University of Navarra, School of Nursing, Department of Community, Maternity and Pediatric Nursing, Campus Universitario, 31008 Pamplona, Spain; IdiSNA, Navarra Institute for Health Research, Spain.
IdiSNA, Navarra Institute for Health Research, Spain; University of Navarra, School of Nursing, Department of Nursing Care for Adult Patients, Campus Universitario, 31008 Pamplona, Spain.
Nurse Educ Today. 2021 Nov;106:105001. doi: 10.1016/j.nedt.2021.105001. Epub 2021 Jun 8.
Cultural sensibility is an important concept linked to the achievement of cultural competence. Health professionals must first improve their cultural sensibility to become culturally competent and to be able to offer competent care to culturally diverse populations. Aim To develop and psychometrically test the Cultural Sensibility Scale for Nursing (CUSNUR), a cultural sensibility scale that can be used in nursing for the achievement of competencies needed to care for culturally diverse populations.
The cross-sectional survey was conducted over two stages. The first stage involved the cross-cultural and discipline-specific adaptation of an existing scale addressing this concept in the field of law using the reverse translation method. Second, validation of the scale was carried out from October 2016-June 2017 by studying the psychometric properties of the questionnaire through an analysis of content acceptability and reliability and through exploratory factor analysis (EFA).
The questionnaire was designed to be clear, easy to understand, and of adequate length, and experts involved in content validation agreed that the scale meets these criteria. A total of 253 nursing students participated in the validation stage. Four factors were identified from the EFA: (1) patient and health professional behaviours, (2) self-assessments, (3) self-awareness, and (4) cultural influence. Two items were excluded. Factorial saturation is adequate for all factors (>0.30). The Cronbach alpha was measured as 0.75.
This study presents the first version of the CUSNUR and demonstrates that the scale is valid and reliable.
文化敏感性是与文化能力实现相关的一个重要概念。卫生专业人员必须首先提高他们的文化敏感性，才能变得具有文化能力，并能够为文化多元化的人群提供有能力的护理。目的：开发和心理测量护理文化敏感性量表（CUSNUR），这是一种可用于护理的文化敏感性量表，用于实现护理文化多元化人群所需的能力。
这项横断面调查分两个阶段进行。第一阶段涉及使用反向翻译法对法律领域中涉及这一概念的现有量表进行跨文化和学科特定的改编。第二，从 2016 年 10 月至 2017 年 6 月，通过对问卷的内容可接受性和可靠性以及探索性因素分析（EFA）进行分析，对量表的心理测量特性进行验证。
问卷设计清晰易懂，长度适中，参与内容验证的专家一致认为该量表符合这些标准。共有 253 名护理学生参加了验证阶段。从 EFA 中确定了四个因素：（1）患者和卫生专业人员的行为，（2）自我评估，（3）自我意识，和（4）文化影响。排除了两个项目。所有因素的因子饱和度都足够高（>0.30）。克朗巴赫 alpha 系数为 0.75。
本研究提出了 CUSNUR 的第一个版本，并证明该量表具有有效性和可靠性。
