2009 Jan-Feb;23(1):3-12; quiz 13-4. doi: 10.1097/01.HNP.0000343203.26216.c9. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: 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. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. sharing sensitive information, make sure youre on a federal Competing interests: The authors declare that they have no competing interests. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. This includes taking into account patients cultural needs [11]. Department of Health Informatics, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia. 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 The questions had two parts: socio-demographic characteristics related questions and questions regarding transcultural self-efficacy. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. This self-efficacy may be affected by different factors, either positively or negatively. The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. When you find the way, your confidence is increased (Participant 3) [Table 3]. A structured self-administered questionnaire was used to collect data for this study. and transmitted securely. In-depth interview;IPCS, government site. A key theme is preparing current and future nurses at all levels to understand and address health . Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. Talk with an admissions advisor today. What has the literature taught us about culturally competent care of women and children. 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). Geographically, it is located in Jimma town which is found at 352km from Addis Ababa, the Capital city of Ethiopia. The result showed the data were approximately normally distributed. Please select another program or contact an Admissions Advisor (877.530.9600) for help. eCollection 2022. The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. The need for transcultural nursing will continue to be an important aspect in healthcare. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. There is a cultural crisis in health care services. 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. Ulrey and Amason (2001) reported Cronbachs alpha of 0.83 for ICS [27]. Campinha-Bacote J; Cultural competence in providing health care services: Culturally adequate care model. The mean transcultural self-efficacy score was 2.89 0.59. Participants who were genuinely willing to take part and prepared to offer data freely were involved in the study. The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. The qualitative finding from a 30-year-old female participant supported this, ability to communicate among patients having different cultures influences confidence for caring (Participant 7). You can expect nursing programs to direct their efforts toward attracting and retaining students from underrepresented groups in nursing. { "4.01:_Introduction" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.
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(2012), in which intercultural communication was positively associated with cultural self-efficacy [33,34]. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. 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. broad scope, and wide readership a perfect fit for your research every time. The site is secure. Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. The program you have selected requires a nursing license. Millions of people come to this hospital. Then data were analyzed using descriptive statistics such as mean scores and standard deviations followed by inferential statistics. Nurses confidence when providing care for patients from different cultural backgrounds measured using 25 items on a 5-point Likert scale with the value ranging from 25125. However, it is opposite to the study of Asurakkody (2019), in which female nurses demonstrated a higher transcultural self-efficacy score than males [29]. 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. Data Availability: All the data underlying this study are provided in the Supporting information file. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Among these, 553 were diploma nurses, B.Sc. Leininger, Campinha-Bacote, Giger and Davidhizar, Orque, Purnell and Paulanka, Spector, Andrews and Boyle are regarded as the pioneers contributing to the accumulation of the relevant data. 4.10: Criticisms of Transcultural Nursing. An observational study. PMC Holist Nurs Pract. Longitudinal study is encouraged to determine cause and effect relationships. Nurses communication effectiveness when caring for patients from different cultural backgrounds measured using 5 items on a 5-point Likert scale with the value ranging from 525. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence This self-efficacy may be affected by different factors, either positively or negatively. Interpersonal Communication in Transcultural Nursing Care in India: A Descriptive Qualitative Study. Ratings on all items are made on a 1 to 5 scale standing for the words very little confidence for a score of 1, little confidence for a score of 2, neutral or noncommittal confidence for a score of 3, moderate confidence for a score of 4 and high confidence for a score of 5. Please enable it to take advantage of the complete set of features! 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. This ethnographic model created to promote cultural understanding of peoples status in the context of health promotion and illness is based on ethical perspectives of individual, family and community. & Lees S; Training culturally competent researchers. I personally have use and will continue to use Madeleine Leininger theory. With the population growing more diverse, its becoming more and more common for healthcare providers to treat patients whose cultural backgrounds differ from their own. The goal of the theory is to develop a body of knowledge to establish nursing care that is sometimes culture-specific and sometimes culture-universal. Bjarnason D, Mick J, Thompson JA, Cloyd E. Nurs Clin North Am. Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. There is no obligation to enroll.This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. degree in nursing. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. 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. As the need for a more direct relationship with patients presented itself, nurses filled . This calls for the need to offer transcultural nursing training for nurses. Transcultural nursing is a comparative study of cultures to understand similarities (culture universal) and difference (culture-specific) across human groups (Leininger, 1991). Nurse researchers are encouraged to conduct further study including nurses working at public health centers. This theory focuses on exploring different and universal cultures and providing comparative care. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. The other finding of this study was the identification of factors that are significantly associated with the transcultural self-efficacy perceptions of nurses. Copyright: 2021 Berhanu et al. Rasmussen University does not guarantee, approve, control, or specifically endorse the information or products available on websites linked to, and is not endorsed by website owners, authors and/or organizations referenced. 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. The authors would like to thank all the nurses who were volunteered to participate in this study. 2020 Nov 30;9(11):e17324. An official website of the United States government. Please correct the errors and submit again. Mean;SD, Successfully implementing the tenets of transcultural nursing can result in overcoming barriers to communication that may otherwise stand in the way of providing patients with quality care. Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. National Library of Medicine In late 2000, the Joint Commission, the accrediting agency from more than 21,000 healthcare organizations nationwide, said low healthcare literacy, cultural barriers and low English proficiency were the triple threat to communication in healthcare. An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientational definitions. One-day training was given for data collection facilitators regarding the objective of the study, data collection tools and procedures, how to approach respondents, and how to keep confidentiality. The finding of this study encourages nursing curriculum makers in Ethiopia to incorporate transcultural nursing education into the present curriculum and it calls for the need to offer transcultural nursing training for nurses. The use of nursing theories and models in nursing researches offers unparalleled contribution to the health care system through the practices of the nurse as a professional. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. Having the ability to understand complex cultural dimensions. This finding was corroborated by the finding from the qualitative study as one 28-year-old male participant said, I am willing and motivated to serve these people. But this means much more than hiring qualified interpreters. Please visit www.rasmussen.edu/degrees for a list of programs offered. Semi-structured in-depth interview (IDI) guiding questions were used. For additional information about Licensing and State Authorization, and State Contact Information for Student Complaints, please see those sections of our catalog. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. The reliability of the data collection tool was measured, data collection time was estimated and some modifications such as logical order and rewriting items difficult to understand were made as well. nurses. Accordingly, each text was read again and again carefully and then codes were generated by two data coders. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. 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. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. Then TSE level was divided into low, moderate, and high based on this score. The foundations of transcultural nursing were laid in the mid-1950s. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. The hospital had 628 nurses and midwives currently. Backward elimination was used for selecting variables in the final model. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the study. The level of perceived transcultural self-efficacy was moderate among nurses. Permission was obtained from JMC where the study was carried out. on
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. It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular . The questionnaire was adapted from related studies and was used for data collection [2427]. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. 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. Discover a faster, simpler path to publishing in a high-quality journal. Continuous monitoring was made by the principal investigators during data collection. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. FOIA The authors also would like to thank Jimma University health science institute and Jimma medical center for all their help. This list was used as a sampling frame. The interview findings were finalized into four major themes: transcultural self-efficacy perception, sociodemographic factors that influence transcultural self-efficacy, cultural factors influencing transcultural self-efficacy, and person-to-person communication skills. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. The significance of these other cues can vary widely depending on culture. 10.31.2022, Patrick Flavin |
One unit increase in cultural sensitivity leads to 2.075 units increase in transcultural self-efficacy ( = 2.075, p < .001). However, I individually have the confidence of medium type though there are some disagreements among some few things (Participant 1). Cross T., Bazron B; Dennis K., Isaacs M.; Towards a culturally adequate care process: Effective services for minority children with emotionally serious illness. 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. Nurses who had higher communication ability with people had greater transcultural self-efficacy. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. Before Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. The ability to recognize and embrace cultural diversity is of utmost importance to all health care providers, particularly to nurses since they come into very intimate contact with health care seekers of different cultures. Cultural sensitivity scale;ETB, Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. Intercultural communication scale;IDI, Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. The CSES-Knowledge scale consists of 16 items that ask about knowledge of many health-related domains (e.g., health practices, nutritional patterns, employment patterns). Vitale E, Lupo R, Calabr A, Ilari F, Lezzi A, Zacchino S, Vergori S, Chetta G, Latina S, Benedetto A, Lezzi P, Conte L. Acta Biomed. Nurses must acquire the necessary knowledge and skills in cultural competency. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. 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. Multivariable linear regression results showing factors associated with transcultural self-efficacy among nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). Simple random sampling technique was used to recruit participants in the quantitative part of the study. Journal of Transcultural Nursing Impact Factor: 1.869 5-Year Impact Factor: 2.322 JOURNAL HOMEPAGE SUBMIT PAPER Restricted access Research article First published online June 29, 2016 Overview of the Theory of Culture Care with the Ethnonursing Research Method Madeleine Leininger, PhD, LHD, DS, CTN, RN, FAAN View all authors and affiliations This finding is also consistent with the study of Herrero-Hahn et al. Andrews MM; Culturally adequate nursing care. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Therefore, nurses must be prepared to recognize clients desires that are derived from their culture and to develop skills that will help facilitate their achievement [10]. Rasmussen University is not regulated by the Texas Workforce Commission. Make sure your answer has only 5 digits. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. This is the basis of transcultural nursing. Variance inflation factor. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. 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. But it is not by separating them by race, ethnicity, tradition, value, and belief that you care therefore, since I am motivated to deliver care in diversity, my perception of confidence in such condition is very good (Participant 1).
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