RT Journal Article T1 Spanish adaptation and validation of the Cultural Competence Assessment Tool (CCATool) for undergraduate nursing students. A1 Vazquez-Sanchez, Maria Angeles A1 Casals-Vazquez, Alicia A1 Sanchez-Ojeda, Maria Angustias A1 Garcia-Gamez, Marina A1 Papadopoulos, Irena A1 Casals, Cristina K1 Cultural competency K1 Spain K1 Culturally competent care K1 Health care K1 Nursing education K1 Nursing education research K1 Transcultural nursing K1 Validation studies AB To analyse and validate a contextually adapted version of the Papadopoulos' Cultural Competence Assessment Tool (CCATool) for Spanish undergraduate nursing students. Globalization has driven and intensified international migration. Thus, nurses must treat patients of many different cultural origins. Accordingly, both cultural competence and an appropriate tool with which to evaluate it are required. The CCATool questionnaire was adapted for use in a Spanish context and was evaluated through a questionnaire completed by 262 undergraduate nursing students. Seven days later, the same students completed the questionnaire, without any intervention, and a subgroup of 144 students completed the questionnaire for a third time after taking a course in Transcultural Care. The reliability, sensitivity and stability of the questionnaire were assessed. The reliability of the questionnaire obtained an adequate Cronbach's alpha of 0.81. Stability was assessed at seven days, using the intraclass correlation coefficient, which showed good/excellent results. Moreover, the questionnaire was able to detect the changes related to the nursing educative programme, thus highlighting a good sensitivity of the tool. Cultural competence is an essential element of nurses' education, and instruction in this area should begin as soon as possible. In addition, an appropriate evaluation system is required. For this purpose, the present study describes and analyses a valid, reliable tool for use with undergraduate nursing students in Spain. Health and education policies must be sensitive to the ethnic and cultural differences of the patients who are cared for, and address the situations that cause difficulties in care. Hospitals and health centres must offer good care to patients from diverse cultures, so one of the necessary situations is the training and evaluation of the cultural competence of health professionals. PB Wiley YR 2022 FD 2022-05-29 LK http://hdl.handle.net/10668/19974 UL http://hdl.handle.net/10668/19974 LA en NO Vázquez-Sánchez MÁ, Casals-Vázquez A, Sánchez-Ojeda MA, García-Gámez M, Papadopoulos I, Casals C. Spanish adaptation and validation of the Cultural Competence Assessment Tool (CCATool) for undergraduate nursing students. Int Nurs Rev. 2023 Mar;70(1):43-49 DS RISalud RD Apr 10, 2025