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간호사의 범문화효능감 측정도구 개발 및 타당화

Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses
JKAN(대한간호학회지) 제46권 제2호, 2016.4, 293-304 (12 pages)
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초록
Purpose: This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSEscale) for nurses. Methods: Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity. Results: The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach’s alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability. Conclusion: This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

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  2. National Archives of Korea. Multicultural family policy basics plan [Internet]. Daejeon: Author; 2014 [cited 2015 July 22]. Available from: http://archives.go.kr/next/search/listSubjectDescription. do?id=009210.

  3. Statistics Korea. 2014 foreigner labour force survey [Internet]. Daejeon: Author; 2014 [cited 2014 October 23]. Available from: http://kostat.go.kr/portal/korea/kor_ko/5/2/index.board?bmode =read&aSeq=331368.

  4. Ministry of Health and Welfare, Korea Health Industry Development Institute. Result of attract foreign patients [Internet]. Sejong: Ministry of Health and Welfare; 2014 [cited 2015 June 15]. Available from: http://www.google.co.kr/url?url=http://download. mohw.go.kr/front_new/modules/download.jsp%3FBOARD_ ID%3D140%26CONT_SEQ%3D300750%26FILE_SEQ%3D154218 &rct=j&frm=1&q=&esrc=s&sa=U&ved=0ahUKEwjUvZvGytn- LAhWjF6YKHXxVBYoQFggZMAE&usg=AFQjCNEAL-BTY17- ouXy-sS0e8OV45nyhgQ.

  5. Maurer FA, Smith CM. Community/public health nursing practice: Health for families and populations. 4th ed. St. Louis, MO: Saunders; 2009.

  6. Giger JN, Davidhizar R. Culturally competent care: Emphasis on understanding the people of Afghanistan, Afghanistan Americans, and Islamic culture and religion. International Nursing Review. 2002;49(2):79-86. http://dx.doi.org/10.1046/j.1466-7657.2002.00118.x

  7. Leininger M, McFarland MR. Transcultural nursing: Concepts, theories, research, and practice. 3rd ed. New York, NY: McGraw -Hill Education; 2002.

  8. Majumdar B, Browne G, Roberts J, Carpio B. Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. Journal of Nursing Scholarship. 2004;36(2):161-166. http://dx.doi.org/10.1111/j.1547-5069.2004.04029.x

  9. Jeffreys MR. Development and psychometric evaluation of the transcultural self-efficacy tool: A synthesis of findings. Journal of Transcultural Nursing. 2000;11(2):127-136. http://dx.doi.org/10.1177/104365960001100207

  10. Jeffreys MR, Dogan E. Factor analysis of the transcultural selfefficacy tool (TSET). Journal of Nursing Measurement. 2010; 18(2):120-139. http://dx.doi.org/10.1891/1061-3749.18.2.120

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