跨文化自我效能感工具在西班牙本科护理学生中使用的文化适应和验证。

Cultural adaptation and validation of the Transcultural Self-Efficacy Tool for use with undergraduate nursing students in Spain.

机构信息

Department of Nursing, Faculty of Health Sciences, University of Malaga, Málaga, Spain.

MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cádiz, Spain; Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, Puerta del Mar University Hospital, Cádiz, Spain.

出版信息

Nurse Educ Today. 2021 Dec;107:105106. doi: 10.1016/j.nedt.2021.105106. Epub 2021 Aug 21.

DOI:10.1016/j.nedt.2021.105106

PMID:34455285

Abstract

BACKGROUND

The provision of culturally competent care helps reduce healthcare inequalities. There is a positive association between the cultural competence of nursing professionals and patient satisfaction, and also between nurses' self-efficacy and patients' adherence to treatment. While training in this respect is important, the self-assessment of skills should also be addressed.

AIMS

To produce a culturally-validated Spanish-language version of the Transcultural Self-Efficacy Tool (TSET) for use in undergraduate nursing studies, and to evaluate its implementation within the Spanish educational system.

METHODS

This cultural adaptation and psychometric validation study was carried out with student nurses from two universities. International standards were followed for the translation and cultural adaptation of the questionnaire. All students completed the questionnaire twice, the second time 14 days after the first. Those who took the Transcultural Care course at the University of Málaga also completed the questionnaire a third time, after concluding this study subject. The reliability, discriminatory capacity, stability and sensitivity to change of the questionnaire were tested and confirmed, and a confirmatory factor analysis was performed.

RESULTS

A total of 286 students took part in this study. Overall, the TSET obtained a reliability score of 0.978, according to Cronbach's alpha test. In relation to nationality of origin, the discriminatory capacity of the questionnaire was -1.067 (-1815 a -0,320) = 0.005. Stability, assessed at 14 days using the intraclass correlation coefficient, was 0.901 (0.873 a 0.923) <0.001. The before-after sensitivity to change for those who took the Transcultural Care course was 1.820 (1558 a 2083) <0.001.

CONCLUSIONS

This Spanish-language version of the TSET is culturally suitable for the educational context of undergraduate nursing students in Spain, and its psychometric validation was performed with satisfactory results.

摘要

背景

提供文化能力护理有助于减少医疗保健不平等。护理专业人员的文化能力与患者满意度之间存在正相关关系，护士的自我效能感与患者对治疗的依从性之间也存在正相关关系。虽然在这方面的培训很重要，但也应该解决技能的自我评估问题。

目的

生成一种经文化验证的西班牙语版跨文化自我效能工具（TSET），用于本科护理研究，并评估其在西班牙教育系统中的实施情况。

方法

这项文化适应和心理测量验证研究在两所大学的护理专业学生中进行。问卷的翻译和文化适应遵循国际标准。所有学生两次完成问卷，第二次是在第一次完成后 14 天。在马拉加大学学习跨文化护理课程的学生在完成该研究课程后第三次完成问卷。测试并确认了问卷的可靠性、区分能力、稳定性和对变化的敏感性，并进行了验证性因素分析。

结果

共有 286 名学生参加了这项研究。总体而言，根据 Cronbach's alpha 测试，TSET 的可靠性得分为 0.978。就原籍国而言，问卷的区分能力为-1.067（-1815 a-0.320）=0.005。使用组内相关系数评估 14 天后的稳定性为 0.901（0.873 a 0.923）<0.001。参加跨文化护理课程的学生的前后变化敏感性为 1.820（1558 a 2083）<0.001。