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Developing and validating the Nursing Cultural Competence Scale in Taiwan

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  • Mei Hsiang Lin
  • Te Hsin Chang
  • Yu Hsia Lee
  • Pao Yu Wang
  • Li Hui Lin
  • Hsiu Chin Hsu

Abstract

Background: Culture influences personal health habits and behavior, and healthcare personnel possess different views of cultural perspectives. Currently, an appropriate instrument to assess cultural competence in clinical practice is limited. The present study aimed to develop and examine the psychometric properties of the Nursing Cultural Competence Scale (NCCS) for clinical nurses. Methods: Developing and assessing the scale was carried out in two phases: Phase I involved a qualitative research to explore the themes of nurses’ cultural competence and instrument development; Phase II established construct validity of the scale using a sample of 246 nurses in Taiwan. Data from the questionnaire were analyzed using exploratory factor analysis, confirmatory factor analysis, internal consistency and test-retest reliability. Analysis results were used to determine the reliability and validity of the developed scale. Results: The results showed four factors including cultural awareness ability, cultural action ability, cultural resources application ability, and self-learning cultural ability were generated by exploratory factor analysis, and these factors explained 62.0% of total variance. Cronbach’s α of the Nursing Cultural Competence Scale was .88, and test-retest reliability correlation was .70. Conclusions: The establishment of the tool will facilitate accurate monitoring of the cultural competence among nurses and nursing managers, which can inform the construction of nursing policies aimed at pledge cultural competence expansion.

Suggested Citation

  • Mei Hsiang Lin & Te Hsin Chang & Yu Hsia Lee & Pao Yu Wang & Li Hui Lin & Hsiu Chin Hsu, 2019. "Developing and validating the Nursing Cultural Competence Scale in Taiwan," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-14, August.
    • Handle: RePEc:plo:pone00:0220944
    DOI: 10.1371/journal.pone.0220944
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    References listed on IDEAS

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    1. Gerda Bernhard & Ronald A Knibbe & Alessa von Wolff & Demet Dingoyan & Holger Schulz & Mike Mösko, 2015. "Development and Psychometric Evaluation of an Instrument to Assess Cross-Cultural Competence of Healthcare Professionals (CCCHP)," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-22, December.
    2. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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