Hemşirenin Kültürel Yeterliğine İlişkin Hasta Algıları Ölçeğinin Türkçe Versiyonunun Psikometrik Değerlendirmesi

Year 2025, Volume: 28 Issue: 2, 148 - 157, 17.06.2025

Yasemin Ceyhan

https://doi.org/10.17049/jnursology.1481773

Abstract

Amaç: Çalışmanın amacı, hemşirenin kültürel yeterliğine ilişkin hasta algılarını değerlendirme ölçeğinin Türkçe versiyonunun geçerliliğini ve güvenilirliğini incelemektir.

Yöntemler: Çalışmada metodolojik bir tasarım kullanıldı. Çalışma 1 Haziran-30 Aralık 2022 arasında 224 hasta ile tamamlandı. Veriler IBM SPSS V23 ve IBM AMOS V24 ile analiz edildi. Ölçek geçerliğinde dil, içerik geçerliliği ve yapı geçerliliği analizi kullanıldı. Ölçeğin güvenirliğinde ise Cronbach α, madde-toplam korelasyonları ve test-tekrar test analizleri kullanıldı. Yol katsayıları yapısal eşitlik modellemesinde maksimum olabilirlik ile hesaplandı. Model uygunluğuna model uyum indeksleri ile karar verildi.

Bulgular: Analiz sonuçlarımıza göre nihai ölçek 19 madde ve 3 faktörden oluştu. Tüm maddeler için madde-toplam korelasyonları > ,2 elde edildi. Yapı geçerliliği bulguları iyi model uyumu gösterdi; CMIN/DF = 1,647, GFI= ,901, CFI= ,91, RMSEA= ,054, SRMR= ,076 ve tüm yol katsayıları anlamlı bulundu (P< ,001). Ölçeğin Cronbach's alpha katsayısı ,81 olarak bulundu. Ayrıca tüm faktörlerin test-tekrar test puanları arasında iyi bir uyum tespit edildi (P< ,05). Hastaların ölçekten aldıkları puan ortalamaları ise faktör 1 ve 2’de 2,84, faktör 3’te ise 3,01 olarak elde edildi. Tukey toplanabilirlik testine göre ölçeğin toplanabilir özellikte olmadığı belirlendi (P< ,001).

Sonuç: Ölçek hemşirelerin kültürel yeterliğini değerlendirmede geçerli ve güvenilir bir araçtır.

Keywords

Hastalar , hemşirelik , kültürel yeterlilik , psikometri

Project Number

SYO.A4.22.003.

Psychometric Evaluation of the Turkish Version of the Patients’ Perceptions of Nurse’ Cultural Competency Instrument

Abstract

Objective: The study aimed to examine the validity and reliability of the Turkish version of the Clients’ Perceptions of Providers’ Cultural Competency Instrument.

Methods: A methodological design was used. The study was conducted with 224 patients between June 1 and December 30, 2022. Data were analyzed with IBM SPSS V23 and IBM AMOS V24. The linguistic, content, and construct validity analysis were used to assess the scale's validity. The scale's reliability was achieved using Cronbach's α, item-total correlations, and test-retest. Path coefficients were calculated with Maximum Likelihood in structural equation modeling. Model fit was decided with model fit indices.

Results: According to our analysis, the final scale consisted of 19 items and 3 factors. Item-total correlations > .2 was obtained for all items. The construct validity analysis revealed that the model had a good fit; CMIN/DF=1.647, GFI= .901, CFI= .91, RMSEA= .054, SRMR= .076 and all path coefficients were significant (P< .001). Cronbach's alpha was found to be .81 for the scale. In addition, a good correspondence was found between the test-retest scores of all factors (P< .05). The patients' mean scores were 2.84 in factors 1 and 2 and 3.01 in factor 3. According to Tukey summability test, the scale was not recognized as summable (P< .001).

Conclusion: The instrument is a valid and reliable tool to assess the cultural competence of nurses.

Keywords

Cultural competency , nursing , patients , psychometrics

Supporting Institution

The Scientific Research Projects Unit of Kırşehir Ahi Evran University

Project Number

SYO.A4.22.003.

References

• 1. The ICN Code of Ethics for Nurses.; 2021. Accessed November 9, 2024. https://www.icn.ch/sites/default/files/2023-06/ICN_Code-of-Ethics_EN_Web.pdf
• 2. The International Organization for Migration (IOM). World Migration Report. 2022. https://reliefweb.int/attachments/88bf8484-7d28-3417-9ca9-cb92d8873802/WMR-2022-EN.pdf
• 3. Constitution of the Republic of Türkiye. 1982. https://www.anayasa.gov.tr/media/7258/anayasa_eng.pdf
• 4. United Nations. International Organization for Migration. 2020. https://www.iom.int/about-migration
• 5. General Directorate of Migration Management. Adaptation Strategy Document and National Action Plan.; 2020. https://www.goc.gov.tr/kurumlar/goc.gov.tr/Yayinlar/UYUM-STRATEJI/Uyum-Strateji-Belgesi-ve-Ulusal-Eylem-Plani.pdf
• 6. Henderson S, Horne M, Hills R, Kendall E. Cultural competence in healthcare in the community: A concept analysis. Health Soc Care Community. 2018;26(4):590-603. https://doi.org/10.1111/hsc.12556
• 7. McFarland M, Wehbe-Alamah H. Leininger’s Transcultural Nursing: Concepts, Theories, Research & Practice. 4th edition. McGraw Hill; 2021.
• 8. Purnell L. Update: The Purnell Theory and Model for Culturally Competent Health Care. J Transcult Nurs 2019;30(2):98-105. https://doi.org/10.1177/1043659618817587
• 9. Schwarz JL, Witte R, Sellers SL, et al. Development and psychometric assessment of the healthcare provider cultural competence instrument. J Health Care. 2015;52:1-8. https://doi:10.1177/0046958015583696
• 10. Chang L, Chen SC, Hung SL. Embracing diversity and transcultural society through community health practicum among college nursing students. Nurse Educ Pract. 2018;31:156-160. https://doi:10.1016/j.nepr.2018.05.004
• 11. Brottman MR, Char DM, Hattori RA, Heeb R, Taff SD. Toward Cultural Competency in Health Care: A Scoping Review of the Diversity and Inclusion Education Literature. Acad Med. 2020;95(5):803-813. https://doi:10.1097/ACM.0000000000002995
• 12. Tosun B, Yava A, Dirgar E, et al. Addressing the effects of transcultural nursing education on nursing students’ cultural competence: A systematic review. Nurse Educ Pract. 2021;55:103171. https://doi:10.1016/j.nepr.2021.103171
• 13. Burkey DF, Fetty A, Watson-Huffer K. Infusing LGBTQ cultural competency into nursing curriculum. Nurse Educ Today. 2021;96:104642. https://doi:10.1016/j.nedt.2020.104642
• 14. Antón-Solanas I, Tambo-Lizalde E, Hamam-Alcober N, et al. Nursing students’ experience of learning cultural competence. PLoS One. 2021;16(12):e0259802. https://doi:10.1371/journal.pone.0259802
• 15. Aydogdu ALF. Cultural Competence of Turkish Nurses and Nursing Students: An Integrative Literature Review. J Transcult Nurs. 2022;33(4):529-541. https://doi:10.1177/10436596211062938
• 16. Mohamed AFH, Modanloo S. Re-thinking the Concept of Cultural Competency in Nursing Care of Older Adults. Can J Nurs Res. Published online 2024. https://doi:10.1177/08445621241272673
• 17. de Torres RQ, Pacquiao DF, Zha P, Katz JR, Sattler V. Psychometric Testing of the Filipino Version of the Clients’ Perceptions of Providers’ Cultural Competency Instrument Among LGBTQ+ Population in the Philippines. J Nurs Meas. 2024;32(2):267-278. https://doi:10.1891/JNM-2022-0084
• 18. Nowaskie DZ, Najam S. Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals. PLoS One. 2022;17(11):e0277682. https://doi:10.1371/journal.pone.0277682
• 19. Pacquiao DF, Katz JR, Sattler V, Zha P, Daub KF. Development of the Clients’ Perceptions of Providers’ Cultural Competency Instrument. J Transcult Nurs. 2021;32(5):539-550. https://doi:10.1177/1043659620962559
• 20. Büyüköztürk Ş. Handbook of Data Analysis for Social Sciences Statistics, Research Design, SPSS Applications and Interpretation. 31. edition. Pegem Academy; 2024.
• 21. Jeffreys MR, Dogan E. Factor Analysis of the Transcultural Self-Efficacy Tool (TSET). J Nurs Meas. 2010;18(2):120-139. https://doi:10.1891/1061-3749.18.2.120
• 22. Davis LL. Instrument review: Getting the most from a panel of experts. Appl Nurs Res. 1992;5(4):194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
• 23. Gürbüz S. Structural Equation Modeling with Amos. Seçkin Publishing; 2019.
• 24. Souza AC de, Alexandre NMC, Guirardello E de B. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saude. 2017;26(3):649-659. https://doi:10.5123/S1679-49742017000300022
• 25. Polit DF, Beck CT. The Content Validity Index : Are You Sure You Know What ’ s Being Reported ? Critique and Recommendations. Res Nurs Health. 2006;29:489-497. https://doi:10.1002/nur.20147
• 26. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Multivariate Statistics for Social Sciences: SPSS and LISREL Applications. 7th edition. Pegem academy; 2023.
• 27. DeVellis RF. Scale Development: Theory and Applications. Fourth Edi. SAGE Publications; 2016.
• 28. Polit DF, Beck CT, Owen S V. Focus on Research Methods Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. Res Nurs Health. 2007;30:459-467. https://doi:10.1002/nur.20199
• 29. Gürbüz S, Şahin F. Research Methods in Social Sciences: Philosophy- Method- Analysis. 3rd editio. Seçkin Publishing; 2018.
• 30. Tezbaşaran A. Likert TypeScale Preparation Guide. 3rd editio. Turkish Psychological Association; 2008.