Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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How Do We Approach Quality Care for Patients from Middle Eastern Countries? A Phenomenological Study of Korean Nurses' Experiences

  • Jang, Dael (Department of Nursing, Graduate School, Yonsei University) ;
  • Choi, Seonhwa (Department of Nursing, Graduate School, Yonsei University) ;
  • Hwang, Gahui (Department of Nursing, Graduate School, Yonsei University) ;
  • Kim, Sanghee (Department of Nursing & Mo-Im Kim Nursing Research Institute, Yonsei University)
  • Received : 2024.03.06
  • Accepted : 2024.05.23
  • Published : 2024.08.31
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Abstract

Purpose: Although more people from Middle Eastern countries are visiting South Korea for medical treatment, Korean nurses lack experience in treating them. Understanding and describing Korean nurses' experiences can help them provide quality care to these patients by enhancing their competency in culturally appropriate care. This study described the experiences of nurses who provide care to Middle Eastern patients in clinical settings in South Korea. Methods: We conducted a phenomenological study to describe nurses' experience of caring for patients from Middle Eastern countries. Ten nurses with prior experience in caring for these patients were recruited from a university-affiliated tertiary hospital. Semi-structured face-to-face interviews were conducted between May 1 and June 4, 2020. The transcribed data were analyzed using Giorgi's phenomenological method to identify the primary and minor categories representing nurses' experiences. Results: Four major categories (new experiences in caring for culturally diverse patients, challenges in caring for patients in a culturally appropriate manner, nursing journey of mutual agreement with culturally diverse patients, and being and becoming more culturally competent) and 11 subcategories were identified. Conclusion: Nurses experience various challenges when caring for Middle Eastern patients with diverse language and cultural needs. However, nurses strive to provide high-quality care using various approaches and experience positive emotions through this process. To provide quality care to these patients, hospital environments and educational programs must be developed that center on field nurses and students and support them in delivering quality care while utilizing their cultural capabilities.

Keywords

References

  1. Eom T, Yu J, Han H. Medical tourism in Korea-recent phenomena, emerging markets, potential threats, and challenge factors: A review. Asia Pacific Journal of Tourism Research. 2019;24(6):563-573. https://doi.org/10.1080/10941665.2019.1610005 
  2. Larsen R, Mangrio E, Persson K. Interpersonal communication in transcultural nursing care in India: A descriptive qualitative study. Journal of Transcultural Nursing. 2021; 32(4):310-317. https://doi.org/10.1177/1043659620920693 
  3. Korea Health Industry Development Institute (KHIDI). Statistics on international patients in Korea, 2019 [Internet]. KHIDI; 2020 [cited 2023 Nov 17]. Available from: https://www.khiss.go.kr/board/view?pageNum=1&rowCnt=10&no1=8&linkId=175804&menuId=MENU00308&schType=1&schText=%EC%99%B8%EA%B5%AD%EC%9D%B8%ED%99%98%EC%9E%90&boardStyle=&categoryId=&continent=&schStartChar=&schEndChar=&country=. 
  4. Battour M, Ismail MN. Halal tourism: Concepts, practises, challenges and future. Tourism Management Perspectives. 2016;19(Pt B):150-154. https://doi.org/10.1016/j.tmp.2015.12.008 
  5. Kang YK. Middle Eastern medical tourists are coming [Internet]. Midas; 2015 [cited 2023 Nov 17]. Available from: http://www.yonhapmidas.com/article/151209165629_449768. 
  6. Kim S, Jin KN, Min H. Factors affecting nurses' stress: Focusing on foreign patient relationships. Korean Public Health Research. 2017;43(2):11-19. https://doi.org/10.22900/kphr.2017.43.2.002 
  7. Suk SS. Design strategy for the attraction of patients of the medical tourism industry in Korea - emphasis on the Muslim patient medical services. Journal of Digital Design. 2016;16(1):1-10. 
  8. Boucher NA, Siddiqui EA, Koenig HG. Supporting Muslim patients during advanced illness. Permanente Journal. 2017;21:16-190. https://doi.org/10.7812/TPP/16-190 
  9. Shahawy S, Raya L, Al Kassab L. Caring for Muslim patients: A primer for the obstetrician gynecologist. Obstetrics and Gynecology Clinics of North America. 2024;51(1):57-67. https://doi.org/10.1016/j.ogc.2023.10.003 
  10. Klitzman R, Di Sapia Natarelli G, Garbuzova E, Sinnappan S, Al-Hashimi J. Muslim patients in the U.S. confronting challenges regarding end-of-life and palliative care: The experiences and roles of hospital chaplains. BMC Palliative Care. 2023;22(1):28. https://doi.org/10.1186/s12904-023-01144-1 
  11. Jabeen T, Snowden A. Can mental healthcare for Muslim patients be person-centred without consideration of religious identity? A concurrent analysis. Nurse Education in Practice. 2022;64:103449. https://doi.org/10.1016/j.nepr.2022.103449 
  12. Kim KS, Ahn JW, Kim JA, Kim HJ. A comparison study using mixed methods on foreign residents' satisfaction with Korean health care services. Journal of Korean Academy of Nursing. 2014;44(1):86-96. https://doi.org/10.4040/jkan.2014.44.1.86 
  13. Ryu YJ, Lee YM. Influence of cultural competency and intercultural communication on clinical competence of emergency unit nurses caring for foreign patients. Journal of Korean Critical Care Nursing. 2021;14(1):40-49. https://doi.org/10.34250/jkccn.2021.14.1.40 
  14. Ahn JW, Jang HY. Factors affecting cultural competence of nurses caring for foreign patients. Health Policy and Management. 2019;29(1):49-57. https://doi.org/10.4332/KJHPA.2019.29.1.49 
  15. Han YR, Jeong YW. The moderating effect of cultural competence educational needs on the relationship between transcultural self-efficacy and cultural competence in Korean public health nurses. BMC Nursing. 2023;22(1):103. https://doi.org/10.1186/s12912-023-01253-5 
  16. Choi YK, Ahn JW, Kim KS. Influence of cultural competency, intercultural communication, and organizational support on nurses' clinical competency caring for foreign patients. Health and Social Welfare Review. 2018;38(4):518-543. https://doi.org/10.15709/hswr.2018.38.4.518 
  17. Jang HY, Lee E. Caring experiences of the nurses caring for foreign inpatients of non-English speaking. Journal of the Korea Academia-Industrial Cooperation Society. 2016; 17(12):415-426. https://doi.org/10.5762/KAIS.2016.17.12.415 
  18. Oakley S, Grealish L, El Amouri S, Coyne E. The lived experience of expatriate nurses providing end of life care to Muslim patients in a Muslim country: An integrated review of the literature. International Journal of Nursing Studies. 2019; 94:51-59. https://doi.org/10.1016/j.ijnurstu.2019.03.002 
  19. Korea Health Industry Development Institute (KHIDI). Statistics on international patients in Korea, 2018 [Internet]. KHIDI; 2019 [cited 2020 Sep 14]. Available from: https://www.khidi.or.kr/board/view?menuId=MENU00085&linkId=48806593. 
  20. Kallio H, Pietila AM, Johnson M, Kangasniemi M. Systematic methodological review: Developing a framework for a qualitative semi-structured interview guide. Journal of Advanced Nursing. 2016;72(12):2954-2965. https://doi.org/10.1111/jan.13031 
  21. Doody O, Noonan M. Preparing and conducting interviews to collect data. Nurse Researcher. 2013;20(5):28-32. https://doi.org/10.7748/nr2013.05.20.5.28.e327 
  22. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. Journal of Phenomenological Psychology. 1997;28(2):235- 260. https://doi.org/10.1163/156916297X00103 
  23. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. Jossey-Bass; 1981. p. 411-423. 
  24. Park HS, Ha SJ, Park JH, Yu JH, Lee SH. Employment experiences of nurses caring for foreign patients. Journal of Korean Academy of Nursing Administration. 2014;20(3):281-291. https://doi.org/10.11111/jkana.2014.20.3.281 
  25. Kim JR. Transcultural nursing experiences among Korean nurses in the United Arab Emirates hospital [master's thesis]. Seoul: Ewha Womans University; 2018. p. 1-92. 
  26. Lee BS, Kim MY. Nursing experience of delivery care for married immigrant women in Korea: An application of focus group interview. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(6):3999-4010. https://doi.org/10.5762/KAIS.2015.16.6.3999 
  27. Hamdiui N, Bouman MPA, Stein ML, Crutzen R, Keskin D, Afrian A, et al. The development of a culturally sensitive educational video: How to facilitate informed decisions on cervical cancer screening among Turkish- and Moroccan-Dutch women. Health Expectations. 2022;25(5):2377-2385. https://doi.org/10.1111/hex.13545 
  28. Min J. Hospital nurses' multicultural patient care experience. Journal of the Korean Society for Multicultural Health. 2018;8(1):31-43.  https://doi.org/10.33502/JKSMH.8.1.31
  29. Shin M, Na H, Kim S. Enhancing cultural competency and empathy toward foreign patients for Korean nursing students through a simulation: A quasi-experimental study. Nurse Education in Practice. 2023;69:103615. https://doi.org/10.1016/j.nepr.2023.103615 
  30. Kim Y, Kim K, Park MM, Kim IS, Kim MY. A study on the appropriateness of health insurance fee in main nursing practices. Journal of Korean Clinical Nursing Research. 2017; 23(2):236-247. https://doi.org/10.22650/JKCNR.2017.23.2.236 
  31. Park YS, Song R. Estimation of nurse staffing based on nursing workload with reference to a patient classification system for a intensive care unit. Journal of Korean Critical Care Nursing. 2017;10(1):1-12. 
  32. Suk SS, Jun SJ. A study on the information design reflecting the characteristics of Arab culture - for Muslim patients from the Middle East who visited Korea. Journal of Korea Design Forum. 2020;25(3):179-192. https://doi.org/10.21326/ksdt.2020.25.3.016 
  33. Suk SS, Shin DJ. Medical communication design strategy for Middle East patient. Journal of Brand Design Association of Korea. 2017;15(4):203-216. https://doi.org/10.18852/bdak.2017.15.4.203 
  34. Kim MS. The effects of job-resourcefulness on the relationship among job demand, burnout, and customer oriented behaviors: Moderating effects of job-resourcefulness. Journal of Business Research. 2015;30(3):209-231. https://doi.org/10.22903/jbr.2015.30.3.209 
  35. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research. 2014;14:99. https://doi.org/10.1186/1472-6963-14-99 
  36. Ozkara San E. Development of the diverse standardized patient simulation cultural competence education strategy. Nursing Education Perspectives. 2019;40(6):E31-E33. https://doi.org/10.1097/01.NEP.0000000000000519 
  37. Chun KJ, Choi JH, Kim YR, Lee SO, Chang CL, Kim SS. The effects of both shift work and non-shift work nurses' empathy on life and job satisfaction. Journal of the Korea Contents Association. 2017;17(3):261-273. https://doi.org/10.5392/JKCA.2017.17.03.261 
  38. Nobahar M, Yarahmadi S, Raiesdana N, Delshad ES, Hajizadegan F, Ebrahimzadeh F. Predicting moral intelligence in nursing students and its relationships with self-compassion, and cultural competence: A cross-sectional study. BMC Nursing. 2022;21(1):327. https://doi.org/10.1186/s12912-022-01111-w 
  39. Sharifi N, Adib-Hajbaghery M, Najafi M. Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies. 2019;99:103386. https://doi.org/10.1016/j.ijnurstu.2019.103386 
  40. Young S, Guo KL. Cultural diversity training: The necessity of cultural competence for health care providers and in nursing practice. Health Care Manager. 2020;39(2):100-108. https://doi.org/10.1097/HCM.0000000000000294 
  41. Kaihlanen AM, Hietapakka L, Heponiemi T. Increasing cultural awareness: Qualitative study of nurses' perceptions about cultural competence training. BMC Nursing. 2019;18: 38. https://doi.org/10.1186/s12912-019-0363-x 
  42. International Council of Nurses (ICN). The ICN code of ethics for nurses [Internet]. ICN; 2021 [cited 2024 Jan 6]. Available from: https://www.icn.ch/sites/default/files/2023-06/ICN_Code-of-Ethics_EN_Web.pdf.