Psychometric Testing of an Instrument to Measure Cultural Humility

Cynthia Foronda, Andrew Porter, Ame Phitwong

Research output: Contribution to journalArticlepeer-review


Introduction: As the world increasingly diversifies, there is a need to prepare nurses to care for individuals, families, and communities with contrasting lifeways. Although education about cultural humility is needed, there is no way to measure the construct. The purpose of this study was to develop, validate, and psychometrically test an instrument designed to measure cultural humility. Method: The lead author extracted key constructs from previous research to develop the instrument. Six expert faculty validated the instrument. An exploratory factor analysis was conducted with 322 health professional students. Results: All items had an item content validity index of 0.83 or higher. The factor analysis yielded three factors: context for difference in perspective, self-attributes, and outcomes of cultural humility. The instrument was determined reliable (Cronbach’s alpha =.85). Discussion: Foronda’s Cultural Humility Scale may help researchers better operationalize and evaluate achievement of cultural humility.

Original languageEnglish (US)
Pages (from-to)399-404
Number of pages6
JournalJournal of Transcultural Nursing
Issue number4
StatePublished - Jul 2021


  • cultural competency
  • cultural diversity
  • cultural humility
  • instrument development

ASJC Scopus subject areas

  • Nursing(all)


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