Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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The Impact of Acculturation and Social Support on Mental Health among Korean-American Registered Nurses

재미한인간호사의 문화적응과 사회적 지지가 정신건강에 미치는 영향

  • Seo, Kumsook (Graduate School, Ewha Womans University) ;
  • Kim, Miyoung (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Lee, Gunjeong (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Park, Jinhwa (Graduate School, Ewha Womans University) ;
  • Yoon, Jungmin (Graduate School, Ewha Womans University)
  • 서금숙 (이화여자대학교 일반대학원) ;
  • 김미영 (이화여자대학교 건강과학대학 간호과학부) ;
  • 이건정 (이화여자대학교 건강과학대학 간호과학부) ;
  • 박진화 (이화여자대학교 일반대학원) ;
  • 윤정민 (이화여자대학교 일반대학원)
  • Received : 2013.02.08
  • Accepted : 2013.04.22
  • Published : 2013.04.30
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Abstract

Purpose: This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. Methods: Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. Results: Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. Conclusion: The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.

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References

  1. Abraido-Lanz, A. F., Chao, M. T., & Florez, K. R. (2005). Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Social Science & Medicine, 61 (6), 1243-1255. http://dx.doi.org/10.1016/j.socscimed.2005.01.016
  2. Ahn, J. H. (2007). A path analysis of the relationship between migratory grief and depression among older Korean immigrants in the U.S. Mental Health & Social Work, 26 , 219-253.
  3. Atri, A., Matorin, A., & Ruiz, P. (2011). Integration of international medical graduates in U.S. psychiatry: The role of acculturation and social support. Academic Psychiatry, 35 (1), 21-26. http://dx.doi.org/10.1176/appi.ap.35.1.21
  4. Baron, R. M., & Kenny, D. A. (1986). The moderator-medicator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51 (6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  5. Barry, D. T. (2001). Development of a new scale for measuring acculturation: The East Asian Acculturation Measure (EAAM). Journal of Immigrant Health, 3 (4), 193-197. https://doi.org/10.1023/A:1012227611547
  6. Berry, J. W. (1980). Acculturation as varieties of adaptation. In A. M. Padilla (Ed.), Acculturation: Theory, models and some new findings (pp. 9-25). Boulder, CO: Westview.
  7. Berry, J. W. (2003). Conceptual approaches to acculturation. In K. M. Chun, P. B. Organista, & G. Martin(Ed.), Acculturation: Advances in theory, measurement, and applied research (pp. 17-38). Washington, DC: American Psychological Association.
  8. Brunero, S., Smith, J., & Bates, E. (2008). Expectations and experiences of recently recruited overseas-qualified nurses in Australia. Contemporary Nurse, 28 (1-2), 101-110. http://dx. doi.org/10.5172/conu.673.28.1-2.101
  9. Cemalcilar, Z., & Falbo, T. (2008). A longitudinal study of the adaptation of international students in the United States. Journal of Cross-Cultural Psychology, 39 (6), 799-804. http:// dx.doi.org/10.1177/0022022108323787
  10. Chae, M. H., & Foley, P. F. (2010). Relationship of ethnic identity, acculturation, and psychological well-being among Chinese, Japanese, and Korean Americans. Journal of Counseling & Development, 88 (4), 466-476. http://dx.doi.org/10.1002/j.1556-6678.2010.tb00047.x
  11. Chiang, V., & Crickmore, B. L. (2009). Improving English proficiency of post-graduate international nursing students seeking further qualifications and continuing education in foreign countries. Journal of Continuing Education in Nursing, 40 (7), 329-336. http://dx.doi.org/10.3928/00220124-2009 0623-03
  12. Deegan, J., & Simkin, K. (2010). Expert to novice: Experiences of professional adaptation reported by non-English speaking nurses in Australia. Australian Journal of Advanced Nursing, 27 (3), 31-37.
  13. Goldber, D. P. (1972). The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic psychiatric illness. London: Oxford University Press.
  14. Gonzalez, H. M., Haan, M. N., & Hinton, L. (2001). Acculturation and the prevalence of depression in older Mexican Americans: Baseline results of the Sacramento area Latino study on aging. Journal of the American Geriatrics Society, 49 (7), 948-953. http://dx.doi.org/10.1046/j.1532-5415.2001.49186.x
  15. Health Resources and Services Administration. (HRSA, 2010). The registered nurse population: Findings from the 2008 national sample survey of registered nurses. Retrieved February 15, 2012, from http://bhpr.hrsa.gov/healthworkforce/ rnsurvey2008.html
  16. Hong, K., Yoon, S., & Kang, C. (2004). The study on Korean nurses' international employment and work performance. The Korean Nurse, 231, 62-82.
  17. Ivković, M. (2011). International nurse migrations-global trends. Journal of the Geographic Institute "Jovan Cvijić" SASA, 61 (12), 53-67. http://dx.doi.org/10.2298/IJGI1102053I
  18. Kang, C. H. (2012). Structured equation modeling on nursing competence of Korean registered nurses in the United States. Unpublished doctoral dissertation, Seoul National University, Seoul.
  19. Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458-467. http://dx.doi. org/10.1093/jurban/78.3.458
  20. Kim, J. H. (2000). Model construction of occupational stress in manufacturing workers. Unpublished doctoral dissertation, Seoul National University, Seoul.
  21. Kingma, M. (2008). Nurses on the move: Diversity and the work environment. Contemporary Nurse, 28 (1-2), 198-206. http:// dx.doi.org/10.5172/conu.673.28.1-2.198
  22. Knipscheer, J. W., & Kleber, R. J. (2007). Acculturation and mental health among Ghanaians in the Netherlands. International Journal of Social Psychiatry, 53 (4), 369-383. http:// dx.doi.org/10.1177/0020764007078344
  23. Learthart, S. (2000). Health effects of internal rotation of shifts. Nursing Standard, 14 (47), 34-36.
  24. Lee, E., & Son, J. T. (2010). Factors influencing intention of migration by hospital nurses in Korea. Journal of Korean Academy of Nursing Administration, 16 (4), 437-445. https://doi.org/10.11111/jkana.2010.16.4.437
  25. Lee, S. (2006). Cultural hybrid in the process of globalization and migration: A comparative analysis of the cases of Korean migrant women in Germany and foreign migrant women in Korea. Zeitschrift der Koreanisch-Deutschen Gesellschaft fur Sozialwissenschaften, 16 (2), 191-228.
  26. Nicholas, B. L., Davis, C. R., & Richardson, D. R. (2010). An integrative review of global nursing workforce issues. Annual Review of Nursing Research, 28, 113-132. http://dx.doi. org/10.1891/0739-6686.28.113
  27. Noh, H. N. (2007). A study on acculturative stress of the Chinese women who got married to Korean men and settled down in Korea-Focusing on the acculturation patterns and social support perceived by women-. Unpublished master's thesis, Ewha Womans University, Seoul.
  28. Oh, J. Y. (2009). Korean mothers' passion to "go out to the U.S." as a registered nurse. Weekly Donga, 682, 56-57.
  29. Shin, S. I. (2001). The validity and reliability of the Korean Version of the General Health Questionnaire: KGHQ-20 & KGHQ-30. Korean Journal of Social Welfare, 46, 210-230.
  30. Statistics Calculators. (2013). Sobel test calculator for the significance of mediation. Retrieved April 20, 2013, from http:// danielsoper.com/statcalc3/calc.aspx?id=31
  31. Thompson, S., Hartel, G., Manderson, L., Woelz-Stirling, N., & Kelaher, M. (2002). The mental health status of Filipinas in Queensland. Australian and New Zealand Journal of Psychiatry, 36, 674-680. http://dx.doi.org/10.1046/j.1440- 1614.2002.01070.x
  32. Yi, M. S. (1996). Overcoming language barrier by Korean nurses in U. S. hospital settings. Journal of Korean Academy of Nursing, 26 (2), 483-495.
  33. Yi, M. S. (1998). A comparison of hospital nursing practice in Korea and the U.S. as experienced by Korean nurses. Journal of Korean Academy of Nursing, 28 (1), 60-69. https://doi.org/10.4040/jkan.1998.28.1.60
  34. Yi, M., & Jezewski, M. A. (2000). Korean nurses' adjustment to hospitals in the United States of America. Journal of Advanced Nursing, 32 (3), 721-729. http://dx.doi.org/10.1046/ j.1365-2648.2000.01533.x
  35. Weinert, C. (1988). Measuring social support: Revision and further development of personal resource questionnaire. In Waltz, C. F. & Strickland, O. L. (Ed.). Measuring of nursing outcomes (pp. 309-327). New York: Springer Publishing Company.
  36. Zhou, Y., Windsor, C., Coyer, F., & Theobald, K. (2010). Ambivalence and the experience of China-educated nurses working in Australia. Nursing Inquiry, 17 (3), 186-196. http://dx. doi.org/10.1111/j.1440-1800.2010.00492.x

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