DOI QR코드

DOI QR Code

초등학교 보건교사의 문화적 역량 영향요인

Factors Affecting Cultural Competency of Elementary School Nurses

  • 신정은 (충청대학교 간호학과.연세대학교 대학원 간호학과) ;
  • 박수인 (연세대학교 대학원 간호학과) ;
  • 이혜정 (연세대학교 간호대학)
  • Shin, Jungeun (Department of Nursing, Chungcheong University.Graduate School, College of Nursing, Yonsei University) ;
  • Park, Suin (Graduate School, College of Nursing, Yonsei University) ;
  • Lee, Hyejung (College of Nursing, Yonsei University)
  • 투고 : 2019.04.09
  • 심사 : 2019.04.17
  • 발행 : 2019.04.30

초록

Purpose: The aim of this study was to investigate the factors affecting the cultural competency of elementary school nurses. Methods: Data were collected from a convenience sample of 109 school nurses who were recruited from elementary schools across three large cities in South Korea. The daata were analyzed with independent t-tests, a one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: School nurses who had experience caring for multicultural students showed a significant difference in the cultural competency (t=8.75, p=.004). Factors affecting their cultural competency were awareness of multicultural families (${\beta}=.17$, p=.006) and transcultural self-efficacy (${\beta}=.69$, p<.001), which explained 58.6% of the total variance. Conclusion: The findings suggest that it is necessary to provide more training and educational programs for school nurses to improve their awareness of multiculcural families, including interventions to enhance transcultural self-efficacy, in order to enhance their cultural competence and to help them provide tailored care for multicultural students with diverse cultural backgrounds.

키워드

Table 1. Demographic Characteristics and Variables asso-ciated with Cultural Competency

HKHKB2_2019_v32n1_59_t0001.png 이미지

Table 2. The Levels of Awareness of Multicultural Families, Transcultural Self-efficacy and Cultural Competency

HKHKB2_2019_v32n1_59_t0002.png 이미지

Table 3. Differences in Cultural Competency according to Demographic Characteristics

HKHKB2_2019_v32n1_59_t0003.png 이미지

Table 4. Correlational Relationships between Major Variables

HKHKB2_2019_v32n1_59_t0004.png 이미지

Table 5. Factors Affecting on Cultural Competency of School Nurses

HKHKB2_2019_v32n1_59_t0005.png 이미지

참고문헌

  1. Statistics Korea. Statistics on the Youth 2017 [Internet]. Sejong: Korea Development Institute; 2017 [cited 2018 Nov 11]. Available from: http://kostat.go.kr/wnsearch/search.jsp
  2. Kim IS, Jung HS, Lee JD. Policy Paradigm for transition to multiethnic/multicultural society in Korea (IV): Development of basic policy strategies for productive multicultural society. Korean Women's Development Policy Report. Seoul: Korean Women's Development Institute; 2010 December. Report No.: TRKO201300029394.
  3. Ministry of Education. Education agenda for multicultural family student 2016 [Internet]. Sejong: Ministry of Education; 2016 [cited 2019 March 16]. Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=316&lev=0&statusYN=W&s=moe&m=0302&opType=N&boardSeq=76066.
  4. Kim HR, Yeo JY, Jeong JJ, Beck SH. Health status of marriage immigrant women and children from multicultural families and health policy recommendations. Seoul: Korea Institute for Health and Social Affairs; 2012. p. 1-276
  5. Kim EK, Yoo HN. Health behaviors and health status by gender differences of adolescents in multicultural families. The Journal of the korean society of school health. 2018;31(1):10-17. https://doi.org/10.15434/kssh.2018.31.1.10
  6. Lee JH, Jin SJ, Ju HJ, Cho YS. The impact of marriage migrant women's Korean language ability, self-esteem, and acculturative stress on their family health: Focused on mediating effects of marital adjustment. Korean Academy of Community Health Nursing. 2013;24(1):87-98. https://doi.org/10.12799/jkachn.2013.24.1.87
  7. Kim SH, Lee JH. Test of a hypothetical model for health promoting behavior in school-aged children. Journal of Korean Academy of Child Health Nursing. 2008;14(1):22-34.
  8. Suk MH, Oh WO, Im YJ, Cho HH. Mediating effect of school nurses' self efficacy between multicultural attitude and cultural sensitivity in Korean elementary schools. Asian Nursing Research. 2015;9(3):194-199. https://doi.org/10.1016/j.anr.2014.11.001
  9. Jang IS. The effects multicultural awareness on policy attitude: With special reference to the experts group. Korean Public Administration Quarterly. 2010;22(1):247-271.
  10. Lee SJ, Lee CH. Understanding of multiculture and multicultural education of school administrators. The Korean Association for Multicultural Education. 2012;5(1):69-92.
  11. McNaughton DB, Cowell JM, Fogg L. Adaptation and feasibility of a communication intervention for Mexican immigrant mothers and children in a school setting. The Journal of School Nurse. 2014;30(2):103-113. https://doi.org/10.1177/1059840513487217
  12. Cope DG. Cultural competency in nursing research. Oncology Nursing forum. 2015;42(3):305-307. https://doi.org/10.1188/15.onf.305-307
  13. Matza M, Maughan E, Barrows BM. School nurse cultural competence needs assessment: Results and response. NASN School Nurse. 2015;30(6):344-349. https://doi.org/10.1177/1942602x15608188
  14. Jeffreys MR. Teaching cultural competence in nursing and health care. 2nd ed, New York, NY: Springer Publishing 2010. p. 45-59.
  15. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological review. 1977;84(2):191-215. https://doi.org/10.1037//0033-295x.84.2.191
  16. Shin JW. Mediating and moderating effect of transcultural efficacy in relationship between cultural empathy and cultural competence [master's thesis]. Seoul: Korea University; 2017. p. 1-60.
  17. Han HR, Park JY, Jang OJ. A study on elementary school teachers' perception of multi-cultural family. Journal of Korean Practical Arts Education. 2010;16(4):169-196. https://doi.org/10.17055/jpaer.2010.16.4.169
  18. Choi SY. A study on the antecedent factors affecting helping professions' cultural competence focusing on social workers, teachers, nurses, and social work civil servants. Korean Journal of Social Welfare. 2012;64(2):5-29. https://doi.org/10.20970/kasw.2012.64.2.001
  19. Chae DH, Park YH, Kang KH, Lee TH. A study on factors affecting cultural competency of general hospital nurses. Journal of Korean Academy of Nursing Administration. 2012;18(1): 76-86. https://doi.org/10.11111/jkana.2012.18.1.76
  20. Oh WO, Jung WS, Kang HG, Kim EH, Suk MH. Cultural knowledge, empathy and cultural sensitivity of university students majoring in health and welfare. The Journal Korean Society School Health. 2010;23(2):192-199.
  21. Chea MO. Subjective health status, mental health and internet addiction tendency of adolescents in multi-cultural families compared to general families. Journal of Digital Convergence. 2018;16(12):383-393. https://doi.org/10.14400/JDC.2018.16.12.383
  22. Kim DO. Studies on early childhood teachers' recognition of the concept of family education [master's thesis]. Seoul: Graduate School of Sookmyung Women's University; 2004. p. 1-80.
  23. Oh WO, Park ES, Suk MH, Im YJ. Development and psychometric evaluation of the transcultural self-efficacy scale for nurses. Journal of Korean Academy of Nursing. 2016;46(2):293-304. https://doi.org/10.4040/jkan.2016.46.2.293
  24. Jeffreys MR, Dogan E. Evaluating the influence of cultural competence education on students' transcultural self-efficacy perceptions. Journal of Transcultural Nursing. 2012;23(2):188-197. https://doi.org/10.1177/1043659611423836
  25. Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing. 2002;13(3):181-184. https://doi.org/10.1177/10459602013003003
  26. Choi SY. A study on the development of cultural competence measure for helping professions. Journal of Community Welfare. 2010;35:23-53.
  27. Lee MS, Park JY. A study on daycare teachers' perceptions of multicultural families. Family and Environment Research. 2011; 49(7):25-37. https://doi.org/10.6115/khea.2011.49.7.025
  28. Ahn OH, Kim KH, Kim JS, Lee EK, Song MS. Cultural Competency and Recognition of Multicultural Families in Hospital Nurses. Journal of the Korean Society for Multicultural Health. 2012;2(1):43-48.
  29. Sagar PL. Transcultural nursing education strategies. New York, NY: Springer Publishing: 2014. p. 1-21.
  30. Choi SY. A study on the preceding factors influencing cultural competence of social workers working at multicultural family support centers. Korean Journal of Family Social Work. 2013;0(39):113-141. https://doi.org/10.16975/kjfsw.2013..39.004