Vázquez-Sánchez María Ángeles, Casals-Vázquez Alicia, Sánchez-Ojeda María Angustías, García-Gámez Marina, Papadopoulos Irena, Casals Cristina
Department of Nursing, Faculty of Health Sciences, UMA REDIAS Network of Law and Artificial Intelligence applied to Health and Biotechnology, University of Malaga, Malaga, Spain.
Junta de Andalucía, Seville, Spain.
Int Nurs Rev. 2023 Mar;70(1):43-49. doi: 10.1111/inr.12792. Epub 2022 Jul 25.
To analyse and validate a contextually adapted version of the Papadopoulos' Cultural Competence Assessment Tool (CCATool) for Spanish undergraduate nursing students.
Globalization has driven and intensified international migration. Thus, nurses must treat patients of many different cultural origins. Accordingly, both cultural competence and an appropriate tool with which to evaluate it are required.
The CCATool questionnaire was adapted for use in a Spanish context and was evaluated through a questionnaire completed by 262 undergraduate nursing students. Seven days later, the same students completed the questionnaire, without any intervention, and a subgroup of 144 students completed the questionnaire for a third time after taking a course in Transcultural Care. The reliability, sensitivity and stability of the questionnaire were assessed.
The reliability of the questionnaire obtained an adequate Cronbach's alpha of 0.81. Stability was assessed at seven days, using the intraclass correlation coefficient, which showed good/excellent results. Moreover, the questionnaire was able to detect the changes related to the nursing educative programme, thus highlighting a good sensitivity of the tool.
Cultural competence is an essential element of nurses' education, and instruction in this area should begin as soon as possible. In addition, an appropriate evaluation system is required. For this purpose, the present study describes and analyses a valid, reliable tool for use with undergraduate nursing students in Spain.
Health and education policies must be sensitive to the ethnic and cultural differences of the patients who are cared for, and address the situations that cause difficulties in care. Hospitals and health centres must offer good care to patients from diverse cultures, so one of the necessary situations is the training and evaluation of the cultural competence of health professionals.
分析并验证针对西班牙本科护理专业学生的帕帕多普洛斯文化能力评估工具（CCATool）的情境适应性版本。
全球化推动并加剧了国际移民。因此，护士必须治疗来自许多不同文化背景的患者。相应地，既需要文化能力，也需要一个合适的工具来评估它。
CCATool问卷针对西班牙情境进行了改编，并通过262名本科护理专业学生填写的问卷进行评估。七天后，相同的学生在没有任何干预的情况下再次填写问卷，并且144名学生的一个子组在参加跨文化护理课程后第三次填写问卷。评估了问卷的信度、敏感性和稳定性。
问卷的信度获得了足够的克朗巴哈系数0.81。使用组内相关系数在七天时评估稳定性，结果显示良好/优秀。此外，问卷能够检测到与护理教育计划相关的变化，从而突出了该工具良好的敏感性。
文化能力是护士教育的一个基本要素，这方面的指导应尽早开始。此外，需要一个合适的评估系统。为此，本研究描述并分析了一个适用于西班牙本科护理专业学生的有效、可靠工具。
卫生和教育政策必须对所护理患者的种族和文化差异保持敏感，并应对护理中造成困难的情况。医院和卫生中心必须为来自不同文化的患者提供优质护理，因此必要的情况之一是对卫生专业人员的文化能力进行培训和评估。
