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Influence of Multicultural Awareness and Cultural Sensitivity on Intercultural Communication Skills of the Korean Nursing Students

간호대학생의 다문화 인식, 문화적 민감성이 문화 간 의사소통능력에 미치는 영향

  • Lee, Eun-Mi (Department of Nursing, Gumi University) ;
  • Kim, Sun-Hee (College of Nursing, Catholic University of Daegu)
  • Received : 2017.01.04
  • Accepted : 2017.04.07
  • Published : 2017.04.30
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Abstract

This study examined the multicultural awareness, cultural sensitivity, and characteristics of multicultural experiences affecting the intercultural communication skills among Korean nursing students. The study participants were a total of 353 nursing students who had completed one or more clinical practice courses and were in 1 University and 2 Colleges. A self-assessment instrument was used. The descriptive statistics, t-test, one way ANOVA, Pearson's correlation coefficient, and simple and multiple regression were used to analyze the data. Statistically significant differences in the intercultural communication skill were observed in multicultural education, foreign friends, proficiency in English, stay in foreign countries, and length of stay in foreign countries. The intercultural communication skills was correlated with both multicultural awareness and cultural sensitivity. Multiple regression analysis showed that the multi-cultural awareness, multi-cultural education, and proficiency in English could explain 41.3% of the variances for the intercultural communication skill. Simple regression analysis also showed that the length of stay in foreign countries explained 2.5% of the intercultural communication skill among nursing students, who had stayed in foreign countries. Therefore, nursing educators should improve their multi-cultural awareness and develop various multi-cultural education programs, consider living abroad, and improve their language proficiency to strengthen nursing students' intercultural communication skill.

본 연구는 간호대학생의 다문화 인식과 문화적 민감성이 문화 간 의사소통에 미치는 영향을 파악하고자 실시하였다. 대상자는 1개 광역시와 2개 지역도시에 소재한 3개 대학교의 간호학과에 재학 중이며, 임상실습을 1학기 이상 이수한 간호대학생 3, 4학년으로 총 353명이었다. 자료는 자가보고식 질문지로 수집하였으며, 자료 분석은 t-검정, 분산분석, Pearson의 상관계수 단순회귀분석과 다중회귀분석을 이용하여 분석하였다. 대상자의 문화 간 의사소통능력은 다문화 교육경험 유무, 외국인 친구 유무, 영어능력, 해외 체류경험 유무, 해외 체류기간에 따라 통계적으로 유의한 차이를 나타냈다. 또한 대상자의 문화간 의사소통능력은 다문화 인식과 문화적 민감성과 유의한 상관관계를 나타냈다. 다중회귀분석결과 대상자의 문화 간 의사소통능력에 영향을 미치는 요인은 다문화 인식, 다문화 교육경험, 영어능력이었고 설명력은 41.3%였다. 또한 단순회귀분석결과 해외 체류경험이 있는 대상자의 해외 체류기간의 설명력은 2.5%이었다. 따라서 간호대학생의 의사소통능력을 향상시키기 위해서는 다문화 인식을 증가시킬 수 있는 방안과 해외 체험을 고려한 다문화 교육과 언어능력의 증진방안을 개발하는 것이 필요하다.

Keywords

References

  1. Ministry of the interior, The number of foreigner 171 ten thousand, 3.4% of the total population [Internet], [cited Nov. 14, 2016], Available from http://www.moi.go.kr/frt/bbs/type010/commonSelectBoar dArticle.do?bbsId=BBSMSTR_000000000008&nttId=56 680 (accessed Nov. 15, 2016)
  2. Korean Statistical Information Service, e-index of local region: The number of foreigners per thousand population(city and province) in 2015 [Internet], [cited Jun. 22, 2016], Available from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT _1YL3901&vw_cd=MT_GTITLE01&list_id=101_141&s eqNo=&lang_mode=ko&language=kor&obj_var_id=&it m_id=&conn_path=E1 (accessed Oct. 25, 2016)
  3. S. H. Kim, K. W. Kim, K. E. Bae, "Experiences of Nurses Who Provide Childbirth Care for Women with Multi-Cultural Background," Journal of Korean Public Health Nursing, vol. 28, no. 1, pp. 87-101. Apr. 2014. DOI: https://doi.org/10.5932/JKPHN.2014.28.1.87
  4. S. Y. Yang, H. N. Lim, J. H. Lee, "The Study on Relationship between Cultural Competency and Empathy of Nursing Students," The Journal of Korean Academic Society of Nursing Education, vol. 19, no. 2, pp. 183-193, May 2013. https://doi.org/10.5977/jkasne.2013.19.2.183
  5. Purnell, L. D., Transcultural Health Care: A Culturally Competent Approach(4th ed.). pp. 19-23, 47-49, F.A. Davis Company, 2013.
  6. C. K. Koh, S. K. Koh, "Married Female Migrants' Experiences of Health Care Services," Journal of Korean Academic Society of Nursing Education, vol. 15, no. 1, pp. 89-99, Jun. 2009. DOI: https://doi.org/10.5977/JKASNE.2009.15.1.089
  7. S. P. Taylor, C. Nicolle. M. Maguire, "Cross-Cultural Communication Barriers in Health Care," Nursing Standard, vol. 27, no. 31, pp. 35-43. Apr. 2013. DOI: https://doi.org/10.7748/ns2013.04.27.31.35.e7040
  8. S.-H. Kim, "Chinese Married Immigrant Women's Experience of Pregnancy, Childbirth, and Parenting," Journal of the Korean Society of Maternal and Child Health, vol. 16, no. 2, pp. 170-185. Nov. 2012. DOI: https://doi.org/10.21896/jksmch.2012.16.2.170
  9. S.-H. Kim, "Health Care Experiences of Vietnamese Marriage Immigrant Women during Pregnancy, Childbirth, and Postpartum Period in Korea," Journal of Korean Public Health Nursing, vol. 29, no. 2, pp. 325-343. Aug. 2015. DOI: https://doi.org/10.5932/JKPHN.2015.29.2.325
  10. M.-J. Kim, T.-I. Kim, Y.-J. Kwon, "A Study about Cultural Sensitivity and Stereotype about Immigrant Women among General Hospital Nurses in Chungcheong Area," Journal of the Korea Academia-Industrial Cooperation Society, vol. 15, no. 3, pp. 1334-1344. Mar. 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.3.1334
  11. Munoz, C., Luckman, J., Transcultural Communication in Nursing: Communication and Human Behavior for Health Science (2nd ed.). pp. 11-24, 45-91, Cengage Learning, 2005.
  12. S. Henderson, M. Barker, A. Mak, "Strategies Used by Nurses, Academics and Students to Overcome Intercultural Communication Challenges," Nurse Education in Practice, vol. 16, no. 1, pp. 71-78. Jan. 2016. DOI: https://doi.org/10.1016/j.nepr.2015.08.010
  13. E. M. Lee, S.-H. Kim, "Variables Affecting the Intercultural Communication Skills of Nursing Students," Journal of Korean Parent Child Health, vol. 18, no. 2, pp. 78-87, Dec. 2015.
  14. D.-Y. Park, K.-H. Jung, "The Influence of Self Esteem, Interpersonal Relations and Intercultural Communicative Competence on Cultural Competence of Nursing Students," The Journal of the Korea Contents Association, vol. 14, no. 11, pp. 337-346, Nov. 2014. DOI: https://doi.org/10.5392/JKCA.2014.14.11.337
  15. K. H. Hughes, L. J. Hood, "Teaching Methods and an Outcome Tool for Measuring Cultural Sensitivity in Undergraduate Nursing Students," Journal of Transcultural Nursing, vol. 18, no. 1, pp. 57-62. Jan. 2007. DOI: https://doi.org/10.1177/1043659606294196
  16. Kim, N. Y., Development and Validation of the Multicultural Awareness Scale of Adolescents. Unpublished master's thesis, Sungkyunkwan University, Seoul, 2011.
  17. Choi, S. H., Kim, S. H., Lim, M. H., Developing Cultural Sensitivity Scale. Seoul: Multicultural Family Center of Pyeondtaek University, 2008.
  18. W.-O. Oh, "Factors Influencing Cultural Sensitivity among Nursing Students," Journal Korean Academic Child Health Nursing, vol. 17, no. 4, pp. 222- 229. Oct. 2011. DOI: https://doi.org/10.4094/jkachn.2011.17.4.222
  19. P. Hudelson, N. J. Perron, T, Perneger. "Self-assessment of Intercultural Communication Skills: A Survey of Physicians and Medical Students in Geneva, Switzerland," BMC Medical Education, vol. 11, no. 1, pp. 1-9, Sep. 2011. DOI: https://doi.org/10.1186/1472-6920-11-63
  20. Andrews, M. M., Boyle, J. S., Transcultural Concepts in Nursing Care (5th ed.). pp. 15-33, Lippincott Williams & Wikins, 2008.
  21. T. Long, "Influence of International Service-Learning on Nursing Student Self-Efficacy toward Cultural Competence," Journal of Nursing Education, vol. 53, no. 8, pp. 474-478, Aug. 2014. DOI: https://doi.org/10.3928/01484834-20140725-02
  22. J. Samochowieca, A. Florackb, "Intercultural Contact under Uncertainty: The Impact of Predictability and Anxiety on the Willingness to Interact with a Member from an Unknown Cultural Group," International Journal of Intercultural Relations, vol. 34, pp. 507-515. Sep. 2010. DOI: https://doi.org/10.1016/j.ijintrel.2010.05.003
  23. L. Rew, H. Becker, J. Cookston, S. Khosropour, S. Martinez, "Measuring Cultural Awareness in Nursing Students," Journal of Nursing Education, vol. 42, no. 6, pp. 249-257, Jun. 2003.
  24. K. S. Kim, M. Yu, "The Influencing Factors associated Cultural Awareness of Immigrants for Marriage, Foreign Workers in Korean Nursing Students," Korean Journal of Adult Nursing, vol. 24, no. 5, pp. 531-539, Oct. 2012. DOI: https://doi.org/10.7475/kjan.2012.24.5.531
  25. B. Krainovich-Miller, J. M. Yost, R. G. Norman, C. Auerhahn, M. Dobal, M. Rosedale, M. Lowry, C. Moffa, "Measuring Cultural Awareness of Nursing Students: A First Step toward Cultural Competency," Journal of Transcultural Nursing, vol. 19, no. 3, pp. 250-258, Apr. 2008. DOI: https://doi.org/10.1177/1043659608317451
  26. E. H. Fong, R. M, Catagnus, M. T. Brodhead, S. Quigley, S. Field. "Developing the Cultural Awareness Skills of Behavior Analysts," Behavior Analysis in Practice, vol. 9, no. 1, pp. 84-94, Feb. 2016. DOI: https://doi.org/10.1007/s40617-016-0111-6
  27. Kim, J. E., Korean Coss-Cultural Communication. pp. 129-148, Hankookmoonwhasa. Seoul, 2011.
  28. M, S. Park, Y. R. Kweon, "Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-Based Small Group Learning," Journal of Korean Academy of Nursing, vol. 43, no. 5, pp. 626-635, Oct. 2013. DOI: https://doi.org/10.4040/jkan.2013.43.5.626
  29. Y.-S. Kim, J.-Y. Kim, "The Effect of the Cultural Competence in Multicultural Nursing Education by Action Learning," Journal of Academia-Industrial Technology, vol. 15, no. 11, pp. 6527-6535. Nov. 2014. DOI: https://doi.org/10.5762/kais.2014.15.11.6527
  30. M. J. Chae, J. I. Kim, J. H. Lee, "Effects of a Multicultural Course on the Multicultural Acceptability and Competency of Nursing Students," Journal of Korean Academic Society of Nursing Education, vol. 21, no. 3, pp. 373-381, Aug. 2015. DOI: https://doi.org/10.5977/jkasne.2015.21.3.373
  31. J. H. Kim, "Study about Cultural Sensitivity and Stereotype about Immigrant Women among Nursing Students," Journal of Digital Convergence, vol. 12, no. 7, pp. 305-314, Jul. 2014. DOI: https://doi.org/10.14400/JDC.2014.12.7.305
  32. H. Y. Chang, Y. M. Yang, Y. L. Kuo, "Cultural Sensitivity and Related Factors among Community Health Nurses," Journal of Nursing Research, vol. 21, no. 1, pp. 67-73, Mar. 2013. DOI: https://doi.org/10.1097/jnr.0b013e3182829cb9
  33. C. L. Foronda, "A Concept Analysis of Cultural Sensitivity," Journal of Transcultural Nursing, vol. 19, no. 3, pp. 207-212, Jul. 2008. DOI: https://doi.org/10.1177/1043659608317093
  34. Kreps, G. L., Kunimoto, E. N., Effective Communication in Multicultural Health Care Settings: Communicating Effectively in Multicultural Contexts (3rd ed.), pp. 108-124, SAGE Publications, 1994. DOI: https://doi.org/10.4135/9781483326344.n7