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February 2, 2026International Journal of Nursing Practice0 citationsOpen Access

Validation of the Chinese Version of the Clients' Perceptions of Providers' Cultural Competency Instrument

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PZPeijia ZhaDPDula F. PacquiaoJKJanet R. Katz

Key Points

  • The aim is to translate and validate a cultural competency instrument for Chinese immigrants in the US, focusing on their healthcare experiences.
  • Conducted a cross-sectional psychometric study online.
  • Analyzed data from 121 Chinese immigrants.
  • Assessed reliability using Cronbach's alpha.
  • Evaluated construct validity through exploratory factor analysis.
  • Tested the association between self-reported health and cultural competency.
  • The instrument's reliability was confirmed with a Cronbach's alpha of 0.91.
  • Construct validity identified a four-dimensional structure.
  • A significant association was found between cultural competency and self-reported health (p = 0.003).

Abstract

ABSTRACT Aims To translate the Clients' Perceptions of Providers' Cultural Competency into Chinese, validate it with Chinese immigrant clients in the United States and explore their healthcare experiences. Background Culturally competent care is crucial to promote access, utilization and health outcomes among racial and ethnic minorities. Chinese immigrants represent the largest Asian‐American population in the US healthcare providers can enhance patient‐centred care with instruments that assess and improve their cultural competency. The Clients' Perceptions of Providers' Cultural Competency instrument can assess healthcare providers' cultural competency, offer feedback and improve patient‐centred care. Design An online, cross‐sectional design was utilized for this psychometric study. Method Data from 121 Chinese immigrants in the United States were analysed using Cronbach's alpha and exploratory factor analysis to assess reliability and construct validity. Criterion validity was examined by testing the association between self‐reported health and cultural competency using a generalized linear model. Results Cronbach's alpha of the instrument was 0.91. The construct validity of the instrument revealed the four‐dimensional structure. Self‐reported health was significantly associated with cultural competency ( p = 0.003). Conclusion Findings support the Chinese Clients' Perceptions of Providers' Cultural Competency instrument as a reliable and valid instrument to measure Chinese immigrants' perceptions of healthcare providers' cultural competency.

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Cite This Study

Zha et al. (2026) studied this question.

synapsesocial.com/papers/6980fdc7c1c9540dea80f6e5https://doi.org/10.1111/ijn.70111
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