Developing and validating a cross-cultural competence scale for Japanese nurses.

In recent years, Japan has experienced a significant increase in the number of foreign students and workers entering the country. This has resulted in a vast number of international patients in medical facilities. This shift emphasizes the immediate need for Japanese nurses who are both clinically p...

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Main Authors: Masako Sakamoto, Shigemi Iriyama, Yu Mon Saw
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0310650
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author Masako Sakamoto
Shigemi Iriyama
Yu Mon Saw
author_facet Masako Sakamoto
Shigemi Iriyama
Yu Mon Saw
author_sort Masako Sakamoto
collection DOAJ
description In recent years, Japan has experienced a significant increase in the number of foreign students and workers entering the country. This has resulted in a vast number of international patients in medical facilities. This shift emphasizes the immediate need for Japanese nurses who are both clinically proficient and culturally attuned. In response, our research developed and validated the Cross-cultural Competence Scale for Japanese Nurses (CCCSJN) to better equip nurses for diverse patient care. We conducted a cross-sectional study in Japan's general hospitals using anonymous questionnaires with nurses and midwives. The scale, developed from data from 394 nurses, underwent both qualitative and quantitative evaluations to define its construct. We analyzed the data using exploratory factor analysis, criterion-related validity, internal consistency, and test-retest reliability, confirming the scale's reliability and validity. The exploratory analysis revealed five factors: "cross-cultural understanding," "cross-cultural communication ability," "motivation for cross-cultural nursing," "cooperation with multiple professions," and "respect for foreign patients." These factors explained 50.92% of the total variance. Cronbach's α for the CCCSJN was 0.94, and the test-retest reliability correlation was 0.77. The construct validity, criterion-related validity, internal consistency, and test-retest reliability of the CCCSJN were verified. The CCCSJN can be used to assess the cross-cultural competencies of Japanese nurses and identify what skills need to be mastered, leading to improved cross-cultural competence and care.
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spelling doaj-art-73e29617f128438bb9f9408864a907c42025-01-26T05:31:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031065010.1371/journal.pone.0310650Developing and validating a cross-cultural competence scale for Japanese nurses.Masako SakamotoShigemi IriyamaYu Mon SawIn recent years, Japan has experienced a significant increase in the number of foreign students and workers entering the country. This has resulted in a vast number of international patients in medical facilities. This shift emphasizes the immediate need for Japanese nurses who are both clinically proficient and culturally attuned. In response, our research developed and validated the Cross-cultural Competence Scale for Japanese Nurses (CCCSJN) to better equip nurses for diverse patient care. We conducted a cross-sectional study in Japan's general hospitals using anonymous questionnaires with nurses and midwives. The scale, developed from data from 394 nurses, underwent both qualitative and quantitative evaluations to define its construct. We analyzed the data using exploratory factor analysis, criterion-related validity, internal consistency, and test-retest reliability, confirming the scale's reliability and validity. The exploratory analysis revealed five factors: "cross-cultural understanding," "cross-cultural communication ability," "motivation for cross-cultural nursing," "cooperation with multiple professions," and "respect for foreign patients." These factors explained 50.92% of the total variance. Cronbach's α for the CCCSJN was 0.94, and the test-retest reliability correlation was 0.77. The construct validity, criterion-related validity, internal consistency, and test-retest reliability of the CCCSJN were verified. The CCCSJN can be used to assess the cross-cultural competencies of Japanese nurses and identify what skills need to be mastered, leading to improved cross-cultural competence and care.https://doi.org/10.1371/journal.pone.0310650
spellingShingle Masako Sakamoto
Shigemi Iriyama
Yu Mon Saw
Developing and validating a cross-cultural competence scale for Japanese nurses.
PLoS ONE
title Developing and validating a cross-cultural competence scale for Japanese nurses.
title_full Developing and validating a cross-cultural competence scale for Japanese nurses.
title_fullStr Developing and validating a cross-cultural competence scale for Japanese nurses.
title_full_unstemmed Developing and validating a cross-cultural competence scale for Japanese nurses.
title_short Developing and validating a cross-cultural competence scale for Japanese nurses.
title_sort developing and validating a cross cultural competence scale for japanese nurses
url https://doi.org/10.1371/journal.pone.0310650
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