Factor Structure of Almutairi’s Critical Cultural Competence Scale

Almutairi, Adel F.; Dahinten, V. Susan

doi:10.3390/admsci7020013

Cited by 9 publications

(18 citation statements)

References 38 publications

(41 reference statements)

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“…The critical empowerment subscale had the highest scores among all subscales in this study, although it was still lower than the findings of Almutairi and Dahinten (2017). This suggested that China's clinical nurses lacked critical empowerment.…”

Section: Discussioncontrasting

confidence: 89%

Critical cultural competence of clinical nurses in China: A cross‐sectional survey

Wang

Duan

et al. 2022

J Nursing Management

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Aim To determine the level of critical cultural competence (CCC) among Chinese clinical nurses and explore its influencing factors. Background Previous research has only focused on the theoretical model of CCC and the development of assessment tools; however, no large‐scale study has been conducted on the level of clinical nurses' CCC and its influencing factors. Method Clinical nurses in 14 Level A tertiary hospitals (n = 3858) were surveyed using Almutairi's critical cultural competence scale (CCCS). Descriptive, univariate and multivariate analyses were performed. Results The mean score of CCC was 4.44 (SD = 0.33). Critical empowerment (M = 4.85, SD = 0.58) and critical awareness (M = 3.57, SD = 0.99) had the highest and lowest scores, respectively. Female nurses, nurses in the nursing department and nurses with higher positions had higher CCC. Conclusion The CCC of clinical nurses can be strengthened through targeted training, especially considering the fact that male and low‐ranking nurses who had the lower level of CCC work in different departments. Implications for Nursing Management Hospital administrators should pay attention to the importance of culture and cultural differences among different countries or ethnic groups. Creating an equal and fair nursing environment and encouraging nurses to provide critical cultural nursing is important.

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Section: Discussioncontrasting

confidence: 89%

Critical cultural competence of clinical nurses in China: A cross‐sectional survey

Wang

Duan

et al. 2022

J Nursing Management

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“…The 43-item CCCS is a self-report questionnaire with four subscales: Critical Awareness (12 items), Critical Knowledge (seven items), Critical Skills (seven items), and Critical Empowerment (17 items) (Almutairi & Dahinten, 2016). Responses are measured on a 7-point Likert-type scale, anchored from strongly disagree (1) to strongly agree (7) for most of the items, and from never (1) to always (7) for the items that measure how often certain events have happened.…”

Section: Methodsmentioning

confidence: 99%

“…The Critical Cultural Competence Scale (CCCS) was then developed to measure health care providers’ self-reports of critical cultural competence within a multicultural context. The CCCS was developed through a systematic and iterative process that included deconstructing the theoretical components of the critical cultural competence model into a number of representative items, expert review for content validity, and informal pilot studies with a multicultural group of graduate nursing students in Canada and a multicultural group of staff nurses in Saudi Arabia (Almutairi & Dahinten, 2016). Exploratory factor analysis (EFA) supported a four-factor solution consistent with the theoretical underpinnings of the subscales: Critical Awareness (12 items), Critical Knowledge (seven items), Critical Skills (seven items), and Critical Empowerment (17 items).…”

Section: A Model Of Critical Cultural Competencementioning

confidence: 99%

“…Exploratory factor analysis (EFA) supported a four-factor solution consistent with the theoretical underpinnings of the subscales: Critical Awareness (12 items), Critical Knowledge (seven items), Critical Skills (seven items), and Critical Empowerment (17 items). The 43 items in the final solution loaded cleanly across the four factors and explained 42% of the variance (Almutairi & Dahinten, 2016).…”

Section: A Model Of Critical Cultural Competencementioning

confidence: 99%

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Construct Validity of Almutairi’s Critical Cultural Competence Scale

Almutairi

Dahinten

2016

West J Nurs Res

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Cultural diversity in health care settings can threaten the well-being of patients, their families, and health care providers. This psychometric study evaluated the construct validity of the recently developed four-factor, 43-item Critical Cultural Competence Scale (CCCS) which was designed to overcome the conceptual limitations of previously developed scales. The study was conducted in Canada with a random sample of 170 registered nurses. Comparisons with the Cultural Competence Assessment instrument, Scale of Ethnocultural Empathy, and Cultural Intelligence Scale provided mixed evidence of convergent validity. Modest correlations were found between the total scale scores suggesting that the CCCS is measuring a more comprehensive and conceptually distinct construct. Stronger correlations were found between the more conceptually similar subscales. Evidence for discriminant validity was also mixed. Results support use of the CCCS to measure health care providers' perceptions of their critical cultural competence though ongoing evaluation is warranted.

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“…Although cultural competency training for medical professionals has been shown to help reduce provider bias and improve communication in limited research [25], the narrow focus on list-based 'characteristics,' which are presumed to be easily identified based on race/ethnicity alone, may perpetuate the very stereotypes which cultural awareness seeks to avoid [26]. Moreover, cultural competency often overlooks the fact that western biomedicine and its institutionalized delivery is a culture of its own, one that it is often assumed to be normative and just [27]; medical students are asked to learn about 'others' (often the minority) but not so much to reflect upon the cultural 'us' (biomedicine) and the privileged place from which that learning of 'others' takes place [28,29].…”

Section: Patient-centered Care Sharing and Advocacymentioning

confidence: 99%

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Prescott

Logan²

2018

Challenges

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The epidemic of socially-rooted, lifestyle-driven non-communicable diseases (NCDs; also referred to as socially-transmitted conditions) has now overtaken infectious diseases as the leading cause of human mortality. Despite this reality, physician education, training and practice within industrialized nations is heavily slanted toward the biopharmaceutical (and away from the psychosocial) aspects of prevention and treatment. As we underscore, the current state of physician training and practical application of guidelines pertaining to lifestyle is paltry and untenable. However, the solution is not a few more hours of nutritional biochemistry to check off the curricula box. Physician readiness for the current NCD crisis will require a philosophical shift in medicine-at-large, including candidate pooling. Recent elections in the United States and Europe have cast a spotlight on the public health consequences of political authoritarianism. However, we highlight that authoritarianism-and its related facets of social dominance orientation and Machiavellianism-are not exclusive to political candidates. Here, we open a dialogue on authoritarianism in westernized medicine as a starting point in order to encourage the development of critical research and to explore its potential as a barrier to patient care. We suggest that authoritarianism and its prejudices act as a border wall to the World Health Organization's broad vision of global health, cultural competency and patient autonomy. Moreover, the evidence reviewed here would suggest that in the context of the NCDs crisis, westernized medicine is long overdue a Flexner Report for the 21st Century.

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Factor Structure of Almutairi’s Critical Cultural Competence Scale

Cited by 9 publications

References 38 publications

Critical cultural competence of clinical nurses in China: A cross‐sectional survey

Critical cultural competence of clinical nurses in China: A cross‐sectional survey

Construct Validity of Almutairi’s Critical Cultural Competence Scale

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

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