Cultural diversity in health care settings can threaten the well-being of patients, their families, and health care providers. This psychometric study evaluated the construct validity of the recently developed four-factor, 43-item Critical Cultural Competence Scale (CCCS) which was designed to overcome the conceptual limitations of previously developed scales. The study was conducted in Canada with a random sample of 170 registered nurses. Comparisons with the Cultural Competence Assessment instrument, Scale of Ethnocultural Empathy, and Cultural Intelligence Scale provided mixed evidence of convergent validity. Modest correlations were found between the total scale scores suggesting that the CCCS is measuring a more comprehensive and conceptually distinct construct. Stronger correlations were found between the more conceptually similar subscales. Evidence for discriminant validity was also mixed. Results support use of the CCCS to measure health care providers’ perceptions of their critical cultural competence though ongoing evaluation is warranted.
AlmutairiA. F. (2012). A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in Saudi Arabian hospital (Doctoral dissertation). Queensland University of Technology, Brisbane, Australia.
2.
AlmutairiA. F.DahintenV. S. (2016). Factor structure of Almutairi’s Critical Cultural Competence Scale. Manuscript submitted for publication.
3.
AlmutairiA. F.DahintenV. S.RodneyP. (2015). Almutairi’s critical cultural competence model for a multicultural healthcare environment. Journal of Nursing Inquiry, 22, 317-325.
4.
AlmutairiA. F.GardnerG.McCarthyA. (2012). Perceptions of clinical safety climate of the multicultural nursing workforce in Saudi Arabia: A cross-sectional survey. Collegian Journal: The Australian Journal of Nursing Practice, Scholarship and Research, 20, 187-194.
5.
AlmutairiA. F.McCarthyA.GardnerG. (2014). Understanding cultural competence in a multicultural nursing workforce: Registered nurses’ experience in Saudi Arabia. Journal of Transcultural Nursing, 26(1), 16-23. doi:10.1177/1043659614523992
6.
AlmutairiA. F.RodneyP. (2013). Critical cultural competence for culturally diverse workforces: Toward equitable and peaceful health care. Advances in Nursing Science, 36, 200-212.
7.
AndersonJ. (2002). Toward a post-colonial feminist methodology in nursing research: Exploring the convergence of post-colonial and black feminist scholarship. Nurse Researcher, 9, 7-27.
8.
AndersonJ.PerryJ.BlueC.BrowneA.HendersonA.KhanK. B.. . . SmyeV. (2003). “Rewriting” cultural safety within the postcolonial and postnational feminist project: Toward new epistemologies of healing. Advances in Nursing Science, 26, 196-214.
9.
AndersonJ.RodneyP.Reimer-KirkhamS.BrowneA.KhanK.LynamM. (2009). Inequities in health and healthcare viewed through the ethical lens of critical social justice: Contextual knowledge for the global priorities ahead. Advances in Nursing Science, 32, 282-294.
10.
AndrewsP.MeyerR. G. (2003). Marlowe–Crowne Social Desirability Scale and short form C: Forensic norms. Journal of Clinical Psychology, 59, 483-492.
11.
AngS.DyneL. V.KohC.NgK. Y.TemplerK. J.TayC.ChandrasekarN. A. (2007). Cultural intelligence: Its measurement and effects on cultural judgment and decision making, cultural adaptation and task performance. Management and Organization Review, 3, 335-371.
12.
BallardR. (1992). Short forms of the Marlowe–Crowne Social Desirability Scale. Psychological Reports, 71, 1155-1160.
13.
BernalH.FromanR. (1987). The confidence of community health nurses in caring for ethnically diverse populations. Journal of Nursing Scholarship, 19, 201-203.
14.
BrowneA. J.SmyeV. L.VarcoeC. (2005). The relevance of postcolonial theoretical perspectives to research in aboriginal health. Canadian Journal of Nursing Research, 37, 16-37.
15.
Campinha-BacoteJ. (1999). A model and instrument for addressing cultural competence in health care. Journal of Nursing Education, 38, 203-207.
16.
Campinha-BacoteJ. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13, 181-184.
17.
CrowneD. P.MarloweD. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology, 24, 349-354.
18.
DoorenbosA. Z.SchimS. M.BenkertR.BorseN. N. (2005). Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. Nursing Research, 54, 324-331.
19.
FurrR. M.BacharachV. R. (2008). Psychometrics: An introduction. Thousand Oaks, CA: SAGE.
20.
Jibaja-RusthM. L.KingeryJ.HolcombD.BrucknerW. P.PruittR. E. (1994). Development of a multicultural sensitivity scale. Journal of Health Education, 25, 350-357.
21.
KhanK. B.McDonaldH.BaumbuschJ. L.KirkhamS. R.TanE.AndersonJ. M. (2007). Taking up postcolonial feminism in the field: Working through a method. Women’s Studies International Forum, 30, 228-242.
22.
Kumas-TanZ.BeaganB.LoppieC.MacLeodA.FrankB. (2007). Measures of cultural competence: Examining hidden assumptions. Academic Medicine, 82, 548-557.
23.
LooR.ThorpeK. (2000). Confirmatory factor analyses of the full and short versions of the Marlowe–Crowne Social Desirability Scale. The Journal of Social Psychology, 140, 628-635.
24.
MacKenzieS. B.PodsakoffP. M.PodsakoffN. P. (2011). Construct measurement and validation procedures in MIS and behavioral research: Integrating new and existing techniques. Management Information System Quarterly, 35, 293-334.
25.
MartinM. M.AndersonC. M. (1998). The Cognitive Flexibility Scale: Three validity studies. Communication Reports, 11(1), 1-9.
26.
MartinM. M.RubinR. B. (1995). A new measure of cognitive flexibility. Psychological Reports, 76, 623-626.
27.
MotwaniJ.HodgeJ.CramptonS. (1995). Managing diversity in the health care industry: A conceptual model and an empirical investigation. Health Care Supervisor, 13, 16-23.
28.
PolitD. F.BeckC. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
29.
Pope-DavisD. B.ReynoldsA. L.DingsJ. G.OttaviT. M. (1994). Multicultural competencies of doctoral interns at university counseling centers: An exploratory investigation. Professional Psychology: Research and Practice, 25, 466-470.
30.
RamsdenI. M. (2002). Cultural safety and nursing education in Aotearoa and Te Waipounamu (Doctoral dissertation). Victoria University of Wellington, New Zealand.
31.
Reimer-KirkhamS.BaumbuschJ. L.SchultzA.AndersonJ. M. (2007). Knowledge development and evidence-based practice: Insights and opportunities from a postcolonial feminist perspective for transformative nursing practice. Advances in Nursing Science, 30, 26-40.
32.
ReynoldsW. M. (1982). Development of reliable and valid short forms of the Marlowe–Crowne Social Desirability Scale. Journal of Clinical Psychology, 38, 119-125.
33.
RodneyP.VarcoeC. (2012). Constrained agency: The social structure of nurses’ work. In BaylisF.DownieJ.HoffmasterB.SherwinS. (Eds.), Health care ethics in Canada (pp. 97-114). Toronto, Ontario, Canada: Nelson Education.
34.
RoodaL. A. (1993). Knowledge and attitudes of nurses toward culturally different patients: Implications for nursing education. Journal of Nursing Education, 32, 209-213.
35.
TangS. Y.BrowneA. J. (2008). “Race” matters: Racialization and egalitarian discourses involving Aboriginal people in the Canadian health care context. Ethnicity & Health, 13, 109-127.
36.
TrochimW.DonnellyJ.AroraK. (2015). Research methods: The essential knowledge base. Belmont, CA: Cengage Learning.
37.
WangY.-W.DavidsonM. M.YakushkoO. F.SavoyH. B.TanJ. A.BleierJ. K. (2003). The Scale of Ethnocultural Empathy: Development, validation, and reliability. Journal of Counseling Psychology, 50, 221-234.
