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Construction and reliability and validity test of Cultural Competence Scale for Higher Vocational Nursing Students

Objective 
To construct and test the reliability and validity of Cultural Competence Scale for Higher Vocational Nursing Students in China. 
 
 
Methods 
By means of literature review and Delphi method, Cultural Competence Scale for Higher Vocational Nursing Students was preliminarily formed. In November 2017, by convenient sampling, 300 students majoring in higher vocational nursing in Shanghai were selected for pre-survey. Items were screened through project analysis, and the scale was evaluated by reliability and validity test. In April 2018, 1 479 students from four higher vocational nursing colleges in Shanghai were selected for formal investigation and the structure validity of the scale was further tested by confirmatory factor analysis. 
 
 
Results 
Cultural Competence Scale for Higher Vocational Nursing Students included 7 factors and 64 items. Exploratory factor analysis shows that 7 factors of the scale explained 59.692% variance. Confirmative factor analysis shows that the model fitted well. The content validity index of the scale was 0.970, the internal consistency reliability Cronbach's a coefficient was 0.973, Guttman's half-fold reliability coefficient was 0.904 and retest reliability was 0.933. 
 
 
Conclusions 
Cultural Competence Scale for Higher Vocational Nursing Students has good reliability and validity, and can be used to measure the cultural competence of nursing students in higher vocational colleges. 
 
 
Key words: 
Students, nursing; Higher vocational; Cultural competence; Scale; Reliability test; Validity test