RT Journal Article T1 Spanish adaptation and validation of the Cultural Competence Assessment Tool (CCATool) for undergraduate nursing students A1 Vázquez-Sánchez, María Ángeles A1 Casals-Vázquez, Alicia A1 Sánchez-Ojeda, María Angustías A1 García-Gámez, Marina A1 Papadopoulos, Irena A1 Casals, Cristina K1 Enfermería AB AimTo analyse and validate a contextually adapted version of the Papadopoulos’ Cultural Competence Assessment Tool (CCATool) for Spanish undergraduate nursing studentsBackgroundGlobalization 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.MethodsThe 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.ResultsThe 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.ConclusionCultural 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. (...) PB Wiley YR 2022 FD 2022-07-25 LK https://hdl.handle.net/10630/24858 UL https://hdl.handle.net/10630/24858 LA eng NO Vázquez-Sánchez, M.Á., Casals-Vázquez, A., Sánchez-Ojeda, M.A., García-Gámez, M., Papadopoulos, I. & Casals, C. (2022) Spanish adaptation and validation of the Cultural Competence Assessment Tool (CCATool) for undergraduate nursing students. International Nursing Review, 00, 1– 7. https://doi.org/10.1111/inr.12792 NO The project was funded by the University of Malaga as part of the Teaching Innovation Project (PIE19-045). Funding for open access charge: Universidad de Málaga DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 20 ene 2026