Evaluating Cultural Competence Among Japanese Clinical Nurses:Analyses of a translated scale
Evaluating Cultural Competence Among Japanese Clinical Nurses:Analyses of a translated scale
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评估日本临床护士的文化能力：翻译量表分析
DOI：
10.1111/ijn.12551
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发表时间：
2017
影响因子：
1.9
通讯作者：
Katsuya Kanda
中科院分区：
文献类型：
--
作者：
Ariko Noji;Yuki Mochizuki;Akiko Nosaki;Dale Glaser;Lucia Gonzales;Akiko Mizobe;Katsuya Kanda
本文介绍了日本版的Caffrey文化能力健康服务（J‐CCCHS）的因素分析测试和结构验证。该清单由28个项目组成，由语文和专题专家翻译。对来自日本19家医院的护士（N = 7494，92%为女性，平均年龄32.6岁）进行了心理测试（探索性因素，α可靠性和验证性因素分析）。方差最大旋转的主成分提取产生了5因素解决方案（解释了62.31%的方差），标记为：知识，舒适近端，舒适远端，意识和国家政策的意识。分量表的Cronbach α范围为0.756 - 0.892。在使用稳健最大似然估计的验证性因素分析中，卡方检验如下：χ2（340）= 14604.44，P < .001。在引入相关误差后，有证据表明模型拟合得到改善（χ2（335）= 8681.61，P < .05），但其他指标显示出改善（RMSEA = .058 [90%CI，0.057 - 0.059]，TLI = .891，CFI = .903，SRMR = .059）。J-CCCHS的区分能力通过预定义组之间J-CCCHS子量表评分的统计学平均差异来表示。考虑到这是第一次尝试为该工具进行结构验证，并且当随后的数据驱动模型进行测试时，拟合得到了改善，并且它能够区分预期在文化能力方面不同的已知群体，该工具对临床医生和教育工作者都有价值。
This paper describes the factor analysis testing and construct validation of the Japanese version of the Caffrey Cultural Competence Health Services (J‐CCCHS). The inventory, composed of 28 items, was translated using language and subject matter experts. Psychometric testing (exploratory factor, alpha reliability, and confirmatory factor analyses) was undertaken with nurses (N = 7494, 92% female, mean age 32.6 years) from 19 hospitals across Japan. Principal components extraction with varimax rotation yielded a 5‐factor solution (62.31% variance explained) that was labeled: knowledge, comfort‐proximal, comfort‐distal, awareness, and awareness of national policy. Cronbach α for the subscales ranged from 0.756 to 0.892. In confirmatory factor analysis using the robust maximum likelihood estimator, the chi‐square test was as follows: χ2(340) = 14604.44,P< .001. After correlated errors were introduced, there was evidence of improved model fit (χ2(335) = 8681.61,P< .05) but the other indices showed improvement (RMSEA = .058 [90% CI, 0.057‐0.059], TLI = .891, CFI = .903, and SRMR = .059). The discriminating power of the J‐CCCHS was indicated by statistically mean differences in J‐CCCHS subscale scores between predefined groups. Taking into consideration that this is the first foray into construct validation for this instrument, and that fit was improved when a subsequent data driven model was tested, and it has the ability to distinguish between known groups that are expected to differ in cultural competence, the instrument can be of value to clinicians and educators alike.