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Developing a cultural competence inventory for nurses in China.

D Cai1, W Kunaviktikul2, A Klunklin2

  • 1School of Nursing, Nantong University, Nantong, China.

International Nursing Review
|January 20, 2017
PubMed
Summary

This study developed the Cultural Competence Inventory for Nurses in China, a valid and reliable tool to assess nurses' cultural competence. This inventory supports self-development and improves culturally competent nursing care in diverse healthcare settings.

Keywords:
Chinese NursesCultural CompetenceExploratory Factor AnalysisInstrument DevelopmentReliabilityValidity

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Area of Science:

  • Nursing
  • Transcultural Nursing
  • Healthcare Management

Background:

  • Increasing global cultural diversity necessitates nurses' cultural competence.
  • Existing frameworks lack applicability to China's unique healthcare context.
  • A culturally specific instrument is needed to guide Chinese nursing practice.

Purpose of the Study:

  • To develop and psychometrically test the Cultural Competence Inventory for Nurses in China.
  • To provide a culturally sensitive tool for assessing nurses' cultural competence.
  • To support the enhancement of culturally competent nursing care in China.

Main Methods:

  • Literature review and expert interviews generated 74 initial items.
  • A 520-nurse field test utilized stratified random sampling.
  • Exploratory factor analysis and Cronbach's alpha assessed validity and reliability.

Main Results:

  • The final 29-item inventory has five dimensions: awareness, respect, knowledge, understanding, and skills.
  • High internal consistency was demonstrated (Cronbach's alpha = 0.94; dimensions 0.79–0.92).
  • Strong evidence for construct validity, including contrast-group validity (P < 0.001), was obtained.

Conclusions:

  • The Cultural Competence Inventory for Nurses in China is a reliable, valid, and culturally sensitive measurement tool.
  • The development process enhances global understanding of cultural competence in nursing.
  • The inventory can inform nursing education, workforce management, and quality assurance for culturally competent care.