Caricati Luca, Dicembrino Rita Bruna, Gionti Luciano, Petre Lucica, Ungurean Liana
Department of Economics, University of Parma.
Acta Biomed. 2015 Sep 9;86 Suppl 2:142-9.
Italy has become a target of immigration in the last three decades. Accordingly, the Italian population is progressively changing, becoming increasingly culturally different. Cultural competences are a fundamental requirement for many industries and, especially, for healthcare organizations. The aim of this paper is to propose an initial Italian validation of the Cultural Competence Assessment Instrument (CCAI) and to propose a refinement of this scale in terms of measured constructs.
The CCAI was translated into Italian through a team-based iterative approach and then administered to a sample of 289 nurses with symbolic and realistic threat scale and social dominance orientation scale. An on-line cross-sectional survey questionnaire was used.
Confirmatory factor analysis revealed that the original two dimensions of the CCAI can be divided into two other sub-scales, thus leaving us with the following dimensions: cultural awareness, cultural sensitivity, seeking information and active behavior. These dimensions appeared to be sufficiently reliable and independent one from another. Moreover, they showed specific and different correlations with other measured constructs.
The Italian version of the CCAI would seem to be a useful instrument for measuring both attitudes and behavioral intention of nurses with respect to intercultural care. Using four dimensions instead of two appears to increase the understanding of professionals' cultural competence and supply a deeper picture of dimensions which compose cultural competence in healthcare settings.
在过去三十年里，意大利已成为移民目的地。相应地，意大利人口正在逐渐变化，文化差异日益增大。文化能力是许多行业的一项基本要求，尤其是对医疗保健机构而言。本文旨在对文化能力评估工具（CCAI）进行首次意大利语验证，并在测量结构方面对该量表进行优化。
通过基于团队的迭代方法将CCAI翻译成意大利语，然后对289名护士样本进行施测，同时使用象征与现实威胁量表以及社会支配取向量表。采用在线横断面调查问卷。
验证性因素分析表明，CCAI原来的两个维度可进一步细分为另外两个子量表，从而得到以下维度：文化意识、文化敏感性、寻求信息和积极行为。这些维度似乎具有足够的可靠性且相互独立。此外，它们与其他测量结构呈现出特定且不同的相关性。
CCAI的意大利语版本似乎是一种用于测量护士在跨文化护理方面的态度和行为意图的有用工具。使用四个维度而非两个维度似乎能增强对专业人员文化能力的理解，并更深入地展现构成医疗保健环境中文化能力的各个维度。
