Japanese nurses’ socio-demographics (N = 394).

In recent years, Japan has experienced a significant increase in the number of foreign students and workers entering the country. This has resulted in a vast number of international patients in medical facilities. This shift emphasizes the immediate need for Japanese nurses who are both clinically proficient and culturally attuned. In response, our research developed and validated the Cross-cultural Competence Scale for Japanese Nurses (CCCSJN) to better equip nurses for diverse patient care. We conducted a cross-sectional study in Japan’s general hospitals using anonymous questionnaires with nurses and midwives. The scale, developed from data from 394 nurses, underwent both qualitative and quantitative evaluations to define its construct. We analyzed the data using exploratory factor analysis, criterion-related validity, internal consistency, and test-retest reliability, confirming the scale’s reliability and validity. The exploratory analysis revealed five factors: “cross-cultural understanding,” “cross-cultural communication ability,” “motivation for cross-cultural nursing,” “cooperation with multiple professions,” and “respect for foreign patients.” These factors explained 50.92% of the total variance. Cronbach’s α for the CCCSJN was 0.94, and the test-retest reliability correlation was 0.77. The construct validity, criterion-related validity, internal consistency, and test-retest reliability of the CCCSJN were verified. The CCCSJN can be used to assess the cross-cultural competencies of Japanese nurses and identify what skills need to be mastered, leading to improved cross-cultural competence and care.近年来，日本入境的外国留学生与务工人员数量显著增长，由此导致医疗设施中的国际患者规模大幅扩张。这一转变凸显了日本对兼具临床娴熟技能与文化适配能力的护士的迫切需求。为此，本研究开发并验证了日本护士跨文化能力量表（Cross-cultural Competence Scale for Japanese Nurses，CCCSJN），以助力护士更好地开展多元化患者照护工作。本研究以日本综合医院的护士与助产士为对象，采用匿名问卷开展了横断面研究。该量表基于394名护士的数据开发，通过定性与定量评估明确了其构想结构。研究采用探索性因素分析、效标关联效度检验、内部一致性检验以及重测信度检验对数据进行分析，证实了该量表的信效度。探索性分析结果显示该量表包含5个维度：跨文化理解、跨文化沟通能力、跨文化护理动机、多专业协作以及尊重外籍患者，上述维度累计解释总方差的50.92%。日本护士跨文化能力量表的克朗巴哈α系数为0.94，重测信度相关系数为0.77。该量表的构想效度、效标关联效度、内部一致性以及重测信度均得到验证。日本护士跨文化能力量表可用于评估日本护士的跨文化能力水平，明确其亟需掌握的技能，进而助力提升护士的跨文化能力与患者照护质量。