Psychometric Evaluation of the Swedish Adaptation of the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals—Revised (IAPCC-R)
Restricted accessResearch articleFirst published online January, 2010
Psychometric Evaluation of the Swedish Adaptation of the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals—Revised (IAPCC-R)
The purpose of this study was to describe the translation, adaption, and psychometric evaluation process in relation to validity and reliability of the Swedish version of the instrument, Inventory for Assessing The Process of Cultural Competence Among Healthcare Professionals—Revised (IAPCC-R) following the translation, adaptation, and psychometric evaluation process. Validity tests were conducted on the response processes (N = 15), the content (N = 7), and the internal structure of the instrument (N = 334). Reliability (α = .65 for the total scale varying between -.01 and .65 for the different subscales) was evaluated in terms of internal consistency. Results indicated weak validity and reliability though it is difficult to conclude whether this is related to adaptation issues or the original construction.The testing of the response process identified problems in relation to respondents’ conceptualization of cultural competence. The test of the content identified a weak correspondence between the items and the underlying model. In addition, a confirmatory factor analysis did not confirm the proposed structure of the instrument. This study concludes that this instrument is not valid and reliable for use with a Swedish population of practicing nurses or nursing students.
Ahmad, W. ( 1996). The trouble with culture. In D. Kelleher & S. M. Hillier (Eds.), Researching cultural differences in health (pp. viii, 244). London: Routledge.
2.
Bäärnhielm, S. ( 2003). Clinical encounters with different illness realities: Qualitative studies of illness meaning and restructuring of illness meaning among two cultural groups of female patients in a multicultural area of Stockholm. Unpublished doctoral dissertation, Karolinska Institutet , Stockholm.
3.
Beaton, D.E., Bombardier, C., Guillemin, F., & Ferraz, M.B. ( 2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25, 3186-3191.
4.
Bernal, H., & Froman, R. ( 1987). The confidence of community health nurses in caring for ethnically diverse populations. Image: Journal of Nursing Scholarship, 19, 201-203.
5.
Brathwaite, A.C. ( 2005). Evaluation of a cultural competence course. Journal of Transcultural Nursing, 16, 361-369.
6.
Brathwaite, A.C., & Majumdar, B. ( 2006). Evaluation of a cultural competence educational programme . Journal of Advanced Nursing, 53, 470-479.
7.
Brown, T.A. ( 2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
8.
Campinha-Bacote, J. ( 1999). A model and instrument for addressing cultural competence in health care. Journal of Nursing Education, 38, 203-207.
9.
Campinha-Bacote, J. ( 2003a). The process of cultural competence in the delivery of healthcare services: A culturally competent model of care (4th ed.). Cincinnati, OH: Transcultural C.A.R.E.
10.
Campinha-Bacote, J. ( 2003b). Many faces: Addressing diversity in health care. Online Journal of Issues in Nursing, 8(1), 11.
11.
Clark, L.A., & Watson, D. ( 1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309-319.
12.
Conrad, F., & Blair, J. ( 1996). From impression to data: Increasing the objectivity of cognitive interviews. In N. Clyde Tucker (Chair) Proceedings of the Survey Research Methods Section of the American Statistical Association (pp. 1-10). Alexandria, VA: American Statistical Association.
13.
Emami, A. ( 2000). We are deaf, though we hear; we are dumb, though we talk; we are blind, though we see. Understanding Iranian late-in-life immigrants’ perceptions and experiences of health, illness and culturally appropriate care. Unpublished doctoral dissertation, Karolinska Institutet , Stockholm.
14.
Emami, A., Benner, P., & Ekman, S.L. ( 2001). A sociocultural health model for late-in-life immigrants . Journal of Transcultural Nursing, 12, 15-24.
15.
Gebru, K., & Willman, A. ( 2003). A research-based didactic model for education to promote culturally competent nursing care in Sweden. Journal of Transcultural Nursing, 14, 55-61.
16.
Geisinger, K. ( 1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments . Psychological Assessment, 6, 304-312.
Goodwin, L.D. ( 2002). Changing conceptions of measurement validity: An update on the new standards. Journal of Nursing Education, 41(3), 100-106.
19.
Gorsuch, R. ( 1983). Factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
20.
Henriksson, M. ( 2006). Cultural competence in Swedish primary care: Are some providers more prone to be culturally competent than others?Unpublished master’s thesis, Växjö University , Sweden.
21.
Ho, M.J., & Lee, K.L. ( 2007). Reliability and validity of three cultural competency measures. Medical Education, 41, 519.
22.
Jeffreys, M.R. ( 2000). Development and psychometric evaluation of the Transcultural Self-Efficacy Tool: A synthesis of findings. Journal of Transcultural Nursing, 11, 127-136.
23.
Jöreskog, K.G. ( 2005). Structural equation modelling with ordinal variables using LISREL (Rev. ed.). Retrieved June 11, 2007, from http://www.ssicentral.com/lisrel/techdocs/ordinal.pdf
24.
Kim-Godwin, Y.S., Clarke, P.N., & Barton, L. ( 2001). A model for the delivery of culturally competent community care. Journal of Advanced Nursing, 35, 918-925.
25.
Leininger, M., & McFarland, M.R. (2002). Transcultural nursing: Concepts, theories, research and practice (3rd ed.). New York: McGraw-Hill.
26.
Lundberg, P.C. ( 2000). Cultural care of Thai immigrants in Uppsala: A study of transcultural nursing in Sweden. Journal of Transcultural Nursing, 11, 274-280.
27.
Maneesriwongul, W., & Dixon, J.K. ( 2004). Instrument translation process: a methods review. Journal of Advanced Nursing, 48, 175-186.
28.
Polit, D.F., & Beck, C.T. ( 2004). Nursing research: Principles and methods (7th ed.). Philadelphia: Lippincott Williams & Wilkins.
29.
Purnell, L.D., & Paulanka, B.J. (2003). Transcultural health care: A culturally competent approach. Philadelphia: F. A. Davis.
30.
Sargent, S.E., Sedlak, C.A., & Martsolf, D.S. (2005). Cultural competence among nursing students and faculty. Nurse Education Today, 25, 214-221.
31.
Schim, S.M., Doorenbos, A.Z., Miller, J., & Benkert, R. ( 2003). Development of a cultural competence assessment instrument . Journal of Nursing Measurement, 11, 29-40.
32.
Spector, P.E. ( 1992). Summated rating scale construction: An introduction. Newbury Park, CA: Sage.
33.
Spencer, W., & Cooper Brathwaite, A. (2003). Testing the reliability and validity of Campinha-Bacote’s inventory for assessing the process of cultural competence among healthcare professionals-revised. Unpublished manuscript, University of Toronto, Ontario, Canada.
34.
Sudman, S., Bradburn, N.M., & Schwarz, N. ( 1996). Thinking about answers: The application of cognitive processes to survey methodology. San Francisco: Jossey-Bass.
35.
Vito, K., Roszkowski, M., & Wieland, D. ( 2005, September). Measuring cultural competence as a curriculum outcome: What we learned from our experiences with two tools. Paper presented at the National League for Nursing (NLN) Education Summit, Baltimore, MD.
