Li Chuang, Lin Youbei, Tosun Betul, Wang Pin, Guo Hong Ye, Ling Cheng Rong, Qi Ran, Luo Qing Yue, Wang Yan, Huang Fang, Wang Jiaqi, Ma Shu Hui, Xu Dan Feng, Wu Shu Zhen, Zhang Lan
First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.
School of Nursing, Jinzhou Medical University, Jinzhou, China.
Front Public Health. 2025 Mar 18;13:1532709. doi: 10.3389/fpubh.2025.1532709. eCollection 2025.
The importance of culturally competent care in multicultural environments is increasingly recognized; however, effective tools to assess nursing students' cross-cultural competence remain limited. This study aimed to validate the BENEFITS-CCCSAT for Chinese nursing students.
The original BENEFITS-CCCSAT was translated, back-translated, culturally adapted, and pre-tested using the Brislin model to form a Chinese version. A combined approach of classical test theory (CTT) and item response theory (IRT) was then used for multidimensional validation.
The CTT analysis showed that the C-BENEFITS-CCCSAT had a Cronbach's coefficient of 0.80, dimension reliability values ranging from 0.700 to 0.905, a test-retest reliability value of 0.881, and a scale-level content validity index (S-CVI) value of 0.928. The criterion-related validity value was 0.619. The confirmatory factor analysis (CFA) indicated a good model fit (CMIN/DF = 1.071, RMSEA = 0.08), with factor loadings ≥0.50. The Rasch analysis showed an item reliability value of 1, person reliability values ranging from 0.76 to 0.89, item separation index values ranging from 17.37 to 60.34, and person separation index values ranging from 1.76 to 2.89. The information-weighted fit statistic mean square (infit MNSQ) and outlier-sensitive fit statistic mean square (outfit MNSQ) values for all items ranged from 0.86 to 1.27. Overall, the scale demonstrated good reliability and validity for the Chinese nursing students.
The 25-item C-BENEFITS-CCCSAT demonstrates good reliability and validity and can be applied in educational settings to assess students' ability to provide culturally competent care. Future studies should test the scale in culturally diverse populations to further determine its applicability and generalizability.
多元文化环境中具备文化胜任力护理的重要性日益得到认可；然而，评估护生跨文化胜任力的有效工具仍然有限。本研究旨在验证中国护生使用的BENEFITS - CCCSAT。
采用 Brislin 模型对原始的 BENEFITS - CCCSAT 进行翻译、回译、文化调适和预测试，形成中文版。然后使用经典测试理论（CTT）和项目反应理论（IRT）相结合的方法进行多维度验证。
CTT 分析表明，C - BENEFITS - CCCSAT 的 Cronbach's 系数为 0.80，维度信度值在 0.700 至 0.905 之间，重测信度值为 0.881，量表水平内容效度指数（S - CVI）值为 0.928。效标关联效度值为 0.619。验证性因素分析（CFA）表明模型拟合良好（CMIN/DF = 1.071，RMSEA = 0.08），因素载荷≥0.50。Rasch 分析显示项目信度值为 1，人员信度值在 0.76 至 0.89 之间，项目区分指数值在 17.37 至 60.34 之间，人员区分指数值在 1.76 至 2.89 之间。所有项目的信息加权拟合统计均方（infit MNSQ）和对异常值敏感的拟合统计均方（outfit MNSQ）值在 0.86 至 1.27 之间。总体而言，该量表对中国护生显示出良好的信度和效度。
25 项的 C - BENEFITS - CCCSAT 显示出良好的信度和效度，可应用于教育环境中以评估学生提供具备文化胜任力护理的能力。未来研究应在文化多样的人群中测试该量表，以进一步确定其适用性和普遍性。
