Psychometric Properties of Nurse Cultural Competence Scale among Filipino Nurses
Author: Gil Soriano
Category: JMSR Psychology
Abstract:
Purpose: Assessment of the cultural competence of nurses is becoming an important parameter in assessing the provision of quality care to patients especially in multicultural populations such as the Philippines. The study was conducted to assess the construct validity and internal consistency reliability of the Nurse Cultural Competence Scale (NCCS) among Filipino nurses. Methods: A methodological study was utilized and a convenience sample of 124 Filipino nurses were included in the study. An exploratory factor analysis was used to assess the construct validity of the instrument while internal consistency reliability was determined using Cronbach’s α coefficient and item-total correlations. Results: The 20-item NCCS was loaded on one dimension with factor loadings ranging from 0.72 to 0.95, explaining 79.19% of the total variance. Cronbach’s α was 0.986 which demonstrated high reliability and item-total correlations were between 0.811 and 0.929. Conclusion: The NCCS is a reliable and valid instrument for the measurement of cultural competencies among Filipino nurses.
Keywords: Cultural competence, Filipino nurses, Reliability, Validity
Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003; 118(4):293-302.
Frieden TR. Forward: CDC Health Disparities and Inequalities Report - United States, 2011. Centers for Disease Control and Prevention (CDC). MMWR Suppl, 60(1):1-2.
Soriano G, Aranas FC, Tejada RS. Caring behaviors, spiritual and cultural competencies: A Holistic Approach to Nursing Care. Bedan Res J. 2019; 4, 98-115.
Jeffreys MR. Teaching Cultural Competence in Nursing and Health Care. 2nd edition. New York, NY, USA: Springer; 2010.
Loftin C, Hartin V, Branson M, Reyes H. Measures of Cultural Competence Nurses: An Integrative Review. The Scientific World J. 2013
Murphy K. The importance of cultural competence. Nurs Incredibly Easy. 2011; 9 (2), 5
Campinha-Bacote, J. The Process of Cultural Competence in the Delivery of Healthcare Services: a model of care. J Transcult Nurs. 2002; 13(3): 181-184
Rechel B, Mladovsky P, Ingleby D, Mackenbach JP, McKee M. Migration and health in an increasingly diverse Europe. The Lancet. 2013; 381(9873): 1235-1245
Ingram RR. Using Campinha-Bacote's process of cultural competence model to examine the relationship between health literacy and cultural competence J Adv Nurs. 2011; 68(3): 695-704
WHO. Global strategic directions for strengthening nursing and midwifery 2016 2020. 2016. [cited August 22 2020] Availabel from: https://www.who.int/hrh/nursing_midwifery/global-strategic-midwifery2016-2020.pdf
Ghiyasvandian S, Zakerimoghadam M, Peyravi H. Nurse as a facilitator to professional communication: a qualitative study. Glob. J. Health Sci. 2014; 7(2): 294-303
American Association of Colleges of Nursing [Internet]. Cultural competency in baccalaureate nursing education. Washington, DC: ANA; 2008 [cited June 22 2020]. Available from http://www.aacn.nche.edu/leadinginitiatives/education resources/competency.pdf
Shen Z. Cultural competence models and cultural competence assessment instruments in nursing: a literature review. J. Transcult. Nurs. 2015; 26(3): 308–321
Emami A, Safipour J. Constructing a questionnaire for assessment of awareness and acceptance of diversity in healthcare institutions. BMC Health Serv Res. 2013; 13: 145.
Fitzgerald EM, Cronin SN, Campinha-Bacote J. Psychometric testing of the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals: Student version (IAPCC-SV). J of Theory Constr Test. 2009; 13: 64-68
Perng SJ, Watson R. Construct validation of the nurse cultural competence scale: A hierarchy of abilities. Journal of Clinical Nursing. 2012; 21: 1678-1684.
Gorsuch RL. Factor analysis (2nd Ed.). New Jersey, USA: Lawrence Erlbaum; 1983
Ferketich S. Focus on psychometrics. Aspects of item analysis. Res Nurs Health. 1991; 14(2), 165–168.
Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia, PA: Wolters Kluwer Health; 2014
Li HC, Lopez V. Development and validation of a short form of the Chinese version of the State Anxiety Scale for Children. Int J Nurs Stud 2007; 44(4): 566-73
Burns N, Grove SK. The practice of nursing research appraisal, synthesis, and generation of evidence (6th Ed.). St. Louis, MO: Saunders; 2009
Gözüm S, Tuzcu A, Kirca N. Validity and Reliability of the Turkish Version of the Nurse Cultural Competence Scale. J Transcult Nursing. 2016; 27(5), 487-495
Cruz JP, Colet PC, Bashtawi MA, Mesde JH, Cruz CP. Psychometric evaluation of the Cultural Capacity Scale Arabic version for nursing students. Contemp Nurs. 2016; 53(1): 13–22
Cruz JP, Machuca Contreras FA, Ortiz López JE., Zapata Aqueveque CA, Vitorino LM. Psychometric assessment of the cultural capacity scale Spanish version in Chilean nursing students. Int Nurs Rev. 2017; 65(2): 262–269.