Psychometric properties of the Persian version of the Cultural Competence Scale in Clinical Nurses

Abstract

Aim Cultural competence is a crucial component of nursing competency, and a valid and reliable scale is needed to measure it. This study was conducted to investigate the psychometric properties of the Persian version of the Cultural Competence Scale among Iranian clinical nurses. Design A methodological design was used. Methods The scale was translated into Persian, and its content, face and construct validity, and reliability were examined. Results Two items with a content validity ratio of 0.6 were removed. In the case of the content validity index, one item with a content validity index lower than 0.70 was removed. The mean content validity index for the scale was reported as 0.99. All 31 items with an impact score index higher than 1.5 were approved. The exploratory factor analysis revealed four factors explaining 59.92% of the total variance. Cronbach's alpha and the intraclass correlation coefficient were calculated at 0.95 and 0.94, respectively.

Cultural competence in critical care nurses and its relationships with empathy, job conflict, and work engagement: a cross-sectional descriptive study

“…Culture can affect most aspects of human life and influence people’s behaviors, beliefs, and values [ 1 ]. Iranian society is the cradle of various cultures; local and foreign cultures live there, and it has a rich historical framework that is culturally, linguistically, ethnically, and religiously diverse [ 2 , 3 ]. In addition, there is a rise in intercultural diversity due to immigration from the two surrounding nations of Iraq and Afghanistan and Iran’s flourishing medical tourism industry [ 3 ].…”

“…Iranian society is the cradle of various cultures; local and foreign cultures live there, and it has a rich historical framework that is culturally, linguistically, ethnically, and religiously diverse [ 2 , 3 ]. In addition, there is a rise in intercultural diversity due to immigration from the two surrounding nations of Iraq and Afghanistan and Iran’s flourishing medical tourism industry [ 3 ]. Increased cultural diversity is considered a severe challenge to healthcare systems, and these systems should provide high-quality care to patients with different needs and cultural backgrounds [ 4 ].…”

“…Increased cultural diversity is considered a severe challenge to healthcare systems, and these systems should provide high-quality care to patients with different needs and cultural backgrounds [ 4 ]. Nurses, as the largest group of healthcare workers, need to consider patients’ cultures as a component of health-focused care and should be able to communicate effectively with patients from diverse cultures [ 3 ]. The study findings from Iranian nurses’ experience caring for patients from other cultures showed that minorities and small cultures were neglected, and hospitalization of such people in hospitals and other clinics was unclear [ 2 ].…”

“…The World Federation of Critical Care Nurses published a policy paper on culturally sensitive; It emphasized the need for CCNs to have the knowledge, skills, and qualities necessary to provide culturally sensitive care [ 17 ]. Nurses’ cultural competence can significantly affect health system efficiency worldwide [ 3 ]. Almutairi et al‘s study showed that nurses’ country of birth might influence their perceptions of cultural competence.…”