Abstract:
BACKGROUND:Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural competence have been developed, their measurement properties have not yet been reviewed systematically. Such an overview of existing instruments, however, would allow researchers to identify the most valid and reliable instrument for nursing practice. OBJECTIVE:The purpose of conducting this review is to identify and critically appraise the psychometric properties of instruments used to measure the cultural competence of nurses. METHODS:A systematic literature search was performed in November 2019 in the following electronic databases: Cumulative Index of Nursing and Allied Health Literature, Embase, PsycINFO and PubMed. Studies that were conducted to assess any measurement property of instruments used to measure the cultural competence of nurses were included. Two reviewers independently screened the articles and assessed the risk of bias using the COnsensus-based Standards for the selection of health Measurement INstruments checklist. The quality of included instruments was assessed on the basis of the updated criteria for good measurement properties, and the quality of the summarised results was graded based on the principles of Grading of Recommendations Assessment, Development and Evaluation. RESULTS:In total, 44 studies describing 21 instruments were included in this study. We found that most instruments were tested for at least some forms of validity, but seldom for reliability. The quality of the psychometric properties was evaluated using the criteria for good measurement properties for the following: content validity, structural validity, internal consistency, reliability, measurement error and construct validity. No studies were found in which cross-cultural validity, criterion validity, or the responsiveness of the included instruments were evaluated. The Transcultural Self-Efficacy Tool, the Cultural Competence Assessment, and the Cultural Competence Health Practitioner Assessment showed sufficient levels of quality for psychometric properties and can be recommended for the assessment of cultural competence in nurses. CONCLUSION:Given the broad availability of self-administered instruments to assess cultural competence, the development of new instrument is not recommended. A particular need was identified to conduct further psychometric evaluation studies on existing instruments and to adapt them accordingly, and especially on less frequently evaluated properties, such as reliability, measurement error and responsiveness.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Osmancevic S,Schoberer D,Lohrmann C,Großschädl Fdoi
10.1016/j.ijnurstu.2020.103789subject
Has Abstractpub_date
2021-01-01 00:00:00pages
103789eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30275-3journal_volume
113pub_type
杂志文章,评审abstract:OBJECTIVE:Investigating the effectiveness of the Lively Legs program for promoting adherence with ambulant compression therapy and physical exercise as well as effects on leg ulcer recurrence. DESIGN:A randomized controlled trial. SETTING:Eleven outpatient clinics for dermatology in the Netherlands participated in th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2011.09.005
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Parents with young children often worry about whether or not to seek medical help for a sick child. Previous research identified parents' anxieties surrounding help seeking from health services but did not explore or explain the underlying psychosocial processes taking place in families at these times. OBJE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.11.007
更新日期:2013-06-01 00:00:00
abstract::In this paper, issues in Internet recruitment of ethnic minorities in the US are explored through an analysis of an Internet survey study. The issues include those related to: (a) the difficulties in ensuring authenticity; (b) a lack of cooperation by gate keepers; (c) the flexibility required in the recruitment proce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.01.002
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care par...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103574
更新日期:2020-03-14 00:00:00
abstract:BACKGROUND:Patients with acute myocardial infarction (AMI) are at high risk for reinfarction and death. Therapies that have been shown to reduce these risks (secondary prevention) continue to be underutilized. Nurse practitioners are well positioned to provide secondary prevention during and following hospitalization. ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.04.004
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:The informal caregivers perceive lack of choice to take on the role of caregiving, receiving little or no preparation for the caregiving role at home. The typical informal caregiver is female, either a spouse or adult child of the care recipient, and seldom shares the responsibilities of caregiving with othe...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.08.021
更新日期:2008-02-01 00:00:00
abstract::This study queried 508 persons diagnosed with multiple sclerosis (MS) regarding what conditions made performing their work or tasks 'difficult' and 'easier'. The subjects represented four groups: employed outside the home, homemakers, unemployed, and retired. Their written responses were content analysed. Conditions r...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(89)90017-5
更新日期:1989-01-01 00:00:00
abstract::A recent study found that intermediate care in a nursing-led in-patient unit (NLIU) led to dramatically increased hospital stay when compared to usual care in a hospital. This is despite a large body of work across a variety of settings, including the pilot for that same study, which suggests that the NLIU is effectiv...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00068-1
更新日期:2000-06-01 00:00:00
abstract::The purpose of this study was to describe the context and relational aspects that characterize male caregiving. The sample comprised 323 older husbands caring for their wives in Quebec (Canada). Nearly 60% of them spent at least 84 h/week caregiving and about 40% regularly performed personal care and instrumental task...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.07.007
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:The approach and style of leaders is known to be an important factor influencing the translation of research evidence into nursing practice. However, questions remain as to what types of roles are most effective and the specific mechanisms through which influence is achieved. OBJECTIVES:The aim of the study...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2018.09.017
更新日期:2019-02-01 00:00:00
abstract::The use of restraints in hospitalised elderly people is a contentious but poorly-documented issue and many gaps remain in the literature. Despite the growth of the elderly population, there has been little attempt to safeguard their rights in relation to appropriate care whilst in hospital. Furthermore, little is know...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(95)00046-1
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Early miscarriage has been conceptualised as loss and bereavement where nurses are urged to provide sympathetic, psychological care for women. However, the reality of women's experience is also about blood, 'dirt' and failure which are under explored in the literature. OBJECTIVE:To explore the management an...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.10.011
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The detection of common mental disorders in humanitarian crisis settings requires a screening tool that is feasible to use as well as sensitive and specific. The Self-Report Questionnaire, developed by the World Health Organization in 1994 to detect presence or absence of common mental health dis...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.04.003
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Fatigue is the most common symptom experienced by cancer patients. However, longitudinal studies of changes in the severity and predictors of fatigue are limited. OBJECTIVES:The purposes of this study were to evaluate changes in fatigue severity in women with breast cancer prior to and for twelve months aft...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.003
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Positive aspects of caring are commonly cited by carers and can potentially mediate carer strain. However, in outcome assessment for carers, it is still common practice to focus on the negative aspects of caring. This study explored the feasibility and validity of including positive items in a ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.12.015
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:To investigate the effectiveness of a risk assessment system in reducing the risk of violence in an acute care hospital in the Canadian province of British Columbia. METHODS:Hospital violence incident rates (number of incidents/100,000 work hours) were calculated and compared pre, during and post implementa...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.10.006
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Oral health of nursing home residents is generally poor, with severe consequences for residents' general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. In...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.05.003
更新日期:2017-08-01 00:00:00
abstract::Critical care nursing is an area of policy concern with respect to staffing projections, skill mix and educational preparation in both Canada and Australia. Despite many similarities between the health systems of these two countries, differences exist in both undergraduate and graduate specialty nursing education. In ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2007.06.006
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Occupational stress in nursing has frequently been considered in nursing literature. The operationalization of job demands in different work settings and its relation to distress have been discussed to identify significant interactions with job resources. In this study, job demands were define...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.10.003
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVES:To identify recommendations for determining patient panel/caseload size for nurse practitioners in community-based primary health care settings. DESIGN:Scoping review of the international published and grey literature. DATA SOURCES:The search included electronic databases, international professional and go...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.07.019
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Sickness absence is high in healthcare and contributes to nursing staff shortages reducing the efficiency and quality of patient care. Assessing the risk of sickness absence in working nurses opens opportunities for preventive strategies. Job satisfaction has attracted much attention in healthcare research a...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.09.012
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Due to worldwide nursing shortages and difficulty retaining staff, long shifts for nursing staff (both registered nurses and nursing assistants) working in hospitals have been adopted widely. Because long shifts reduce the daily number of shifts from three to two, many assume that long shifts improve product...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103702
更新日期:2020-06-30 00:00:00
abstract:BACKGROUND:Against the backdrop in the western world of increasing prevalence of chronic disease, active and informed patients and a policy emphasis on self-management, this English study explored health professionals' responses to expert patients. OBJECTIVES:To: DESIGN:A grounded theory approach was utilised with tw...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.10.011
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.019
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Prenatal maternal stress is associated with adverse birth outcomes. Few studies have been published on the effectiveness of relaxation techniques focusing on women with preterm labour. OBJECTS:The object of this study was to examine the effectiveness of a relaxation training program on pregnancy outcomes in...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.09.007
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2014.01.015
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:International studies have shown that motivation and career considerations related to nursing reveal that the decision is determined by a multitude of factors, generally distinguishing between the extrinsic and intrinsic rewards and work values. Although changing values seem to be important with greater emph...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.05.011
更新日期:2012-10-01 00:00:00
abstract::The objective of this systematic review is to provide healthcare professionals with information to assist in their decision to utilize reminiscence therapy for depression reduction in older adults outside of the primary care setting. Nine reviewed studies that were randomized controlled trials not only varied in perso...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(02)00101-3
更新日期:2003-05-01 00:00:00
abstract::Lymphoma patients who require high dose chemotherapy are 'rescued' by reinfusion of stem cells to repopulate their bone marrow and minimise the risk of fatal infections or haemorrhage. This review evaluated the evidence for the use of stem cells derived from the peripheral blood to speed the engraftment of neutrophil ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2005.01.007
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To describe the symptom experience of hospitalised Chinese children and adolescents and examine the relationship of symptoms to pre-hospital factors and child behaviour. METHODS:Data were collected at two hospital sites in Hong Kong (HK) and at five hospitals in the Chinese Mainland (CM). A total of 307 hospit...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.02.001
更新日期:2004-08-01 00:00:00