scholarly journals Clinical Relevance and Psychometric Properties of the Swedish Version of the Cultural Competence Assessment Instrument

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Jane Holstein ◽  
Gunilla M. Liedberg ◽  
Yolanda Suarez-Balcazar ◽  
Anette Kjellberg

Based on the increasing diversity of Swedish society, health professionals, like occupational therapists, find it challenging to provide culturally competent services to international clients. Consequently, cultural competence among professionals needs to be measured and improved using psychometrically tested instruments. This study examines the clinical relevance, construct validity, and reliability of the Swedish version of the Cultural Competence Assessment Instrument among Swedish occupational therapists. Material and Methods. A randomised sample of 312 Swedish occupational therapists answered a survey based on the Swedish version of the Cultural Competence Assessment Instrument with supplementary questions on the clinical relevance of the instrument. Descriptive statistics were used to examine the clinical relevance of the Swedish version of the Cultural Competence Assessment Instrument. Factor analyses, both exploratory and confirmatory, were run to examine the factor structure. Cronbach’s alpha was performed to assess the internal consistency of the instrument. Results. The participants reported that the 24 items had high clinical relevance. The validation yielded a three-factor model: openness and awareness, workplace support, and interaction skills. All three of these factors showed high loadings. Conclusions. The study results indicated positive clinical relevance and psychometric properties for the Swedish version of the Cultural Competence Assessment Instrument and strong support to be utilised in Sweden. The implications of this study are important given the rapid growth in migration over the last few decades. A self-rating instrument measuring cultural competence could support occupational therapists’ professional knowledge and development when they interact with international clients. As the tool was originally developed in English in the United States, the feedback from the Swedish version could potentially be useful for the instrument in modified form and for use by occupational therapists in English-speaking countries.

2015 ◽  
Author(s):  
Giancarlo Cicolini ◽  
Carlo Della Pelle ◽  
Dania Comparcini ◽  
Marco Tomietto ◽  
Francesca Cerratti ◽  
...  

Psychologica ◽  
2019 ◽  
Vol 62 (2) ◽  
pp. 23-40
Author(s):  
Mariana Gonçalves ◽  
Marlene Matos

Objetivo: adaptar e validar o Cultural Competence Assessment Instrument para avaliar as competências culturais dos profissionais de ajuda. O questionário foi selecionado tendo em conta três critérios, nomeadamente: i) o processo de construção do mesmo, na sua versão original, com base numa revisão aprofundada da literatura e dos instrumentos existentes para avaliar o constructo; ii) os indicadores de ajustamento do modelo da validação do instrumento; iii) a adequabilidade e a possibilidade de adaptação aos contextos que se pretendiam avaliar, particularmente junto de profissionais de ajuda a vítimas.  Método: a tradução e adaptação do questionário obedeceram às guidelines internacionais neste domínio e a validação foi conduzida com 313 profissionais de ajuda agrupados em três domínios profissionais: área social, área da saúde e área criminal. Resultados: as análises fatoriais exploratória e confirmatória permitiram identificar, para esta amostra e com bom ajustamento psicométrico (e.g., alfa .88), a competência cultural aferida através de quatro fatores: consciência cultural, conhecimento cultural, aptidões técnicas e apoio organizacional. Conclusão: o Questionário de Competências Culturais para Profissionais de Ajuda é uma versão mais pequena da versão original do instrumento, que pode ser utilizada em contextos diferenciados. Este instrumento revela-se, assim, útil na monitorização e supervisão das práticas institucionais no atendimento em contextos de ajuda, ao nível da competência cultural.


2003 ◽  
Vol 11 (1) ◽  
pp. 29-40 ◽  
Author(s):  
Stephanie Myers Schim ◽  
Ardith Z. Doorenbos ◽  
June Miller ◽  
Ramona Benkert

This article describes initial testing of an instrument designed to provide evidence of cultural competence among health care providers and staff. The Cultural Competence Assessment (CCA) instrument was based on a model describing cultural competence components (fact, knowledge, attitude, and behavior). Content and face validity were confirmed through expert panel review, subject feedback, and field-testing. The CCA was administered to an interdisciplinary health care team in a community hospice setting. Preliminary findings suggest that the CCA performed well. Internal consistency reliability for the scale was 0.92. Construct validity by factor analysis demonstrated that 25 items had loadings above 0.42. Construct validity was supported with a significant correlation to the widely used Inventory for Assessing the Process of Cultural Competence among Health care Professionals (IAPCC). Validity also was supported by significant differences between individuals with different educational levels and prior diversity training. The CCA is a promising tool to measure cultural competence in populations with a wide range of educational levels and backgrounds.


Author(s):  
Seung Eun Lee ◽  
Meen Hye Lee ◽  
Anya Bostian Peters ◽  
Seok Hyun Gwon

This descriptive, correlational, cross-sectional study examined nursing students’ educational experiences on self-reported perceptions of patient safety and cultural competence in terms of curriculum content and learning venues. We performed descriptive analyses and a one-way analysis of variance with a sample of senior-year nursing students (N = 249) attending three state universities in the United States. We used the Nurse of the Future Nursing Core Competency Model, the Patient Safety Competency Self-Evaluation Tool for Nursing Students, and The Cultural Competence Assessment Instrument. Overall, participants reported that patient safety and cultural competencies were addressed in their curricula primarily through classroom activities as opposed to laboratory/simulation or clinical settings. Among the required patient safety knowledge topics, elements of highly reliable organizations were covered the least. For patient safety competency, participants reported higher scores for attitude and lower scores for skill and knowledge. For cultural competency, participants scored much higher for cultural awareness and sensitivity than behavior. There was no statistically significant difference between scores for patient safety and cultural competencies by nursing school. The results support the need for curriculum development to include all important aspects of patient safety and cultural competencies in various teaching/learning venues.


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