Table 2 CAS domains with their characteristics, a sample item and number of items per domain [10]
CAS subscale | Number of items | Characteristics | Sample item |
|---|---|---|---|
General Educational Experience (GEE) | 13 | Items assess how well nursing education at a given university addresses cultural diversity and measure the impact of the educational setting on students’ cultural awareness. | The instructors at this nursing school adequately address multicultural issues in nursing |
Cognitive Awareness (CA) | 9 | Items assess student understanding of how culture influences beliefs, attitudes and behaviors, both their own and those of others, and reflect their awareness of cultural diversity at a cognitive level. | I think my behaviors are influenced by my culture |
Research Issues (RI) | 4 | Items assess student awareness of and engagement with cultural diversity in nursing research. | The faculty at this school of nursing conducts research that considers multicultural aspects of health-related issues |
Behaviors/Comfort with Interactions (CI) | 6 | Items assess students’ self-reported comfort and behaviors when interacting with people from different cultural backgrounds. They include statements related to comfort levels in intercultural interactions. | I feel comfortable working with patients of all ethnic groups |
Patient Care/Clinical Issues (CP) | 4 | Items represent student attitudes and behaviors related to providing culturally competent clinical care. They assess the willingness and desire to respect and accommodate cultural diversity in patient care. | I respect the decisions of my patients when they are influenced by their culture, even if I disagree |