        D4.2 I can identify strategies to strengthen community capacity that may help reduce health disparities.2.16 (.81)
    D5. Collaboration, partnering, and communication
        D5.1 I am able to build trust, communicate, and work effectively with partners and within the team.3.22 (.81)
        D5.2 I am able to exhibit values and skills that demonstrate respect for and awareness of unique cultures, values, roles/responsibilities, and expertise of other professionals and groups who work in global health and with my population of study.3.28 (.81)
    D6: Ethics
        D6.1 I can demonstrate an understanding of and an ability to resolve common ethical issues and challenges that arise when working in diverse contexts, vulnerable populations, and low-resource settings.2.86 (.81)
        D6.2 I can demonstrate an awareness of local and national codes of ethics relevant to the environment of my study population.2.64 (.90)
    D7: Professional practice
        D7.1 I am able to articulate barriers to health and health care in low-resource settings locally and internationally.2.53 (.80)
        D7.2 I am able to adapt my discipline-specific skills and practice in this setting.2.72 (.90)
    D8: Heath equity and social justice
        D8.1 I am able to engage marginalized and vulnerable people/populations in making decisions that affect their health and well-being.2.54 (.79)
        D8.2 I am able to identify and evaluate the global economic trends, forces, and policies that influence global health indicators. 1.96 (.73)
    D9: Program management
        D9.1 I am able to plan, implement, and evaluate an evidence-based program.2.12 (.80)
        D9.2 I am able to apply project management techniques throughout program planning, implementation, and evaluation.2.19 (.80)
    D10: Sociocultural and political awareness
        D10.1 I can describe the roles and relationships of the major entities influencing global health and development.1.90 (.64)
        D10.2 I am able to identify and evaluate potential causes (micro and macro) of marginalization and inequity related to global health.1.96 (.76)
    D11: Strategic analysis
        D11.1 I can conduct a community needs assessment.1.94 (.76)
        D11.2 I can conduct a situational analysis and design context-specific health interventions based on a situational analysis.1.78 (.74)
    • Abbreviation: SD, standard deviation.

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Global Health: Science and Practice: 6 (3)
Global Health: Science and Practice
Vol. 6, No. 3
October 03, 2018
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Global Health Competency Self-Confidence Scale: Tool Development and Validation
Cynthia Stuhlmiller, Barry Tolchard
Global Health: Science and Practice Oct 2018, 6 (3) 528-537; DOI: 10.9745/GHSP-D-18-00031

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Global Health Competency Self-Confidence Scale: Tool Development and Validation
Cynthia Stuhlmiller, Barry Tolchard
Global Health: Science and Practice Oct 2018, 6 (3) 528-537; DOI: 10.9745/GHSP-D-18-00031
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