Nurse Cultural Competence-cultural adaptation and validation of the Polish version of the Nurse Cultural Competence Scale and preliminary research results

• Published in: PloS one 2020-10, Vol.15 (10), p.e0240884
• Main Authors: Zarzycka, Danuta, Chrzan-Rodak, Agnieszka, Bąk, Jadwiga, Niedorys-Karczmarczyk, Barbara, Ślusarska, Barbara
• Format: Article
• Language: English
• Subjects: Adaptation; Adequacy; Adult; Awareness; Biology and Life Sciences; Clinical competence; Competence; Cultural competence; Cultural Competency; Cultural sensitivity; Culture; Diagnostic systems; Evaluation; Female; Health sciences; Humans; Intercultural communication; Knowledge; Male; Medical personnel; Medicine; Medicine and Health Sciences; Middle Aged; Midwifery; Monitoring; Multiculturalism & pluralism; Nurses; Nurses - psychology; Nursing; Nursing education; Organizational Culture; Patients; People and Places; Poland; Population; Practice; Psychological tests; Psychometrics; Public health; Quantitative psychology; Racism; Religion; Social aspects; Social Sciences; Students; Surveys and Questionnaires; Telemedicine; Testing; Translating; Values; Young Adult
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0240884

Measuring nurses' cultural competence is an important aspect in monitoring the acceptable quality in multicultural populations, and is a means for efficient modification of the educational process of nurses based on this assessment. The goal of this article is to offer a preliminary assessment of the cultural competence of nurses based on a Polish-language and -culture version of the Nurse Cultural Competence Scale (NCCS). An adaptive and diagnostic cross-disciplinary concept was used in the research. Two hundred thirty-eight professionally active nurses in the southeast region of Poland took part in this study. The NCCS-Polish version (NCCS-P) questionnaire was used after linguistic adaptation and analysis of psychometric properties. Moderate levels of competence in the Cultural Knowledge Subscale (M = 3.42) were found in the group of nurses studied. The results indicate lowest competency levels in the Cultural Skill Subscale (M = 3.14). The highest values were obtained for the Cultural Awareness Subscale (M = 3.98) and the Cultural Sensitivity Subscale (M = 3.72). The Cronbach's alpha reliability coefficient for the NCCS-P scale was 0.94, with the subscale values ranging from 0.72 to 0.95. Factor validity analysis of the Polish adaptation of the NCCS-P scale pointed to its four-factor structure. The Kaiser-Mayer-Olkin sampling adequacy test was 0.905, and the Bartlett test of sphericity result was χ2 = 5755.107; df = 820; p