Chae Duckhee, Kang Kyeong-Hwa, Benkert Ramona, Doorenbos Ardith Z
College of Nursing, Chonnam National University, Gwangju, South Korea.
Department of Nursing, Hallym University, Chuncheon, South Korea.
Jpn J Nurs Sci. 2018 Jan;15(1):56-66. doi: 10.1111/jjns.12169. Epub 2017 Apr 6.
The 25 item Cultural Competence Assessment assesses the cultural competence of multiple types of healthcare providers. This study aimed to examine the validity and reliability of the Korean version of the questionnaire (KCCA) and to determine the need for changes to improve its validity and reliability.
Data from 161 hospital nurses were used for the item analysis and to assess the reliability and construct validity of the KCCA before and after the deletion of nine items.
The KCCA did not demonstrate acceptable construct validity and subscale internal reliability. Nine items with high interitem correlations, high modification indices, and relatively lower factor loadings were deleted. The 16 item Modified KCCA showed improved construct validity, convergent and discriminant validity, and reliability.
While further psychometric evaluation of the Modified KCCA should be undertaken with larger samples and diverse professionals, the study's data provide evidence that the Modified KCCA might be a more suitable measure for use among Korean healthcare providers.
25项文化能力评估量表用于评估多种类型医疗服务提供者的文化能力。本研究旨在检验该问卷韩文版（KCCA）的效度和信度，并确定是否需要进行修改以提高其效度和信度。
来自161名医院护士的数据用于项目分析，并在删除9个项目前后评估KCCA的信度和结构效度。
KCCA未显示出可接受的结构效度和分量表内部信度。删除了9个具有高项目间相关性、高修正指数和相对较低因子载荷的项目。16项修改后的KCCA显示出改进的结构效度、收敛效度和区分效度以及信度。
虽然应使用更大的样本和不同专业人员对修改后的KCCA进行进一步的心理测量评估，但该研究数据提供了证据，表明修改后的KCCA可能是韩国医疗服务提供者中更合适的测量工具。
