Korean J Adult Nurs.  2015 Aug;27(4):472-479. 10.7475/kjan.2015.27.4.472.

Reliability and Validity of a Korean Version of the Cultural Awareness Scale (K-CAS)

• Choi H
• Suh EE
• Park C
• Park J
• Fernandez

• KMID: 2421532
• DOI: http://doi.org/10.7475/kjan.2015.27.4.472

Abstract

Few instruments are available to measure nurses' perceptions of cultural competence in South Korea. Furthermore, the equivalence of factors between original and translated instruments has not been evaluated. The specific aims of this study were to identify the validity and reliability of a Korean version of the Cultural Awareness Scale (K-CAS) and to evaluate the equivalence of factors between the original CAS and the K-CAS. A total of 515 nursing students completed the 26-item K-CAS, 28-item Caffrey Cultural Competence in Healthcare Scale (CCCHS), and eight-item Openness to Diversity and Challenge Scale (ODCS). The K-CAS exhibited good reliability (alpha=.83) and construct validity by correlating with the CCCHS (r=.344, p<.001) and ODCS (r=.394, p<.001). Confirmatory factor analysis results of the K-CAS confirmed the same factor structure as the original CAS. The K-CAS could be a useful tool to assess the concept of cultural competence among nursing students and nurses.

MeSH Terms

Cultural Competency
Delivery of Health Care
Education
Factor Analysis, Statistical
Humans
Korea
Nursing
Reproducibility of Results*
Students, Nursing

Reference

1.Ministry of Public Administration and Security. Local government report: statistics on foreign residents [Internet]. Seoul: Ministry of Public Administration and Security;2012. [cited 2014 January 16]. Available from:. http://www.mogaha.go.kr/frt/bbs/type001/commonSelectBoardArticle.do?bbsId=BBSMSTR_000000000014&nttId=42492.

2.Kim JH., Kim CK., Song MR., Han SH., Jang DH. A rural and agricultural vision and tasks by 2030/2050 [Internet]. Seoul: Korea Rural Economic Institute;2010. [cited 2013 September 23]. Available from:. http://www.krei.re.kr/web/www/23?p_p_id=EXT_BBS&p_p_lifecycle=0&p_p_state=normal&p_p_mode=view&_EXT_BBS_struts_action=%2Fext%2Fbbs%2Fview_message&_EXT_BBS_messageId=2881.

3.Ministry of Health and Welfare. 2012 statistics on foreign patients [Internet]. Seoul: Ministry of Health and Welfare;2013. [cited 2013 September 16]. Available from:. https://stat.mw.go.kr/front/customer/custBoardView.jsp?menuId=28&bbsSeq=15&nttSeq=20866&nPage=1&searchKey=&searchWord=.

4.Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: a model of care. Journal of Transcultural Nursing. 2002. 136:181–4. http://dx.doi.org/10.1177/10459602013003003.

5.Campinha-Bacote J. Delivering patient-centered care in the midst of a cultural conflict: the role of cultural competence. OJIN: The Online Journal of Issues in Nursing. 2011. 16(2):): Manuscript 5.http://dx.doi.org/10.3912/OJIN.Vol16No02Man05.

6.Oh WO. Factors influencing cultural sensitivity among nursing students. Child Health Nursing Research. 2013. 17(4):222–9. http://dx.doi.org/10.4094/jkachn.2011.17.4.222.

7.Park SH., Lee JH., Kim EJ. Effects of the multicultural program on the promotion of cultural sensitivity in college students. Korean Journal of Youth Studies. 2011. 18(6):123–45.

8.Kim Y., Lee JY., Cho SH. An explorative study of perceived cultural competency of medical social workers in Korea. Health and Social Welfare Review. 2011. 31(3):251–83.

9.Chae DH., Park YH., Kang KH., Lee TH. A study on factors affecting cultural competency of general hospital nurses. Journal of Korean Academy of Nursing Administration. 2012. 18(1):76–86. http://dx.doi.org/10.11111/jkana.2012.18.1.76.

10.Yang SO., Kwon MS., Lee SH. The factors affecting cultural competency of visiting nurses and community health practitioners. Journal of Korean Academy Community Health Nursing. 2012. 23:286–95. http://dx.doi.org/10.12799/jkachn.2012.23.3.286.

11.Choi HJ. Exploratory study on experience in multiculture and cultural competence of service providers in multicultural settings. Mental Health & Social Work. 2011. 37:405–39.

12.Song Y. The relationship between human rights attitudes, multicultural competence and service quality of multicultural centers'workers. [dissertation]. Seoul: Seoul Christian University;2012.

13.Cuevas MC. Cultural competence, cultural awareness and attitudes of social work students. [dissertation]. Austin, Texas: University of Texas at Austin;2002.

14.Lum D. Cultural competent practice: a framework for understanding diverse groups and justice issues. 4th ed.Belmont, CA: Books/Cole, Cengage Learning;2003.

15.Cafferey RA., Neander W., Markle D., Stewart B. Improving the cultural competence of nursing student: results of integrating cultural content in the curriculum and an international immersion experience. Journal of Nursing Education. 2005. 44(5):234–40.

16.Choi SY. A study on the development of cultural competence measures for helping professions. Journal of Community Welfare. 2010. 35:22–53.

17.Nho CR., Kim JH. Development of Korean cultural competency scale for human service workers. Korean Journal of Social Welfare. 2011. 63:207–31.

18.Rew L., Cookston J., Khosropour S., Martinez S. Measuring cultural awareness in nursing students. Journal of Nursing Education. 2003. 42(6):249–57.

19.Krainovich-Miller B., Yost JM., Norman RG., Auerhahn C., Do-bal M., Rosedale M, et al. Measuring cultural awareness of nursing students. Journal of Transcultural Nursing. 2008. 19(3):250–8. http://dx.doi.org/10.1177/1043659608317451.

20.Pascarella E., Edison M., Nora A., Hagedorn LS., Terenzini PT. Influences on students'openness to diversity and challenge in the first year of college. The Journal of Higher Education. 1996. 67(2):174–95. http://dx.doi.org/10.2307/2943979.

21.Sanner S., Baldwin D., Cannella KA., Charles J., Parker L. The impact of cultural diversity forum on students'openness to diversity. Journal of Cultural Diversity. 2010. 17(2):56–61.

22.Barkley A., Boone K., Holloway ZW. Openness to diversity and challenge: assessment of undergraduate attitudes and experiences in the college of agriculture at Kansas state university [Internet]. Paper presented at: The annual meeting of the American Agricultural Economics Association. 2005. ;Providence, RI. [cited 2013 September 23]. Available from:. http://ageconsearch.umn.edu/bitstream/19299/1/sp05ba13.pdf.

23.Floyd FJ., Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment. 1995. 7(3):286–99. http://dx.doi.org/10.1037/1040-3590.7.3.286.

24.Schmitt TA. Current methodological considerations in exploratory and confirmatory factor analysis. Journal of Psychoeducational Assessment. 2011. 29(4):304–21. http://dx.doi.org/10.1177/0734282911406653.

25.Knafl K., Deatrick J., Gallo A., Holcombe G., Bakitas M., Dixon J, et al. The analysis and interpretation of cognitive interviews for instrument development. Research in Nursing & Health. 2007. 30(2):224–34. http://dx.doi.org/10.1002/nur.20195.

26.Willis GB., Royston P., Bercini D. The use of verbal report methods in the development and testing of survey questionnaires. Applied Cognitive Psychology. 1991. 5:251–67. http://dx.doi.org/10.1002/acp.2350050307.

27.Drennan J. Cognitive interviewing verbal data in the design and pretesting of questionnaires. Journal of Advanced Nursing. 2003. 42(1):57–63. http://dx.doi.org/10.1046/j.1365-2648.2003.02579.x.

28.Wrigley CS., Neuhaus JO. The matching of two sets of factors. American Psychologist. 1955. 10:418–9.

29.Mclntosh CN. Rethinking fit assessment in structural equation modelling: a commentary and elaboration on Barrett on Barrett. Personality and Individual. Personality and Individual Differences. 2007. 42(5):859–67. http://dx.doi.org/10.1016/j.paid.2006.09.020.

30.Kim HY. The prospect and task of policy for multicultural families. Proceedings of the Present and Future of Multicultural Society and Policy Symposium. 2014. September 19; Seoul Korea: Korean Association for Multicultural Society. 2014. 51–71.

31.Oh KS. Exploring changes in Korea's multicultural policy. Proceedings of the Present and Future of Multicultural Society and Policy Symposium. 2014. September 19; Seoul, Korea: Korean Association for Multicultural Society. 2014. 25–39.

32.Choi SY. A study on the antecedent factors affecting helping professions'cultural competence: focusing on social workers, teachers, nurses, and social work civil servants. Korean Journal of Social Welfare. 2012. 64(2):5–29.