PDF(Pubmed)
Abstract：
OBJECTIVE: This study was conducted to develop a cultural competence scale for nurses regarding the lesbian, gay, bisexual, and transgender (LGBT) community and to test its validity and reliability.
METHODS: The study adhered to the 8-step process outlined by DeVellis, with an initial set of 25 items derived through a literature review and individual interviews. Following an expert validity assessment, 24 items were validated. Subsequently, a preliminary survey was conducted among 23 nurses with experience caring for LGBT patients. Data were then collected from a final sample of 322 nurses using the 24 items. Item analysis, item-total score correlation, examination of construct and convergent validity, and reliability testing were performed.
RESULTS: The item-level content validity index exceeded .80, and the explanatory power of the construct validity was 63.63%. The factor loadings varied between 0.57 and 0.80. The scale comprised five factors: cultural skills, with seven items; cultural awareness, with five items; cultural encounters, with three items; cultural pursuit, with three items; and cultural knowledge, with three items; totaling 21 items. Convergent validity demonstrated a high correlation, affirming the scale\'s validity. Internal consistency analysis yielded an overall reliability coefficient of 0.97, signifying very high reliability. Each item is scored from 1 to 6 (total score range, 21-126), with higher scores reflecting greater cultural competence in LGBT care.
CONCLUSIONS: This scale facilitates the measurement of LGBT cultural competence among nurses. Therefore, its use should provide foundational data to support LGBT-focused nursing education programs.
METHODS: The study adhered to the 8-step process outlined by DeVellis, with an initial set of 25 items derived through a literature review and individual interviews. Following an expert validity assessment, 24 items were validated. Subsequently, a preliminary survey was conducted among 23 nurses with experience caring for LGBT patients. Data were then collected from a final sample of 322 nurses using the 24 items. Item analysis, item-total score correlation, examination of construct and convergent validity, and reliability testing were performed.
RESULTS: The item-level content validity index exceeded .80, and the explanatory power of the construct validity was 63.63%. The factor loadings varied between 0.57 and 0.80. The scale comprised five factors: cultural skills, with seven items; cultural awareness, with five items; cultural encounters, with three items; cultural pursuit, with three items; and cultural knowledge, with three items; totaling 21 items. Convergent validity demonstrated a high correlation, affirming the scale\'s validity. Internal consistency analysis yielded an overall reliability coefficient of 0.97, signifying very high reliability. Each item is scored from 1 to 6 (total score range, 21-126), with higher scores reflecting greater cultural competence in LGBT care.
CONCLUSIONS: This scale facilitates the measurement of LGBT cultural competence among nurses. Therefore, its use should provide foundational data to support LGBT-focused nursing education programs.
摘要：
目的：本研究旨在为女同性恋护士制定文化能力量表，同性恋,双性恋,和变性者（LGBT）社区，并检验其有效性和可靠性。
方法：该研究遵循了DeVellis概述的8步过程，最初的25个项目是通过文献综述和个人访谈得出的。经过专家有效性评估，验证了24个项目。随后，我们对23名有LGBT患者护理经验的护士进行了初步调查.然后使用24个项目从322名护士的最终样本中收集数据。项目分析,项目-总分相关性，结构效度和收敛效度的检验，并进行了可靠性测试。
结果：项目级内容效度指数超过.80，结构效度的解释力为63.63%。因子载荷在0.57和0.80之间变化。量表包括五个因素：文化技能，有七个项目；文化意识，有五个项目；文化接触，有三个项目；文化追求，有三个项目；和文化知识，有三项；共21项。收敛有效性表现出高度的相关性，确认量表的有效性。内部一致性分析得出的总体可靠性系数为0.97，表示可靠性很高。每个项目的得分从1到6(总分范围，21-126),更高的分数反映了LGBT护理中更大的文化能力。
结论：该量表有助于测量护士的LGBT文化能力。因此,其使用应提供基础数据,以支持以LGBT为重点的护理教育计划.
方法：该研究遵循了DeVellis概述的8步过程，最初的25个项目是通过文献综述和个人访谈得出的。经过专家有效性评估，验证了24个项目。随后，我们对23名有LGBT患者护理经验的护士进行了初步调查.然后使用24个项目从322名护士的最终样本中收集数据。项目分析,项目-总分相关性，结构效度和收敛效度的检验，并进行了可靠性测试。
结果：项目级内容效度指数超过.80，结构效度的解释力为63.63%。因子载荷在0.57和0.80之间变化。量表包括五个因素：文化技能，有七个项目；文化意识，有五个项目；文化接触，有三个项目；文化追求，有三个项目；和文化知识，有三项；共21项。收敛有效性表现出高度的相关性，确认量表的有效性。内部一致性分析得出的总体可靠性系数为0.97，表示可靠性很高。每个项目的得分从1到6(总分范围，21-126),更高的分数反映了LGBT护理中更大的文化能力。
结论：该量表有助于测量护士的LGBT文化能力。因此,其使用应提供基础数据,以支持以LGBT为重点的护理教育计划.
