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Evaluating cultural competence among Japanese clinical nurses: Analyses of a translated scale.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Jun2017 Supplement 1, Vol. 23, pn/a-N.PAG, 8p
- Publication Year :
- 2017
-
Abstract
- This paper describes the factor analysis testing and construct validation of the Japanese version of the Caffrey Cultural Competence Health Services (J-CCCHS). The inventory, composed of 28 items, was translated using language and subject matter experts. Psychometric testing (exploratory factor, alpha reliability, and confirmatory factor analyses) was undertaken with nurses (N = 7494, 92% female, mean age 32.6 years) from 19 hospitals across Japan. Principal components extraction with varimax rotation yielded a 5-factor solution (62.31% variance explained) that was labeled: knowledge, comfort-proximal, comfort-distal, awareness, and awareness of national policy. Cronbach α for the subscales ranged from 0.756 to 0.892. In confirmatory factor analysis using the robust maximum likelihood estimator, the chi-square test was as follows: χ<superscript>2</superscript>(340) = 14604.44, P < .001. After correlated errors were introduced, there was evidence of improved model fit (χ<superscript>2</superscript>(335) = 8681.61, P < .05) but the other indices showed improvement (RMSEA = .058 [90% CI, 0.057-0.059], TLI = .891, CFI = .903, and SRMR = .059). The discriminating power of the J-CCCHS was indicated by statistically mean differences in J-CCCHS subscale scores between predefined groups. Taking into consideration that this is the first foray into construct validation for this instrument, and that fit was improved when a subsequent data driven model was tested, and it has the ability to distinguish between known groups that are expected to differ in cultural competence, the instrument can be of value to clinicians and educators alike. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
CONCEPTUAL structures
CONFIDENCE intervals
STATISTICAL correlation
EXPERIMENTAL design
FACTOR analysis
HUMAN comfort
RESEARCH methodology
MEDICAL cooperation
NURSING
QUESTIONNAIRES
RESEARCH
RESEARCH funding
STATISTICAL sampling
STATISTICAL hypothesis testing
STATISTICS
DATA analysis
CULTURAL competence
MULTITRAIT multimethod techniques
CROSS-sectional method
RESEARCH methodology evaluation
HOSPITAL nursing staff
ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 23
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 123692411
- Full Text :
- https://doi.org/10.1111/ijn.12551