Hadziabdic Emina, Safipour Jalal, Bachrach-Lindström Margareta, Hultsjö Sally
Department of Health and Caring Science, Faculty of Health and Life Sciences, Linnaeus University, 351 95 Växjö, Sweden.
Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden.
BMC Nurs. 2016 Apr 14;15:25. doi: 10.1186/s12912-016-0146-6. eCollection 2016.
Nearly 20 % of the Swedish population is foreign-born. Increased exposure of patients from diverse cultures means there is an urgent need to address their unique requirements and provide optimal health care to a diverse population. Nursing schools thus have an important goal of educating nurses to ensure they are culturally competent. Culturally competent care improves safety and equity for patients. To measure cultural awareness among nursing students in Sweden, the aim of this study was to translate, adapt and test the validity and reliability of the Swedish version of a cultural awareness scale which has not previously been tested.
A total of 158 nursing students from three universities in Sweden completed the 36-item questionnaire on cultural awareness. Verification of face and content validity and a translation/reverse translation process were first carried out.
The results indicate that one item (no 13) caused weak reliability and validity, and therefore it was removed. The reliability test result (with 35 items) showed Cronbach's Alpha ranged from 0.60 to 0.87. The Model ChiSq group fit for five factors was 50.44 (31.27-77.06; Df = 5; p < 0.001), and the RMSEA was 0.24 (C.I 95 % = 0.18-0.30).
The findings of the validity and reliability tests revealed that the CAS-scale for the 35 items is valid and reliable for use with Swedish nursing students. However, the CAS should be further tested in larger and more diverse samples of nursing students before being used in different socio-cultural settings.
近20%的瑞典人口出生在国外。来自不同文化背景的患者接触增多，这意味着迫切需要满足他们的独特需求，并为多样化的人群提供最佳医疗保健。因此，护理学校有一个重要目标，即教育护士以确保他们具备文化胜任力。具备文化胜任力的护理可提高患者的安全性和公平性。为了衡量瑞典护理专业学生的文化意识，本研究的目的是翻译、改编并测试一个此前未经验证的文化意识量表瑞典语版本的有效性和可靠性。
瑞典三所大学的158名护理专业学生完成了关于文化意识的36项问卷调查。首先进行了表面效度和内容效度的验证以及翻译/回译过程。
结果表明，一个项目（第13项）导致信效度较弱，因此将其删除。信度测试结果（35个项目）显示，克朗巴哈系数在0.60至0.87之间。五个因素的模型卡方组拟合度为50.44（31.27 - 77.06；自由度 = 5；p < 0.001），近似误差均方根为0.24（95%置信区间 = 0.18 - 0.30）。
效度和信度测试结果表明，35项的文化意识量表（CAS）对于瑞典护理专业学生是有效且可靠的。然而，在用于不同社会文化背景之前，CAS应在更大且更多样化的护理专业学生样本中进一步测试。
