J Korean Acad Nurs.  2016 Apr;46(2):293-304. 10.4040/jkan.2016.46.2.293.

Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses

Affiliations
  • 1College of Nursing, Korea University, Seoul, Korea.
  • 2College of Nursing, Cha University, Pochon, Korea. chnursing@cha.ac.kr
  • 3College of Nursing Science, Kyung Hee University, Seoul, Korea.

Abstract

PURPOSE
This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSEscale) for nurses.
METHODS
Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity.
RESULTS
The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach's alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability.
CONCLUSION
This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

Keyword

Cultural diversity; Cultural competence; Self efficacy; Reliability and validity; Nurses

MeSH Terms

Adult
Cognition
*Cultural Competency
Cultural Diversity
Female
Humans
Male
Nurses/*psychology
Program Development
*Psychometrics
*Self Efficacy
Surveys and Questionnaires
Young Adult

Figure

  • Figure 1 Conceptual framework for the study.


Cited by  1 articles

Development of the Cultural Competence Scale for Registered Nurses (CCS-RN)
Kyung Won Kim, Sun-Hee Kim, Young Hee Kim, Hyun Kyoung Kim, Hae Sook Park, Sun Hee Lee, Geum Hee Jeong
J Korean Acad Community Health Nurs. 2019;30(3):281-294.    doi: 10.12799/jkachn.2019.30.3.281.


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