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

Journal of Korean Academy of Nursing 2016³â 46±Ç 2È£ p.293 ~ 304
KMID : 0806120160460020293
¿À¿ø¿Á:Oh Won-Oak
¹ÚÀº¼÷:Park Eun-Sook/¼®¹ÎÇö:Suk Min-Hyun/ÀÓ¿©Áø:Im Yeo-Jin

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 interviewswith 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used asa conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a conveniencesample 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. Constructvalidity, 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 thetotal variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity wassupported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach¡¯s alpha-.88 in total, and subscalesranged 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. TheTCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacyof clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.
KeyWords
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Cultural diversity, Cultural competence, Self efficacy, Reliability and validity, Nurses
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