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The Spanish version of the Cultural Competence Assessment (CCA-S): Transcultural validation study and proposed refinement.

Abstract：

BACKGROUND:Cultural competence (CC) is becoming an essential component of healthcare professionals. There is a gap in the research evaluating CC in order to develop competency-based approach programs. Spain has become a multicultural society and it is necessary to evaluate and promote CC attitudes to reduce the disparity of care for vulnerable and minority groups. OBJECTIVES:To adapt and validate the Cultural Competence Assessment (CCA) of Schim et al. (2003), to get evidence-based data of CC in Spanish healthcare professionals. METHOD:A process of translation/back-translation and cultural adaptation was carried out in accordance with international standards. An on-line cross-sectional survey questionnaire was used. Statistical and metrical analysis was based in a sample of 568 healthcare professionals who worked daily with patients in a health care institution in South Catalonia in 2018. RESULTS:The results of the exploratory factorial analysis and subsequent confirmatory analysis showed that the data had an adequate fit for a four-factor model. The reliability analysis results confirm an acceptable consistency for each subscale: active behaviour (0.86), seeking information (0.86), awareness (0,94), and sensitivity (0.69). ANOVA showed no differences between healthcare professionals, age and gender. The scores showed a normal distribution and it was proposed a standardization of scores. CONCLUSIONS:The translation and transcultural-validation process of the CCA resulted in a Spanish-language for the 25 items, like the original. The psychometric analysis proved that the Spanish version is a reliable and valid instrument. This scale is going to be useful to analyze healthcare professional's attitudes to create effectiveness training programs focused on specific needs. The four-factor model and the standardization of the scores will be useful to achieve future objectives about research in cultural competence in healthcare professionals.

journal_name

Nurse Educ Today

journal_title

Nurse education today

authors

Raigal-Aran L,Ferré-Grau C,Belzunegui-Eraso A

doi

10.1016/j.nedt.2018.10.011

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

47-53

eissn

0260-6917

issn

1532-2793

pii

S0260-6917(18)30877-3

journal_volume

pub_type

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The Spanish version of the Cultural Competence Assessment (CCA-S): Transcultural validation study and proposed refinement.