Journal
JOURNAL OF TRANSCULTURAL NURSING
Volume 26, Issue 3, Pages 308-321Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1043659614524790
Keywords
cultural competence; cultural competence definitions; nursing models; transcultural nursing; cultural competence assessment; instrument construction; instrument validation; psychometric properties; health disparities; healthcare disparities
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The author reviewed cultural competence models and cultural competence assessment instruments developed and published by nurse researchers since 1982. Both models and instruments were examined in terms of their components, theoretical backgrounds, empirical validation, and psychometric evaluation. Most models were not empirically tested; only a few models developed model-based instruments. About half of the instruments were tested with varying levels of psychometric properties. Other related issues were discussed, including the definition of cultural competence and its significance in model and instrument development, limitations of existing models and instruments, impact of cultural competence on health disparities, and further work in cultural competence research and practice.
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