DOI QR코드

DOI QR Code

The Effectiveness of a Cultural Competence Training Program for Public Health Nurses using Intervention Mapping

  • Kim, Yune Kyong (Department of Nursing, Masan University) ;
  • Lee, Hyeonkyeong (College of Nursing, Moi-Im Kim Nursing Research Institute, Yonsei University)
  • 투고 : 2016.08.23
  • 심사 : 2016.11.14
  • 발행 : 2016.12.31

초록

Purpose: This study evaluated the effects of a cultural competence training program for public health nurses (PHNs) using intervention mapping. Methods: An embedded mixed method design was used. Forty-one PHNs (experimental: 21, control: 20) and forty marriage migrant women (MMW) (20, in each group) who were provided nursing care by PHN participated in the study. The experimental group was provided with a four-week cultural competence program consisting of an eight hour offline and online course, e-mail newsletters and social networking services (BAND). Transcultural Self-efficacy (TSE) of the PHNs, client-nurse trust, and satisfaction with nursing care of MMW were measured. Ten PHNs in the experimental group were interviewed after the experimental study. Results: The experimental group showed a significantly greater improvement in TSE, client-nurse trust, and satisfaction with nursing care than did the control group. Six themes emerged from qualitative data: (a) Recognizing cultural differences, (b) Being interested in the multicultural policy, (c) Trying to communicate in MMW's own language, (d) Providing medical information using internet and smart phone, (e) Embracing culturally diverse people into society, and (f) Requiring ongoing cultural competence training. Conclusion: Cultural competence training enabled PHNs to provide culturally competent care and contribute to MMW's health outcomes.

키워드

참고문헌

  1. Statistics Korea. Annual foreign residence status [Internet]. Daejeon: Statistics Korea. 2016 [cited 2016 August 19]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2756
  2. Kim HM. We all leave home; living as a migrant in Korea. Paju: Dolbegae; 2014. 236 p.
  3. Leininger M. Cultural care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing. 2002;13(3):189-192. http://dx.doi.org/10.1177/10459602013003005
  4. Andrews MM, Boyle JS. Transcultural concepts in nursing care. 6th ed. Philadelphia: Wolters Kluwer Health/Lippincott, Williams and Wilkins; 2012. 476 p.
  5. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong 2nd O. Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports. 2003;118(4):293-302. https://doi.org/10.1016/S0033-3549(04)50253-4
  6. Koh CK, Koh SK. Married female migrants' experiences of health care services. The Journal of Korean Academic Society of Nursing Education. 2009;15(1):89-99. http://dx.doi.org/10.5977/JKASNE.2009.15.1.089
  7. Kim SH, Kim KW, Bae KE. Experiences of nurses who provide childbirth care for women with multi-cultural background. Journal of Korean Public Health Nursing. 2014;28(1):87-101. http://dx.doi.org/10.5932/JKPHN.2014.28.1.87
  8. Douglas MK, Rosenkoetter M, Pacquiao DF, Callister LC, Hattar-Pollara M, Lauderdale J, et al. Guidelines for implementing culturally competent nursing care. Journal of Transcultural Nursing. 2014;25(2):109-121. http://dx.doi.org/10.1177/1043659614520998
  9. American Association of Colleges of Nursing. Tool kit of resources for cultural competent education for baccalaureate nurses [Internet]. Washington, DC: AACN. 2008 [cited 2016 September 30]. Available from: http://www.aacn.nche.edu/education-resources/toolkit.pdf
  10. Registered Nurses' Association of Ontario. Embracing cultural diversity in health care: Developing cultural competence [Internet]. Toronto: RNAO. 2007 [cited 2016 September 30]. Available from: http://rnao.ca/sites/rnao-ca/files/Embracing_Cultural_Diversity_in_Health_Care_-_Developing_Cultural_Competence.pdf
  11. Lee EJ, Kim YK, Lee H. A study on the cultural competence of community health practitioners. Journal of Korean Academy Community Health Nursing. 2012;23(2):179-188. https://doi.org/10.12799/jkachn.2012.23.2.179
  12. Yang SO, Kwon MS, Lee SH. The factors affecting cultural competency of visiting nurses and community health practitioners. Journal of Korean Academy Community Health Nursing. 2012;23(3):286-295. http://dx.doi.org/10.12799/jkachn.2012.23.3.286
  13. Kim SH. Development of educational program for cultural competence in nursing for nursing students and its effects. The Journal of Korean Academic Society of Nursing Education. 2013;19(4):580-593. http://dx.doi.org/10.5977/jkasne.2013.19.4.580
  14. Peek EH, Park CS. Effects of a multicultural education program on the cultural competence, empathy and self-efficacy of nursing students. Journal of Korean Academy of Nursing. 2013;43(5):690-696. http://dx.doi.org/10.4040/jkan.2013.43.5.690
  15. Park MS, Kweon YR. Effects of a cultural competence promotion program for multicultural maternity nursing care: Casebased small group learning. Journal of Korean Academy of Nursing. 2013;43(5):626-635. http://dx.doi.org/10.4040/jkan.2013.43.5.626
  16. Park M, Park E. Effect of cultural competence education for nurse. Multicultural education studies. 2013;6(2):115-133.
  17. Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 2nd ed. CA: Sage Publications; 2011. 488 p.
  18. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical science. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146
  19. Jeffreys MR. Teaching cultural competence in nursing and healthcare. 2nd ed. NY: Springer Publishing Company; 2010. 618 p.
  20. Kim SH. Transcultural self-efficacy and educational needs for cultural competence in nursing of Korean nurses. Journal of Korean Academy of Nursing. 2013;43(1):102-113. http://dx.doi.org/10.4040/jkan.2013.43.1.102
  21. Shen Z. Cultural competence models and cultural competence assessment instruments in nursing a literature review. Journal of Transcultural Nursing. 2015;26(3):308-321. http://dx.doi.org/10.1177/1043659614524790
  22. Kim SH. Nurses' communication, trust in nurses, and satisfaction of nursing service perceived by inpatients [master's thesis]. [Seoul]: Seoul University; 2013. 76 p.
  23. Kim SW, Kim KH, Jang YH. The relationship between core service quality trust, value and satisfaction in medical service. Journal of Marketing Studies. 2009;17(1):115-140.
  24. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion programs: An intervention mapping approach. 3rd ed. San Francisco, CA: Jossey-Bass; 2011. 745 p.
  25. Brathwaite AE. Evaluation of a cultural competence course. Journal of Transcultural Nursing. 2005;16(4):361-369. http://dx.doi.org/10.1177/1043659605278941
  26. Berlin A, Nilsson G, Tornkvist L. Cultural competence among swedish child health nurses after specific training: A randomized trial. Nursing and Health Sciences. 2010;12(3):381-391. http://dx.doi.org/10.1111/j.1442-2018.2010.00542.x
  27. Hunter JL, Krantz S. Constructivism in cultural competence education. Journal of Nursing Education. 2010;49(4):207-214. http://dx.doi.org/10.3928/01484834-20100115-06
  28. Majumdar B, Browne G, Roberts J, Carpio B. Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. Journal of Nursing Scholarship. 2004;36(2):161-166. https://doi.org/10.1111/j.1547-5069.2004.04029.x
  29. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. http://dx.doi.org/10.1177/1049732305276687
  30. Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: The journey continues. 5th ed. Cincinnati, OH: Transcultural C. A. R. E. Associates; 2007. 133 p.

피인용 문헌

  1. Agreement on Core Components of an E-Learning Cultural Competence Program for Public Health Workers in South Korea: A Delphi Study vol.13, pp.3, 2019, https://doi.org/10.1016/j.anr.2019.04.005
  2. Effectiveness of cultural competence educational interventions on health professionals and patient outcomes: A systematic review vol.17, pp.3, 2016, https://doi.org/10.1111/jjns.12326
  3. E‐learning cultural competence for public health workers: A feasibility and pilot study vol.38, pp.5, 2016, https://doi.org/10.1111/phn.12923