Exploring the factorial composition of the transcultural self-efficacy tool

Area of Science:

• Nursing Education
• Cultural Competence
• Psychometrics

Background:

• Transcultural nursing requires specific self-efficacy in healthcare professionals.
• Assessing nursing students' confidence in culturally diverse care is crucial.
• Existing tools may not fully capture the multifaceted nature of transcultural self-efficacy.

Purpose of the Study:

• To explore the factorial composition of the Transcultural Self-Efficacy Tool (TSET).
• To evaluate the TSET's ability to measure nursing students' confidence in transcultural nursing skills.
• To determine if the TSET assesses cognitive, practical, and affective learning dimensions.

Main Methods:

• Principal component analysis with varimax rotation was employed.
• Data were collected from 1,260 culturally diverse undergraduate nursing students.
• An 83-item questionnaire (TSET) was used to assess confidence in general transcultural nursing skills.

Main Results:

• Nine factors emerged from the analysis: recognition, kinship and social factors, professional nursing care, cultural background and identity, lifecycle transitional phenomena, awareness of cultural gap, communication, self-awareness, and appreciation.
• The TSET demonstrated a multidimensional structure.
• The tool effectively measures cognitive, practical, and affective learning dimensions of transcultural self-efficacy.

Conclusions:

• The TSET is a valid instrument for assessing transcultural self-efficacy in nursing students.
• The findings support the TSET's capacity to evaluate confidence in diverse nursing contexts.
• The TSET's structure aligns with the cognitive, practical, and affective domains of learning in transcultural nursing.