Associate Professor of Nursing, Department of Nursing, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Professor of Nursing, Department of Nursing, Behavioral Sciences Research Center Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
J Nurs Meas. 2023 Nov 29;31(4):615-625. doi: 10.1891/JNM-2021-0095.
Cultural competence in clinical nurses can lead to comprehensive care for patients from different cultures. Currently, an appropriate instrument to assess cultural competence in clinical nurses is limited. This study aimed to design and determine the psychometric properties of the clinical nursing cultural competence scale (CNCCS). This methodological study was conducted in 2018-2019 in two phases. In the first phase, a literature review and semistructured interviews with 18 clinical nurses from Isfahan and Ahvaz were conducted, and the results were used for item generation. In the second phase, the face, content, construct validity, and reliability of the questionnaire were assessed. For construct validity assessment through exploratory factor analysis (EFA), 200 clinical nurses were purposefully recruited to fill out CNCCS. In the first phase, 140 items were produced. In the second phase, the item number was reduced to 40 after the face and content validity assessment. In EFA for construct validity assessment, 13 more items were deleted, and the remaining 27 items were loaded on six factors. The Cronbach's alpha and the test-retest intraclass correlation coefficient were CNCCS 0.86 and 0.93, respectively. The CNCCS had acceptable psychometric characteristics in Iranian nurses and can be used for assessing cultural competence among clinical nurses. The use of this scale can help nursing policymakers and managers develop their understanding of nursing cultural competence and develop strategies for its improvement.
临床护士的文化能力可以为来自不同文化背景的患者提供全面的护理。目前，评估临床护士文化能力的合适工具还很有限。本研究旨在设计并确定临床护理文化能力量表（CNCCS）的心理测量特性。这是一项 2018-2019 年进行的两阶段方法学研究。在第一阶段，对来自伊斯法罕和阿瓦兹的 18 名临床护士进行了文献回顾和半结构化访谈，结果用于生成项目。在第二阶段，评估了问卷的表面、内容、结构有效性和可靠性。为了通过探索性因素分析（EFA）评估结构有效性，目的征集了 200 名临床护士填写 CNCCS。在第一阶段生成了 140 个项目。在第二阶段，经过表面和内容有效性评估后，项目数量减少到 40 个。在 EFA 评估结构有效性时，又删除了 13 个项目，剩余的 27 个项目被加载到六个因素上。CNCCS 的克朗巴赫 α 和测试-重测内部一致性系数分别为 0.86 和 0.93。CNCCS 在伊朗护士中具有可接受的心理测量特性，可用于评估临床护士的文化能力。该量表的使用可以帮助护理政策制定者和管理者更好地理解护理文化能力，并制定提高护理文化能力的策略。
