Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sağlık Profesyonellerinin Kültürlerarası Yeterliliği Ölçeğinin Türkçe Formunun Geçerlik ve Güvenirlik Çalışması
The Validity and Reliability Study of Turkish Form of the Cross-Cultural Competence of Healthcare Professionals
Fadime ÇINARa, Halil ŞENGÜLa, Arzu BULUTb
aSabahattin Zaim Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, İstanbul, TÜRKİYE
bİstanbul Üsküdar Üniversitesi Sağlık Bilimleri Enstitüsü, Sağlık Yönetimi Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(3):561-70
doi: 10.5336/healthsci.2019-70854
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, Bernhard ve ark. tarafından geliştirilmiş olan Sağlık Profesyonellerinin Kültürlerarası Yeterliliği Ölçeğini [Cross-Cultural Competence of Healthcare Professionals (CCCHP)] Türkçeye uyarlamak ve ölçeğin geçerlik ve güvenirlik analizlerini yapmak amacıyla gerçekleştirildi. Gereç ve Yöntemler: Araştırmanın evrenini İstanbul ilinde bulunan iki kamu hastanesinde çalışan 512 sağlık profesyoneli oluşturdu. Gönüllü katılım ve ulaşılamama nedenleri ile örneklemi 215 kişi oluşturdu. Metodolojik tipte olan bu araştırma Temmuz 2018-Eylül 2018 tarihleri arasında gerçekleştirildi. Verilerin toplanmasında araştırmacılar tarafından literatür taranarak geliştirilen Bireysel Bilgi Formu ile CCCHP kullanıldı. Ölçeğin geçerlik ve güvenirlik çalışmasında; dilsel eş değerliliği, uzman değerlendirmesi için kapsam geçerliği, iç tutarlılığı/güvenirlik için maddeler arasında korelasyon ve cronbach alpha değerlerinin hesaplanması ve yapı geçerliği için doğrulayıcı, keşfedici faktör analizleri yapıldı. Bulgular: Uzman değerlendirmesi sonucunda ölçeğin kapsam geçerlik indeksi 0,87 olduğu saptandı. Ölçek maddelerinin arasındaki korelasyon değerleri r=0,40-0,81, cronbach alpha değeri=0,85 bulundu. Ölçeğin KaiserMeyer Olkin değeri=0,80, Bartlett test χ2=2356,677; p=0,000, anti-imaj r değerleri =0,75-0,91'dir. Yapılan temel bileşenler analizi ve varimax döndürme yöntemi ile faktör yük değeri 0,40 altında olan 7 madde ölçekten çıkarıldı. Madde çıkarılması sonucunda elde edilen ölçeğin 20 maddelik kültürlerarası uyum, kültürlerarası empati, kültürlerarası farkındalık olmak üzere 4 alt faktörden oluştuğu saptandı. Sonuç: Araştırma sonuçları, CCCHP Türkçe formunun geçerli ve güvenilir bir ölçme aracı olduğunu ve bilimsel araştırmalarda kullanılabileceğini göstermektedir.

Anahtar Kelimeler: Kültür; kültürlerarası yeterlilik; sağlık profesyonelleri
ABSTRACT
 Objective: This study was carried out to adapt the CrossCultural Competence Scale of Health Professionals (CCCHP) developed by Bernhard et al. into Turkish and to make validity and reliability analyzes of the scale. Material and Methods: The population of the study consisted of 512 health professionals working in two public hospitals in Istanbul. The sample consisted of 215 people due to voluntary participation and non-availability. This methodological study was conducted between July 2018 and September 2018. The 'Individual Information Form and Cross-Cultural Competence of Healthcare Professionals (CCCHP) developed by the researchers were used to collect data. Study; linguistic equivalence, scope validity for expert evaluation, correlation between items for internal consistency/reliability and calculation of Cronbach Alpha values, confirmatory and exploratory factor analyzes for construct validity were performed. Results: As a result of the expert evaluation, the scale's validity index was 0.87. The correlation values between the scale items were r=0.40-0.81, and cronbach's alpha value=0.85. Kaiser-Meyer Olkin value of the scale=0.80, Bartlett test χ2=2356.677; p=0.000, anti-image r values=0.75-0.91. According to Principal Component Analysis and varimax rotation method, 7 items with factor load value below 0.40 were excluded from the scale. As a result of item removal, it was determined that the scale consisted of 4 sub-factors and 20-item. These factors consist of Cross-Cultural Motivation/Curiosity, Cross-Cultural Attitudes, Cross-Cultural Emotions/Empathy, and Cross-Cultural Awareness. Conclusion: The results of the study show that the Turkish version of the Cross-Cultural Competence Scale of Health Professionals is a valid and reliable instrument and can be used in scientific research.

Keywords: Culture; intercultural competence, health professionals
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