An Integrative Review of American Nurses' Perceived Cultural Self-Efficacy

Purpose: To review use of the Cultural Self‐Efficacy Scale (CSES) and to summarize the cumulative findings. Methods: A combination of literature searches and questionnaires to those who have requested the scale indicated 26 known uses. Fifteen reported sufficient data for statistical analysis. Findi...

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Bibliographic Details
Published in:Journal of nursing scholarship 2004-01, Vol.36 (2), p.180-185
Main Authors: Coffman, Maren J., Shellman, Juliette, Bernal, Henrietta
Format: Article
Language:English
Subjects:
African Americans
Asian Americans
Attitude of Health Personnel
Clinical Competence - standards
Confidence
Cultural Diversity
Cultural Self-Efficacy Scale
Educational Status
Health Knowledge, Attitudes, Practice
Hispanic Americans
Humans
Information sources
integrative review
Minority & ethnic groups
Nurses
Nurses - psychology
Nursing
Nursing care
Nursing education
Nursing Education Research - organization & administration
Perceptions
Physiology
Population
Research Design
Role models
Self Efficacy
Skills
Students, Nursing - psychology
transcultural nursing
Transcultural Nursing - education
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Summary:Purpose: To review use of the Cultural Self‐Efficacy Scale (CSES) and to summarize the cumulative findings. Methods: A combination of literature searches and questionnaires to those who have requested the scale indicated 26 known uses. Fifteen reported sufficient data for statistical analysis. Findings: Of the 26 known uses of the CSES, 8 were published in peer‐reviewed journals, 5 in dissertations, 8 in theses, and 3 as data sets only. Two additional theses were not retrievable for the study. On a 5‐point Likert‐type scale, nurses reported the highest degree of self‐efficacy with African American (3.1) and Hispanic (3.1) patients and the lowest with Asian American patients (2.4). Six of the reports include Cronbach's alpha coefficients, ranging from .86 to .98. In the final sample of 15 studies, nurses did not report feeling confident caring for patients from other cultures. Conclusions: Although the CSES has been used in many settings with over 3,000 nurses, inconsistencies in the data preclude specific conclusions. Further research is needed using consistent reporting practices and sufficient predictor variables to draw further conclusions regarding the scale's psychometric properties.
ISSN:1527-6546
1547-5069
DOI:10.1111/j.1547-5069.2004.04032.x