Nursing Cultural Competence Scale (NCCS): validity & reliability

Introduction: Cultural competence is an important aspect for nurses to be able to provide culturally sensitive care in diverse healthcare environments. However, there are few tools that can measure this competence in the Indonesian context. Objectives: This study aimed to evaluate the content valid...

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Main Authors: Juhdeliena Juhdeliena, Agustina Saputri, Eva Chris Veronica Gultom
Format: Article
Language:English
Published: Universitas Muhammadiyah Malang 2025-01-01
Series:Jurnal Keperawatan
Online Access:https://ejournal.umm.ac.id/index.php/keperawatan/article/view/37583
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author Juhdeliena Juhdeliena
Agustina Saputri
Eva Chris Veronica Gultom
author_facet Juhdeliena Juhdeliena
Agustina Saputri
Eva Chris Veronica Gultom
author_sort Juhdeliena Juhdeliena
collection DOAJ
description Introduction: Cultural competence is an important aspect for nurses to be able to provide culturally sensitive care in diverse healthcare environments. However, there are few tools that can measure this competence in the Indonesian context. Objectives: This study aimed to evaluate the content validity and reliability of the Nursing Cultural Competence Scale (NCCS) questionnaire adapted for nurses in Indonesia. Methods: This study used a cross-sectional design involving 30 nurses in hospitals in Indonesia. Furthermore, the relevance of the questionnaire items was assessed. Content Validity Index (CVI) was conducted on each questionnaire item with a focus on relevance, clarity, simplicity and ambiguity. Results: Item-CVI (I-CVI) values ranged from 0.6 to 1, with an average I-CVI value of 0.99 for relevance, and 1.0 for ambiguity, simplicity, and clarity. Scale-CVI (S-CVI/UA) showed 97.6% agreement, indicating high item relevance, while S-CVI/Ave exceeded 0.99. Cronbach's alpha was 0.963, indicating excellent reliability. Conclusions: The high CVI and Cronbach's alpha values mean that the Indonesian NCCS is a valid and reliable tool to assess nurses' cultural competence. However, future research could address test-retest reliability and involve a larger panel of experts with diverse backgrounds to strengthen content validity. This instrument can help nurses in Indonesia to assess their cultural competence in providing health services. The conclusion of this study shows that the NCCS questionnaire in the Indonesian context has high content validity and is therefore reliable for assessing cultural competence in nurses.
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spelling doaj-art-60d57bb9366e44428363fcbbeb4fede32025-08-20T01:55:34ZengUniversitas Muhammadiyah MalangJurnal Keperawatan2086-30712443-09002025-01-0116110.22219/jk.v16i1.37583Nursing Cultural Competence Scale (NCCS): validity & reliabilityJuhdeliena Juhdeliena0Agustina Saputri1Eva Chris Veronica Gultom2Faculty of Nursing, Universitas Pelita HarapanFaculty of Nursing, Universitas Pelita HarapanUniversitas Pelita Harapan Introduction: Cultural competence is an important aspect for nurses to be able to provide culturally sensitive care in diverse healthcare environments. However, there are few tools that can measure this competence in the Indonesian context. Objectives: This study aimed to evaluate the content validity and reliability of the Nursing Cultural Competence Scale (NCCS) questionnaire adapted for nurses in Indonesia. Methods: This study used a cross-sectional design involving 30 nurses in hospitals in Indonesia. Furthermore, the relevance of the questionnaire items was assessed. Content Validity Index (CVI) was conducted on each questionnaire item with a focus on relevance, clarity, simplicity and ambiguity. Results: Item-CVI (I-CVI) values ranged from 0.6 to 1, with an average I-CVI value of 0.99 for relevance, and 1.0 for ambiguity, simplicity, and clarity. Scale-CVI (S-CVI/UA) showed 97.6% agreement, indicating high item relevance, while S-CVI/Ave exceeded 0.99. Cronbach's alpha was 0.963, indicating excellent reliability. Conclusions: The high CVI and Cronbach's alpha values mean that the Indonesian NCCS is a valid and reliable tool to assess nurses' cultural competence. However, future research could address test-retest reliability and involve a larger panel of experts with diverse backgrounds to strengthen content validity. This instrument can help nurses in Indonesia to assess their cultural competence in providing health services. The conclusion of this study shows that the NCCS questionnaire in the Indonesian context has high content validity and is therefore reliable for assessing cultural competence in nurses. https://ejournal.umm.ac.id/index.php/keperawatan/article/view/37583
spellingShingle Juhdeliena Juhdeliena
Agustina Saputri
Eva Chris Veronica Gultom
Nursing Cultural Competence Scale (NCCS): validity & reliability
Jurnal Keperawatan
title Nursing Cultural Competence Scale (NCCS): validity & reliability
title_full Nursing Cultural Competence Scale (NCCS): validity & reliability
title_fullStr Nursing Cultural Competence Scale (NCCS): validity & reliability
title_full_unstemmed Nursing Cultural Competence Scale (NCCS): validity & reliability
title_short Nursing Cultural Competence Scale (NCCS): validity & reliability
title_sort nursing cultural competence scale nccs validity reliability
url https://ejournal.umm.ac.id/index.php/keperawatan/article/view/37583
work_keys_str_mv AT juhdelienajuhdeliena nursingculturalcompetencescalenccsvalidityreliability
AT agustinasaputri nursingculturalcompetencescalenccsvalidityreliability
AT evachrisveronicagultom nursingculturalcompetencescalenccsvalidityreliability