We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Assuming a holistic approach to care instead of biophysical approach, Showing efforts to reach rapidly increasing cultural beliefs and activities that are unique to distinct groups and individuals. The questionnaire was adapted from related studies and was used for data collection [2427]. The mean age of the respondents was 27.53 years (SD = 3.13 years), majority 177(75.0%) of them were in the age group of 2529 years. First, the study relied on the self-reported data of nurses that may have introduced a social desirability bias. e0254643. 2009 Jan-Feb;23(1):3-12; quiz 13-4. doi: 10.1097/01.HNP.0000343203.26216.c9. Fill out the form to receive information about: There are some errors in the form. Whilst g lobalisation was a pparent some time b efore the appearance of . Talk with an admissions advisor today. Citation: Berhanu RD, Tesema AA, Deme MB, Kanfe SG (2021) Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study. This self-efficacy may be affected by different factors, either positively or negatively. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Variance inflation factor. The total score of CMS is between 5 and 25. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). Its Cronbachs alpha was 0.75 [29]. Additionally, in-depth interview was conducted among 10 nurses. sharing sensitive information, make sure youre on a federal While this outcome might sound far-fetched on the surface, there have been a number of malpractice cases of this kind that arose from issues involving cultural incompetence. The questionnaire had six parts: (i) socio-demographic questionnaire, (ii) cultural self-efficacy scale (CSES), (iii) intercultural communication scale (ICS), (iv) cultural sensitivity scale (CSS), (v) interpersonal communication scale (IPCS) and (vi) cultural motivation scale (CMS). The study was reviewed and approved by Jimma Universitys Ethical Institutional Review Board. More than three fourth 190(80.5%) of them had B.Sc. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. The principal investigators (RDB and MBD) conducted the interviews in Afaan Oromo and Amharic. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. Robera Demissie Berhanu, The CSES-Cultural Concepts scale consists of three items and assesses knowledge of cultural concepts (i.e., ability to distinguish inter- from intracultural diversity, ability to distinguish ethnocentrism from discrimination, ability to distinguish between ethnicity and culture). The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. on
Permission was obtained from JMC where the study was carried out. So what does this call for transcultural competency mean for practicing nurses? Becoming more aware of the other peoples cultures and exploring their problems as well as understanding the patients opinion, Describing therapeutic relationship relevant to the patients cultural beliefs and consensus values, Applying the sensitive care model to culturally different groups, Making the patient feel safe in the culturally sensitive care. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. This website uses cookies to ensure you get the best experience. While it may not be a specialty for which nurses pursue additional education to receive certification (the way you might with specialties like nursing informatics, acute care nursing, pediatric nursing and others), it is an area of competency that is highly valued within todays healthcare facilities. In this article, the first of two parts, transcultural nursing is explained in terms of its assumptions, benefits and limitations and the emerging literature in this area of mental healthcare practice is highlighted. Nursing is a profession that relies on a holistic approach to delivering health care. This self-efficacy may be affected by different factors, either positively or negatively. Transferability was assured by describing the behavior and experiences of the participants with their context so that the behavior and experiences become meaningful to an outsider. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view Literature reveals that culture is central to the human condition, and nurses who are transculturally confident in understandings of health and disease held by patients are needed for todays multicultural population. Transcultural mental health nursing. 1: Benefits and limitations. Nurses who had greater than 2-years of work experience were included purposely in the qualitative strand of the study for they could provide detailed information. Transcultural self-efficacy (TSE) is defined as the perception or expectation of a nurse regarding his or her own ability to accomplish activities effectively in the conditions characterized by cultural diversity [2]. Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. Overview of the Theory of Culture Care with the Ethnonursing Research This finding is also consistent with the study of Herrero-Hahn et al. Bjarnason D, Mick J, Thompson JA, Cloyd E. Nurs Clin North Am. The studies conducted in Turkey show that the nurses need to have classification lists and guidelines to be used in care, and thus a more systematic care will be provided in less time for individual patients and more data will be collected. This model includes technological, religious and philosophical, kinship and social factors, cultural values and lifestyle, political and legal, economic and social factors [50], which have been used in many studies in the west and in other countries since 1960 (Figure 4.8.1). Transcultural health: attitudes, perceptions, knowledge of Italian nurses. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. Culture develops over generations and is therefore difficult to fully penetrate as an outsider, which is why it is important for nurses to learn about cultural care. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. Qualitative data were collected based on specified criteria throughout the interviews. Madeleine Leininger and the Transcultural Theory of Nursing The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. A low level is a mean score between 1 and 2.33, a moderate level is a mean score between 2.34 and 3.67, and a high level is a mean score between 3.68 and 5 [23]. Facility-based cross-sectional study with both quantitative and qualitative methods of data collection was conducted among 244 nurses and 10 key informants from 20 May to 20 June 2020. Geographically, it is located in Jimma town which is found at 352km from Addis Ababa, the Capital city of Ethiopia. Rasmussen University is accredited by the Higher Learning Commission and is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education. The result showed the data were approximately normally distributed. Backward elimination was used for selecting variables in the final model. Therefore, this study result shows that respondents perceived themselves as having moderate transcultural self-efficacy in working with patients from different cultural backgrounds [Table 2]. Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). MeSH https://www.researchgate.net/post/Can_some_one_suggest_me_the_way_to_decide_the_cut_off_score_for_a_scale/568a7b876143253b738b45a7/citation/download, http://dx.doi.org/10.7827/TurkishStudies.11272, Corrections, Expressions of Concern, and Retractions. It was administered in English. Legal. Transcultural nursing is defined as a substantive area of nursing focused on cultural care values, beliefs and practices of individuals or groups of similar or different cultures. Shuma Gosha Kanfe, Affiliation: Transcultural nursing is defined as a learned subfield or branch of nursing that focuses upon the comparative study and analysis of cultures concerning nursing and health-illness caring practices, beliefs, and values to provide meaningful and efficacious nursing care services to their cultural values and health-illness context. The mean transcultural self-efficacy score was 2.89 0.59. The discrepancy may be because the vast majority (93.1%) of the participants in their study were females. Transcultural Nursing: Its Importance in Nursing Practice The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. It is also true that the number of people who identify as belonging to two or more races will triplefrom 7.5 million to 26.7 millionby 2060. 2022 Oct 26;93(5):e2022306. All the independent variables with p < .25 in the bivariate linear regression analysis were entered into the multivariable linear regression analysis to identify factors associated with transcultural self-efficacy. Cultural motivation scale;CSES, It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. A structured self-administered questionnaire was used to collect data for this study. Bethesda, MD 20894, Web Policies doi: 10.2196/17324. Transcultural self-efficacy is a nurses perception of his or her own ability to accomplish activities effectively for culturally diverse clients. Ethnonursing Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. Having the ability to understand complex cultural dimensions. One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). Continuous monitoring was made by the principal investigators during data collection. 2023 Rasmussen College, LLC. In the nursing context, RegisteredNursing.org defines transcultural nursing as a "nursing specialty which focuses on global cultures and comparative cultural caring, health, and nursing phenomena" with the aim of providing "culturally congruent nursing care." Data relevant to each code were collected together. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. Pretest was conducted on 25 (10%) nurses at Agaro General Hospital. The overall mean score of TSE was divided by 25 (the total number of items) giving the value ranging from 1 to 5. PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US. The mean TSE scores for the knowledge of cultural concepts and specific nursing skills were 3.35 (SD = 0.78) and 3.14 (SD = 0.88) respectively. Comparison of Four Cultural Competence Models in Transcultural Nursing This page titled 4.8: Transcultural Nursing Care Models is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. (2017) reported Cronbachs alpha of 0.978 [3]. Leininger's theory is simple and easy to understand, and this implies it can be applied even on the first contact. Leininger M; Evaluation of culture care for appropriate and adequate practices. Legal. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. This finding was corroborated by the qualitative finding as a 25-year-old female participant said, my confidence in delivering care to patients of different cultures is increased as I stay longer in caring practice (Participant 4). The hospital had 628 nurses and midwives currently. (2019) in Columbia in which the mean score was 2.58 [25]. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. The IPCS was used to measure interpersonal communication. But this means much more than hiring qualified interpreters. Descriptive statistics were performed to determine the mean and standard deviation of transcultural self-efficacy. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. Qualitative data were coded and analyzed thematically. Out of these, 518 nurses were currently working at JMC while 35 attending education. The study results showed that sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. MCN Am J Matern Child Nurs. Operating on the belief that quality healthcare can only occur within the patients cultural context and that embracing diversity among healthcare professionals will promote multicultural workplace harmony and minimize workplace conflict, it has been posed that the nursing workforce should renew its focus on diversity awareness. A total of 236 nurses participated in the study making the response rate 96.7%. The qualitative finding supported this in that a 32-year-old male participant said;as nurses are more and more culturally sensitive, they tend to have higher confidence in giving care to patients coming from different cultures (Participant 6). Jess is a Content Specialist at Collegis Education. In Episode 2 of "Living With Feeling", historian of nursing Sarah Chaney meets some care robots and discusses with experts what these machines are for, and what they can offer. A key theme is preparing current and future nurses at all levels to understand and address health . Standard deviation;SE, It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Critique of Madeleine Leininger's Culture Care Theory - NursingAnswers.net nurses, and M.Sc. Transcultural nursing employs the concepts of ethnicity, race, and culture in order to understand individuals' perceptions and behaviors. Millions of people come to this hospital. The total scale score is between 5 and 25. This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. 4.7: The History of Transcultural Nursing - Medicine LibreTexts Individualized intercultural care is a nurses responsibility as both a human and a professional. Unable to load your collection due to an error, Unable to load your delegates due to an error. For new nursing graduates looking to enter the field, it can be helpful to be proactive in learning more about cultural competence in healthcare, whether by signing up for a relevant class or volunteering in culturally diverse healthcare settings. The scale is measured on a 5-point Likert scale with responses ranging from strongly disagree to strongly agree. It adopts a multi-factorial approach affecting health and care such as environmental conditions, ethnography, language, gender, class, racism, social structuring, belief, politics, economics, kinship, technology, culture and philosophy. & Amp; Paulanka BJ; Ppur model for cultural competence. Make sure your answer has only 5 digits. Disclaimer. The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. Mesfin Beharu Deme, Accessibility Four B.Sc. nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. HHS Vulnerability Disclosure, Help Funding: The authors received no specific funding for this work. It is emphasized that the patient may feel special, needing protection or patronized. Since the total number of nurses in JMC is 518, which is less than 10,000; and also since the ratio of initial sample size calculated to the total number of nurses in JMC (N) is greater than 0.05, correction formula was used and the minimum sample size required became 221. Longitudinal study is encouraged to determine cause and effect relationships. With a national ratio of 854 nurses per 100,000 people reported in 2008while also taking into account the severe nursing shortage weve experienced since thenit has become increasingly crucial to nurture a more diverse, culturally competent nursing workforce. Kirsten Slyter |
The https:// ensures that you are connecting to the degree in nursing. Bookshelf The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. When you find the way, your confidence is increased (Participant 3) [Table 3]. Cultural competency among Lithuanian nurses and preparedness to work with intercultural immigrants: A quantitative study protocol. Burchum JLR; Cultural competence: Evolutionary dimension. Nurs Forum. This is supported by the findings from studies of Chan and Sy (2016) and Quine et al. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. The IDI guiding questions were checked by experts. The theory is guided by powerful concepts and propositions that are applicable in different healthcare settings. Confidence interval;CMS, Finally, causality could not be established because the study was cross-sectional. A Theory of Cultural Humility - Cynthia Foronda, 2020 - SAGE Journals There is a cultural crisis in health care services. The finding indicates the mean score of transcultural self-efficacy perceptions to be 2.89. Nurses who had higher communication ability with people had greater transcultural self-efficacy. Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. This finding is also consistent with the social cognitive theory which suggests individuals with greater mastery tend to have higher self-efficacy [35]. Nurses communication effectiveness between people measured using 7 items on a 5-point Likert scale with the value ranging from 735. Background Transcultural self-efficacy is a nurse's perception of his or her own ability to accomplish activities effectively for culturally diverse clients. Ethiopian birr;ICS, A nursing theory turns out to be a group of significant related concepts and relationships the purpose of which is to guide practice and promote the delivery of care. Boyle JS & Andrews MM; Andrews/Boyle assessment guide. The study showed that transcultural self-efficacy varies with sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. 7.5.16 for coding and analyzed thematically. Join us as we explore the definition of transcultural nursing, the need for increased cultural competency in U.S. healthcare and the impact these will have on the future of nursing in our country. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. Knowledge, awareness, and acceptance of other cultures measured using 3 items on a Likert scale with the value ranging from 315. It was checked whether the themes work with the coded extracts. Leininger's Theory of Culture Care Diversity and Universality: An The population comprised of 650 undergraduate students attending the nursing schools of three universities. Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. 03/08/2017. The ICS consists of five questions that ask nurses to think about how they feel when communicating with patients from different cultural backgrounds from their own and rate their ability to understand feelings, communicate, resolve misunderstandings, comprehend points of view, and empathize with patients. The growing interest in Leininger's transcultural nursing model has begun with population changes and migration. doi:10.1371/journal.pone.0254643, Editor: Paola Gremigni, University of Bologna, ITALY, Received: November 13, 2020; Accepted: June 30, 2021; Published: July 22, 2021. 8600 Rockville Pike Diversity awareness, according to the National Student Nurses Association (NSNA), refers to a conscious and ongoing process in which we identify similarities and differences within and between varying cultural groups. 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