Development and testing of the Blueprint for Integration of Cultural Competence in the Curriculum Questionnaire

The 31-item Blueprint for Integration of Cultural Competence in the Curriculum Questionnaire (BICCCQ) was developed to measure student reports of components of content on cultural competence taught in undergraduate and graduate nursing programs. BICCCQ items were derived from the Tool for Assessing Cultural Competence Training, which was developed to measure faculty report of components of content on cultural competence in medical school curricula. Additional items were added by a task force of members of a nursing faculty. Five factors were found by principal components factor analysis with varimax rotation: Attitudes and Skills, Knowledge of Basics, Cultural Communication, Knowledge of Theory, and Knowledge of Key Concepts, which accounted for 62.64% of the variance and included all 31 items. Mean scores for freshmen, seniors, and master's students were statistically significantly different for each factor, with freshmen scoring lower than the other two groups. Internal consistency using Cronbach's alpha ranged from .73 to .94 across factors and was .96 overall. The BICCCQ has satisfactory preliminary construct validity and internal consistency reliability. Further testing in other schools to cross-validate the stability of our findings is recommended.