Table 1 Results of the explanatory factor analysis of BENEFITS-CCCSAT

Perceived meaning of cultural care

18.664

8.471

Item42

I consider the involvement of individual members of a multidisciplinary team in the care of a patient with a different religion important.

0.820

Item43

I consider the involvement of individual members of a multidisciplinary team in the care of a patient from a different ethnic group important.

0.808

Item41

I consider the involvement of individual members of a multidisciplinary team in the care of a patient from a different culture important.

0.805

Item40

I consider meeting people of different religions important for gaining cultural competence.

0.757

Item38

I perceive meeting a person from a different culture (even during care provision) as an opportunity to develop my cultural competence.

0.704

Item37

I perceive meeting a person of a different religion (even during care provision) as an opportunity to develop my cultural competence.

0.677

Item30

I consider it important to try to communicate with patients in their native language.

0.590

Item31

I try to perceive the requirements and particularities related to the protection of privacy during the provision of care to persons of a different ethnic group.

0.505

Culturally sensitive communication

16.482

5.049

Item34

I think it is important to find an interpreter for a patient who is unable to speak my language.

0.900

Item33*

I have concerns about communicating with the family of a patient with a different religion.

0.876

Item35*

I have concerns about integrating the family of a patient of a different culture into the overall process of care provision.

0.865

Item32*

I have concerns about communicating with the family of a patient from a different cultural background.

0.847

Item36*

I have concerns about integrating the family of a patient with a different religion into the overall process of care provision.

0.839

Respect for cultural diversity

15.833

1.771

Item3

I respect the needs of patients from different cultural backgrounds.

0.867

Item2

I respect the needs of patients with different religious beliefs.

0.853

Item1

I respect the needs of patients from different ethnic groups.

0.841

Item7

I consider lifelong education in transcultural nursing to be important for nurses.

0.682

Item4

I think that the provision of culturally adequate care is indispensable for healthcare systems in the current world.

0.616

Item5

I think that transcultural nursing education extends/increases competency for providing culturally sensitive care.

0.585

Challenges and barriers in providing culturally competent care

10.368

1.552

Item10*

It is challenging for me to provide care to a patient from a different ethnic group.

0.836

Item9*

It is challenging for me to provide care to a patient with a different religion.

0.788

Item8*

It is challenging for me to provide care to a patient from a different cultural background.

0.767

Item11*

I have concerns about culturally competent care.

0.611

Achieving cultural competence

8.514

1.328

Item13

I understand the concept of “cultural competence.”

0.806

Item12

I understand the concept of “transcultural nursing.”

0.789

Item14

I am capable of using cultural competence during the nursing process.

0.746

Total Explained Variance = 69.862