Volume 19, Issue 4 (July - August 2020)
Payesh 2020, 19(4): 423-433 |
Back to browse issues page
Ethics code: IR.IUMS.REC.1398.157
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
naghizadeh moghary Z, abbas pour A, ghiasi nodooshan S, feiz M, kuhpayehzadeh J. Psychometric evaluation of the Medical Science Graduates' Cultural Competency Questionnaire. Payesh 2020; 19 (4) :423-433
URL: http://payeshjournal.ir/article-1-1427-en.html
URL: http://payeshjournal.ir/article-1-1427-en.html
Zahra Naghizadeh moghary1 
, Abbas Abbas pour * 1, Saeed Ghiasi nodooshan1 , Mahdi Feiz2 , Jalil Kuhpayehzadeh3
, Abbas Abbas pour * 1, Saeed Ghiasi nodooshan1 , Mahdi Feiz2 , Jalil Kuhpayehzadeh3
1- Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran
2- ACECR, Tehran, Iran
3- Center for Educational Research in Medical Sciences (CERMS), Tehran, Iran
2- ACECR, Tehran, Iran
3- Center for Educational Research in Medical Sciences (CERMS), Tehran, Iran
Abstract: (3773 Views)
Objective (s): Since cultural competency is an important issue for health care professionals. The aim of this study was to develop and validate a questionnaire to assess the cultural competency for medical graduates.
Methods: first an item pool was s generated. Then the content and face validity was assessed by a panel of 15 experts familiar with clinical education and cultural competence. The structural validity of the questionnaire was assessed using the information obtained from 542 medical students working in medical centers in Tehran by exploratory factor analysis. The reliability of the questionnaire was assessed by examining internal consistency. Data were analyzed using SPSS software version 24.
Results: Out of 103 items generated after content validity 64 items remained. The structural validity of the questionnaire as assessed by the exploratory factor analysis led to removing 14 items. The final version of the questionnaire contained 50 items tapping into 8 factors that jointly explained 53.45% of variance observed. The Cronbach's alpha coefficient for the whole questionnaire was 0.96 and for the 8 factors ranged from 0.88 to 0.89.
Conclusion: The findings suggest that the Medical Science Graduates' Cultural Competency Questionnaire is a valid and reliable measure that can be used as an instrument to assess the cultural competency of medical students.
Methods: first an item pool was s generated. Then the content and face validity was assessed by a panel of 15 experts familiar with clinical education and cultural competence. The structural validity of the questionnaire was assessed using the information obtained from 542 medical students working in medical centers in Tehran by exploratory factor analysis. The reliability of the questionnaire was assessed by examining internal consistency. Data were analyzed using SPSS software version 24.
Results: Out of 103 items generated after content validity 64 items remained. The structural validity of the questionnaire as assessed by the exploratory factor analysis led to removing 14 items. The final version of the questionnaire contained 50 items tapping into 8 factors that jointly explained 53.45% of variance observed. The Cronbach's alpha coefficient for the whole questionnaire was 0.96 and for the 8 factors ranged from 0.88 to 0.89.
Conclusion: The findings suggest that the Medical Science Graduates' Cultural Competency Questionnaire is a valid and reliable measure that can be used as an instrument to assess the cultural competency of medical students.
type of study: Descriptive |
Received: 2019/08/8 | Accepted: 2020/07/29 | ePublished ahead of print: 2020/08/15 | Published: 2020/09/5
Received: 2019/08/8 | Accepted: 2020/07/29 | ePublished ahead of print: 2020/08/15 | Published: 2020/09/5
References
1. Naghizadeh Z, Abbas pour A, Ghiasi nodooshan S, Feiz M, Kuhpayehzadeh J. Conceptual Model of Medical Science Graduates, 5th International Conference on Psychology, Educational Sciences and Lifestyle, Qazvin, Takestan Institute of Higher Education- Payam Noor University of Qazvin, 2018[Persian]
2. Lee NVD, Fokkema JPI and Scheele FGeneric competencies in postgraduate medical training: their importance illustrated by a doctor’s narrative on competency-based practice. Zdravstveno varstvo 2012; 51: 280-284 [DOI:10.2478/v10152-012-0031-y]
3. Javadi MJ. Multicultural Education as a Approach to Education. Quarterly Journal of Education 2000; 63: 9-26 [Persian]
4. Naz Khezerloo S, mokhtari J. Cultural competency in nursing education: a review article. Journal of Medical Ethics and History of Medicine 2016; 8:21 [Persian]
5. Ito M, Lambert VA. Communication effectiveness of nurses working in a variety of settings within one large university teaching hospital in western Japan. Nurs Health Sciences.2002; 4: 149-153 [DOI:10.1046/j.1442-2018.2002.00120.x]
6. Dayer-Berenson L. Cultural competencies for nurses.2 th Edition, Philadelphia, Pennsylvania: Jones & Bartlett Publishers; 2013
7. Vega WA. Higher stakes ahead for cultural competence. Gen Hosp Psychiatry 2005; 27: 446-50 [DOI:10.1016/j.genhosppsych.2005.06.007]
8. Engebretson J, Mahoney J, Carlson ED. Cultural competence in the era of evidence-based practice. Professional Nursing 2008; 24: 172-8 [DOI:10.1016/j.profnurs.2007.10.012]
9. Shen Z. Cultural competence models and cultural competence assessment instruments in nursing: a literature review. Journal of Transcultural Nursing 2015; 26: 308-321 [DOI:10.1177/1043659614524790]
10. Kai J, Beavan J, Faull C, Dodson L, Gill P, Beighton A. Professional uncertainty and disempowerment responding to ethnic diversity in health care: a qualitative study. PLoS Medicine 2007; 4: 32 [DOI:10.1371/journal.pmed.0040323]
11. Kumas-Tan Z, Beagan B, Loppie C, MacLeod A, Frank B. Measures of cultural competence: examining hidden assumptions. Academi Medicin 2007; 82: 548-557 [DOI:10.1097/ACM.0b013e3180555a2d]
12. Lie DA, Boker J, Crandall S, DeGannes CN, Elliott D, Henderson P, et al. Revising the Tool for Assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus. Medical Education Online 2008; 1: 1-11 [DOI:10.3402/meo.v13i.4480]
13. Perng SJ, Watson R. Construct validation of the nurse cultural competence scale: A hierarchy of abilities. Journal of Clinical Nursing 2012; 21: 1678-684 [DOI:10.1111/j.1365-2702.2011.03933.x]
14. Moulder M. Senior nursing student level of preparation, attitudes, awareness, and competence in ethnocare. PhD thesis. Oakdale, New York: Dowling College; 2009
15. Balcazar FE, Suarez-Balcazar Y, Taylor-Ritzler T. Cultural competence: Development of a conceptual framework. Disability Rehabilitation.2009; 31: 1153-1160 [DOI:10.1080/09638280902773752]
16. Lawshe CH. A quantitative approach to content validity. Personnel Psychology 1975; 28: 563-575 [DOI:10.1111/j.1744-6570.1975.tb01393.x]
17. Ehlers LI. A validated model of the South African Labour Relations system: University of Pretoria; 2002
18. Hasanzadeh Rangi N, Allahyari T, Khosravi Y, Zaeri F. MS. Development of an Occupational Cognitive Failure Questionnaire(OCFQ): Evaluation validity and reliability. Iran Occupational Health 2012;9:29-40[Persian]
19. Yaghmaei F. [Measuring behavior in research by valid and reliable instruments]. 1st Edition, Shaheed Beheshti University of Medical Sciences and Health Services: Tehran, 2007
20. Polit DF, Beck CT, Owen SV. Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. Research in Nursing & Health 2007; 30: 459-467 [DOI:10.1002/nur.20199]
21. Hyrkas K, Schmidlechner KA, Oksa L. Validating on Instrument for Clinical Supervision using an Expert Panel. International Journal of Nnursing Studies 2003; 40:619-625 [DOI:10.1016/S0020-7489(03)00036-1]
22. 22- Saif AA. Measurment and Evaluation of Academic Achievement: 3th Edition. Agah Publisher: Tehran, 2003 [Persian]
23. Pallant J. SPSS survival manual: a step by step guide to data analysis using SPSS version 12. 1st Edition, New York : open university press inspection copies: New York, 2005
24. 24- Nunnally JC, Bernstein IH. Psychometric Theory. 3 Th Edition, Tata McGraw-Hill Education: New Delhi, 2010
25. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 4th Edition, New York: Harper Collins, 2001
26. Bernal H, Froman R. Influences on the cultural self-efficacy of community health nurses. Journal of Transcultural Nursing 1993;4:24-31 [DOI:10.1177/104365969300400205]
27. Quine A, Hadjistavropoulos D, Alberts NM. Cultural self-efficacy of Canadian nursing students caring for Aboriginal patients with diabetes. Journal of Transcultural Nursing 2012;23:306-312 [DOI:10.1177/1043659612441023]
28. Jeffreys MR, Smodlaka I. Steps of the instrument design process. An illustrative approach for nurse educators. Nurse Educator 1996;21:47-52 [DOI:10.1097/00006223-199611000-00012]
29. Jeffreys MR. Development and psychometric evaluation of the transcultural self-efficacy tool: a synthesis of findings. Journal of Transcultural Nursing 2000;11:127-136 [DOI:10.1177/104365960001100207]
30. Jeffreys MR, Smodlaka I. Construct validation of the transcultural self-efficacy tool. Journal of Nursing Education 1999;38:222-227 [DOI:10.1037/t65564-000]
31. Lim J, Downie J, Nathan P. Nursing students' self-efficacy in providing transcultural care. Nurse Education Today.2004;24:428-434 [DOI:10.1016/j.nedt.2004.04.007]
32. Larsen R, Reif L. Effectiveness of cultural immersion and culture classes for enhancing nursing students' transcultural self-efficacy. Journal of Nursing Education 2011;50:350-354 [DOI:10.3928/01484834-20110214-04]
33. Jeffreys MR, Dogan E. Factor analysis of the Transcultural Self-Efficacy Tool (TSET) Journal of Nursing Measurement 2010;18:120-139 [DOI:10.1891/1061-3749.18.2.120]
34. Campinha-Bacote J. Reported reliability and validity of the IAPCC-R. 2009, http://www.transculturalcare.net/iapcc-r.htm
35. Napholz L. A comparison of self-reported cultural competency skills among two groups of nursing students: implications for nursing education. Journal of Nursing Education 1999;38:81-83
36. Rew L, Becker H, Cookston J, Khosropour S, Martinez S. Measuring cultural awareness in nursing students. Journal of Nursing Education 2003;42:249-257 [DOI:10.3928/0148-4834-20030601-07]
37. Schim SM, Doorenbos AZ, Miller J, Benkert R. Development of a cultural competence assessment instrument. Journal of Nursing Measurement. 2003;11:29-40 [DOI:10.1891/jnum.11.1.29.52062]
38. Starr S, Wallace DC. Self-reported cultural competence of public health nurses in a Southeastern U.S. Public Health Department. Public Health Nursing 2009;26:48-57 [DOI:10.1111/j.1525-1446.2008.00753.x]
39. Brathwaite AC, Majumdar B. Evaluation of a cultural competence educational programme. Journal of Advanced Nursing 2006;53:470- 479 [DOI:10.1111/j.1365-2648.2006.03742.x]
40. Sealey LJ, Burnett M, Johnson G. Cultural competence of baccalaureate nursing faculty: are we up to the task? Journal of Cultural Diversity 2006;13:131-140
41. Kosoko-Lasaki O, Cook CT, O'Brien R, Kissell J, Purtilo R, Peak F. Promoting cultural proficiency in researchers to enhance the recruitment and participation of minority populations in research: development and refinement of survey instruments. Evaluation and Program Planning 2006;29:227-235 [DOI:10.1016/j.evalprogplan.2005.12.003]
42. Hughes KH, Hood LJ. Teaching methods and an outcome tool for measuring cultural sensitivity in undergraduate nursing students. Journal of Transcultural Nursing 2007;18:57-62 [DOI:10.1177/1043659606294196]
43. Loftin C, Hartin V, Branson M, Reyes H. Measures of cultural competence in nurses: an integrative review. Scientific World Journal 2013;2013:289101 [DOI:10.1155/2013/289101]
44. Lipson JG, DeSantis LA. Current approaches to integrating elements of cultural competence in nursing education. Journal of Transcultural Nursing 2007; 18: 10-20 [DOI:10.1177/1043659606295498]
45. Capell J, Veenstra G, Dean E. Cultural competence in healthcare: Critical analysis of the construct, its assessment and implications. Journal of Theory Construction & Testing 2007;11: 30-37
46. Brathwaite AC. Selection of a conceptual model/framework for guiding research interventions. The Internet Journal of Advanced Nursing Practice 2003; 6: 38-49 [DOI:10.5580/15ae]
47. Jeffreys MR. Teaching cultural competence in nursing and health care: Inquiry, action, and innovation. 1st Edition, Springer Publishing Company: Uk, 2015 [DOI:10.1891/9780826119971pany: Uk, 2015]
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |