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Development and validation of a cultural competence perception inventory for nurses
Hwey-Fang Liang1, Yi-Chen Wu2, Chien-Yu Wu3
1School of Nursing & Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan; Department of Nursing, Chiayi Chang Gung Memorial Hospital, Taiwan.
Nurse Education in Practice
|December 2, 2025
Summary
A new Cultural Competence Perception Inventory (CCPI) was developed and validated for nurses in Taiwan. This tool measures nurses
Area of Science:
- Nursing Research
- Psychometrics
- Cultural Competence
Background:
- Cultural competence is crucial for quality nursing care in diverse settings.
- A valid and reliable tool is needed to assess nurses' perceptions of cultural competence.
- The study addresses the need for measurement in culturally responsive care.
Purpose of the Study:
- To develop and psychometrically validate the Cultural Competence Perception Inventory (CCPI).
- To provide a tool for assessing nurses' perceptions of cultural care competence in Taiwan.
- To establish a reliable and valid instrument for research and educational purposes.
Main Methods:
- Two-stage cross-sectional study design.
- Qualitative interviews for initial item development, followed by expert content validation.
- Quantitative data collection from 358 nursing students using stratified random sampling.
Main Results:
- The 23-item CCPI demonstrated a four-factor structure: CPAE, SPCRC, CVBNP, and CRA.
- The CCPI explained 66.05% of the total variance, showing strong reliability (Cronbach's α =.93).
- The instrument exhibited acceptable model fit and good convergent and discriminant validity.
Conclusions:
- The CCPI is a robust and validated instrument for measuring nurses' perceptions of cultural competence.
- The CCPI has practical applications in nursing education, professional development, and research.
- Wider use of the CCPI is recommended to improve culturally responsive nursing practices in diverse healthcare settings.
Keywords:
Active engagementConfirmatory factor analysesCultural competenceCultural positivityExploratory factor analysisSelf-efficacyMore Related Videos
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