The Spanish version of the Cultural Competence Assessment (CCA-S): Transcultural validation study and proposed refinement

Raigal-Aran, Laia; Ferré-Grau, Carme; Eraso, Ángel Belzunegui

doi:10.1016/j.nedt.2018.10.011

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…The self-reported CCA has been translated and been psychometrically tested in various languages (Italian, Spanish, Korean, and Slovakian). It has been found to be a reliable and valid instrument for the assessment of cultural competence in healthcare [ 12 , 14 , 17 , 18 ]. The original CCA scale [ 19 ] was developed in the USA on the basis of the Cultural Competence Model developed by Schim and Miller.…”

Section: Methodsmentioning

confidence: 99%

Cultural competence among nursing students and nurses working in acute care settings: a cross-sectional study

Osmancevic

Großschädl

Lohrmann

2023

BMC Health Serv Res

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Background The increasing cultural diversity in healthcare in European countries, including Austria, has highlighted the need to enhance nurses’ cultural competence. Assessing cultural competence and identifying relevant influencing factors can help to improve culturally competent care. The aim of this study was to assess the cultural competence of nurses and nursing students working in Austrian acute care settings and to identify influencing factors using the Cultural Competence Assessment scale. Methods A cross-sectional design was used. Data collection was carried out in March 2021 with nurses and nursing students in the last year of their studies who were working in Austrian acute care settings. Descriptive analysis was applied to display the general characteristics of the study participants and the levels of their overall cultural competence. A multiple linear regression analysis was conducted to analyze the influencing factors of cultural competence. Results The nurses’ cultural competence level was moderate to high (mean = 3.89; SD = .48). Their age, educational level, cultural diversity training and self-perceived cultural competence significantly influenced the level (F (6, 875) = 18.971, p < .0000, adj. R2 = 1.09). Conclusions Providing culturally competent healthcare services for culturally diverse patients is essential for all healthcare professionals, and especially for nurses who spend the most time with patients. Effective interventions, such as educational training, need to be implemented in order to deliver culturally competent care and potentially reduce disparities in healthcare and improve patient outcomes.

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Section: Methodsmentioning

confidence: 99%

Cultural competence among nursing students and nurses working in acute care settings: a cross-sectional study

Osmancevic

Großschädl

Lohrmann

2023

BMC Health Serv Res

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“…The cultural competence behaviours subscale refers to determining behaviours that are affected by experiences made with culturally diverse people, the level of cultural awareness and the degree of sensitivity toward the self and others [15]. The CCA was developed in the USA in English and then translated and modified into the Italian [13], Korean [14], Spanish [15], and Slovak [19] languages. As originally developed, exploratory factor analysis suggests that two factors with 25 items best fit the data [10,16].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…As originally developed, exploratory factor analysis suggests that two factors with 25 items best fit the data [10,16]. A more recent psychometric evaluation of the translated instrument resulted in the identification of four factors with 25 items [13,15] or two factors with 16 items [14]. An examination of the test-retest reliability showed an adequate correlation of .85 (p = .002), and Cronbach's alphas of .75, .91, and .89 for the Cultural Awareness and Sensitivity subscale, the Cultural Competence Behaviours subscale, and the total scale, respectively [10].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…In addition, it is possible to test whether the proposed model is better than alternative models [21]. As the original English version of the scale consists of two factors [15], and the translated scales of four factors [12,14] or two factors with decreased number of items [13], the CFA method was selected as an appropriate analysis method for testing the study's assumptions.…”

Section: Translation Adaptation and Psychometric Testing Processmentioning

confidence: 99%

“…One of the instruments that was recommended for use in practice is the Cultural Competence Assessment tool (CCA). The CCA has been tested in several international studies [10,[12][13][14][15], showed sufficient validity and reliability and has been used successfully in several studies [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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The German version of the Cultural Competence Assessment (CCA-G): cross-cultural adaptation and validation study in Austrian acute care settings

et al. 2022

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Background Adapting practices to respond sensitively to increasingly culturally diverse patients can be challenging. Therefore, cultural competence among nurses needs to be assessed to evaluate their current cultural competence and the need for interventions to improve daily nursing practice. Little is known about cultural competence of nurses in German-speaking countries, including Austria, as there is currently no validated tool in German to assess cultural competence in nurses. The aims of this study were to translate and cross-culturally adapt the Cultural Competence Assessment scale in German and to evaluate its psychometric properties. Methods This is a methodology study with a cross-sectional design. Conducting a convenience sampling, Austrian nurses working in the direct care of patients in acute care settings were invited to participate in this study. Data collection was conducted in March 2021. The translation and cross-cultural adaptation were conducted by following the guidelines of Sousa et al. (J Eval Clin Pract 17:268-74, 2011) and Beaton et al. (Spine 25:3186-91, 2000). The face and content validity, structural validity, and internal consistency reliability of the Cultural Competence Assessment scale, which consists of 25 items, was evaluated. Data were analysed using content validity index, confirmatory factor analyses as well as McDonald’s Omega. Descriptive statistics were computed with the statistical software IBM SPSS Statistics 26, while the confirmatory factor analysis was conducted with the R package Lavaan. Results Overall, 915 nurses completed the questionnaire. Twenty items had an acceptable item content validity index. Using confirmatory factor analyses, a two-factor model with 14 items yielded a good fit (x2/df = 3.16; CFI = .923; TLI = .908; RMSEA = .055 (.049–.062) and SRMR = .039). Internal consistency reliability was found to be acceptable, as indicated by a Omega of .87. Conclusion The German version of the Cultural Competence Assessment scale (CCA-G) can be recommended for measuring cultural competence behaviour of nurses in acute care settings. The 14-item scale showed strong construct validity and acceptable internal consistency. Further research using repeated measures could determine the cultural sensitivity and indicate if the tool is applicable in other healthcare settings and for other healthcare professionals.

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A valid and reliable scale to assess cultural sensibility in nursing

Belintxon

Carvajal

Pumar-Méndez

et al. 2021

Nurse Education Today

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The Spanish version of the Cultural Competence Assessment (CCA-S): Transcultural validation study and proposed refinement

Cited by 7 publications

References 29 publications

Cultural competence among nursing students and nurses working in acute care settings: a cross-sectional study

Cultural competence among nursing students and nurses working in acute care settings: a cross-sectional study

The German version of the Cultural Competence Assessment (CCA-G): cross-cultural adaptation and validation study in Austrian acute care settings

A valid and reliable scale to assess cultural sensibility in nursing

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