Research Article

Clinical Relevance and Psychometric Properties of the Swedish Version of the Cultural Competence Assessment Instrument

Table 2

Clinical relevance and psychometric misfit for the 24 items.

ItemsClinical relevance of item
Very relevant/relevant (%)

Factor: cultural awareness
 I actively strive for an atmosphere that promotes risk-taking and self-exploration. (Item 4)
93
 I examine my own biases related to ethnicity and culture that may influence my behaviour as a service provider. (Item 3)
91
 I openly discuss with others issues I have in developing multicultural awareness. (Item 1)
90
 I learn about different ethnic cultures through educational methods and/or life experiences. (Item 2)
91
 I feel that I can learn from my ethnic-minority clients. (Item 6)
85
Items with psychometric misfit based on the factor loadings below 0.4
 I am sensitive to valuing and respecting differences between my cultural background and my clients’ cultural heritage. (Item 5)
96
 It is difficult for me to accept that religious beliefs may influence how ethnic minorities respond to illness and disability. (Item 7)
89
 I do not consider the cultural backgrounds of my clients where food is concerned. (Item 8)
77
Factor: organisational support for multicultural practice
 Cultural competence is included in my workplace’s mission statement, policies, and procedures. (Item 9)
91
 I have opportunities to learn culturally responsive behaviours from peers. (Item 16)
80
 I receive feedback from supervisors on how to improve my practice skills with clients from different ethnic-minority backgrounds. (Item 14)
77
 At work, pictures, posters, printed materials, and toys reflect the culture and ethnic backgrounds of ethnic-minority clients. (Item 13)
74
Items with psychometric misfit based on the factor loadings below 0.4
 My organisation does not provide ongoing training on cultural competence. (Item 11)
89
 My workplace does not support using resources to promote cultural competence. (Item 10)
84
 The way services are structured in my setting makes it difficult to identify the cultural values of my clients. (Item 15)
71
 My workplace does not support my participation in my clients’ cultural celebrations. (Item 12)
53
Factor: cultural skills
 I would find it easy to work competently with ethnic-minority clients. (Item 19)
92
 I am effective in my nonverbal communication with clients whose culture is different from mine. (Item 18)
90
 I am effective in my verbal communication with clients whose culture is different from mine. (Item 17)
85
Items with psychometric misfit based on the factor loadings below 0.4
 I feel confident that I can learn about my clients’ cultural backgrounds. (Item 22)
95
 I feel that I have limited experience working with ethnic-minority clients. (Item 20)
90
 It is difficult to practice skills related to cultural competence. (Item 21)
83
 I do not feel that I have the skills to provide services to ethnic-minority clients. (Item 24)
87
 It is hard adjusting my therapeutic strategies to ethnic-minority clients. (Item 23)
81