Journal of Health Innovation and Environmental Education
Vol. 2 No. 2 (2025): December

Nursing Assistant Students’ Digital Cultural Intelligence and Clinical Adaptability in a North African Health College: A Cross-Sectional Study

Oulhiq, Ridouane (Unknown)
W, Shi ching (Unknown)
Ratt, Pichayapor (Unknown)
Brain, Maurizio Martin Cavani (Unknown)



Article Info

Publish Date
13 Dec 2025

Abstract

Purpose of the study: This study examined the predictive relationship between digital cultural intelligence and clinical adaptability among nursing assistant students at a health sciences college in Morocco. Methodology: A cross-sectional design was employed with 287 students who had completed at least one clinical placement. Data were analysed using partial leas squares structural equation modellingi (PLS-SEM) to test a theory-driven conceptual framework. Measurement model evaluation confirmed satisfactory reliability and validity (CR > 0.90; AVE > 0.50; HTMT < 0.85). Structural analysis revealed that digital cultural intelligence significantly predicted clinical adaptability (β = 0.64, p < 0.001), explaining 41% of the variance (R² = 0.41). Predictive relevance was supported (Q² = 0.29), and robustness checks using covariance-based SEM confirmed acceptable model fit indices. Main Findings: The findings indicate that the capacity to navigate culturally diverse interactions within digitally mediated healthcare environments is a substantial determinant of adaptive clinical reasoning, flexible communication, and ethical responsiveness. By empirically validating digital cultural intelligence as a multidimensional construct in vocational nursing education, this study advances theoretical integration between intercultural competence and adaptive expertise frameworks. Novelty/Originality of this study: This study contributes Global South evidence to international nursing education research and provides a predictive model for curriculum innovation in digitally transitioning healthcare contexts.

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Journal Info

Abbrev

JHIEE

Publisher

Subject

Humanities Education Environmental Science Public Health

Description

The Journal of Health Innovation and Environmental Education is a double-blind peer-reviewed journal published by Cahaya Ilmu Cendekia Publishers, dedicated to disseminating advances in science and research in the fields of Health and Environmental Education both in Indonesia and in the global ...