RT Journal Article T1 Cultural adaptation and validation of the Transcultural Self-Efficacy Tool for use with undergraduate nursing students in Spain A1 Angeles Vazquez-Sanchez, Maria A1 Casals, Cristina A1 Casals-Vazquez, Alicia A1 Garcia-Barrios, Silvia A1 Fernandez-de-Canete, Fatima A1 Angustias Sanchez-Ojeda, Maria K1 Cultural competence K1 Nursing education K1 Transcultural K1 Transcultural nursing education K1 Transcultural Self-Efficacy Tool K1 Task-force K1 Competence K1 Translation K1 Care K1 Outcomes K1 Education K1 Scales AB Background: The provision of culturally competent care helps reduce healthcare inequalities. There is a positive association between the cultural competence of nursing professionals and patient satisfaction, and also between nurses' self-efficacy and patients' adherence to treatment. While training in this respect is important, the self-assessment of skills should also be addressed.Aims: To produce a culturally-validated Spanish-language version of the Transcultural Self-Efficacy Tool (TSET) for use in undergraduate nursing studies, and to evaluate its implementation within the Spanish educational system.Methods: This cultural adaptation and psychometric validation study was carried out with student nurses from two universities. International standards were followed for the translation and cultural adaptation of the questionnaire. All students completed the questionnaire twice, the second time 14 days after the first. Those who took the Transcultural Care course at the University of Malaga also completed the questionnaire a third time, after concluding this study subject. The reliability, discriminatory capacity, stability and sensitivity to change of the questionnaire were tested and confirmed, and a confirmatory factor analysis was performed.Results: A total of 286 students took part in this study. Overall, the TSET obtained a reliability score of 0.978, according to Cronbach's alpha test. In relation to nationality of origin, the discriminatory capacity of the questionnaire was -1.067 (-1815 a -0,320) = 0.005. Stability, assessed at 14 days using the intraclass correlation coefficient, was 0.901 (0.873 a 0.923) PB Churchill livingstone SN 0260-6917 YR 2021 FD 2021-12-01 LK https://hdl.handle.net/10668/25229 UL https://hdl.handle.net/10668/25229 LA en DS RISalud RD Apr 6, 2025