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http://dx.doi.org/10.4040/jkan.2013.43.1.102

Transcultural Self-efficacy and Educational Needs for Cultural Competence in Nursing of Korean Nurses  

Kim, Sun-Hee (College of Nursing.Research Institute of Nursing Science, Catholic University of Daegu)
Publication Information
Journal of Korean Academy of Nursing / v.43, no.1, 2013 , pp. 102-113 More about this Journal
Abstract
Purpose: This study was done to investigate the level of transcultural self-efficacy (TSE) and related factors and educational needs for cultural competence in nursing (CCN) of Korean hospital nurses. Methods: A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Results: Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. Conclusion: The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.
Keywords
Cultural competency; Education; Needs assessment; Transcultural nursing;
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1 Noble, L. M., Noble, A., & Hand, I. L. (2009). Cultural competence of healthcare professionals caring for breastfeeding mothers in urban areas. Breastfeeding Medicine, 4(4), 221-224. http://dx.doi.org/10.1089/ bfm.2009.0020   DOI   ScienceOn
2 Quine, A., Hadjistavropoulos, H. D., & Alberts, N. M. (2012). Cultural selfefficacy of Canadian nursing students caring for aboriginal patients with diabetes. Journal of Transcultural Nursing, 23(3), 306-312. http:// dx.doi.org/10.1177/1043659612441023   DOI   ScienceOn
3 Tseng, W. S., & Streltzer, J. (2010). Cultural competence in health care: A guide for professionals. New York: Springer.
4 Tulman, L., & Watts, R. J. (2008). Development and testing of the blueprint for integration of cultural competence in the curriculum questionnaire. Journal of Professional Nursing, 24(3), 161-166. http://dx.doi.org/ 10.1016/j.profnurs.2008.01.006   DOI   ScienceOn
5 Andrews, M. M., & Boyle, J. S. (2008). Transcultural concepts in nursing care. Philadelphia, PA: Lippincott Williams & Wikins.
6 Bandura, A. (2008). Self-efficacy in changing societies. Cambridge: Cambridge University Press.
7 Brennan, A. M., & Cotter, V. T. (2008). Student perceptions of cultural competence content in the curriculum. Journal of Professional Nursing, 24(3), 155-160. http://dx.doi.org/10.1016/j.profnurs.2008.01.003   DOI   ScienceOn
8 Calvillo, E., Clark, L., Ballantyne, J. E., Pacquiao, D., Purnell, L. D., & Villarruel, A. M. (2009). Cultural competency in baccalaureate nursing education. Journal of Transcultural Nursing, 20(2), 137-145. http://dx.doi. org/10.1177/1043659608330354   DOI
9 Campinha-Bacote, J. (2007). The process of cultural competence in the delivery of healthcare services: The journey continues (5th ed.). Cincinnati, OH: Transcultural C.A.R.E. Associates.
10 American Association of Colleges of Nursing. (2008, August). Tool kit of resources for cultural competent education for baccalaureate nurses. Retrieved June 20, 2012, from http://www.aacn.nche.edu/education-resources/toolkit.pdf
11 American Association of Colleges of Nursing. (2011, August). Tool kit of for cultural competence in master's and doctoral nursing education. Retrieved June 20, 2012, from http://www.aacn.nche.edu/education-resources/Cultural_Competency_Toolkit_Grad.pdf
12 Choi, Y. H., Kang, S. P., Ko, S. H., & Cho, M. O. (1992). Nursing and Korean culture: An ethnographic approach. Seoul: Soomoonsa.
13 Coffman, M. J., Shellman, J., & Bernal, H. (2004). An integrative review of American nurses' perceived cultural self-efficacy. Journal of Nursing Scholarship, 36(2), 180-185. http://dx.doi.org/10.1111/j.1547-5069.20 04.04032.x   DOI   ScienceOn
14 Cuellar, N. G., Brennan, A. M., Vito, K., & de Leon Siantz, M. L. (2008). Cultural competence in the undergraduate nursing curriculum. Journal of Professional Nursing, 24(3), 143-149. http://dx.doi.org/10.1016/j. profnurs.2008.01.004   DOI   ScienceOn
15 Giger, J. N., & Davidhizar, R. E. (2007). Transcultural nursing: Assessment and intervention (5th ed.). St. Louis, Missouri: Mosby Elsevier.
16 Hagman, L. W. (2006). Cultural self-efficacy of licensed registered nurses in New Mexico. Journal of Cultural Diversity, 13(2), 105-112.
17 Jeffreys, M. R. (2010). Teaching cultural competence in nursing and health care (2nd ed.). New York, NY: Springer.
18 Jeffreys, M. R., & Dogan, E. (2012). Evaluating the influence of cultural competence education on students' transcultural self-efficacy perceptions. Journal of Transcultural Nursing, 23(2), 188-197. http://dx.doi. org/10.1177/1043659611423836   DOI   ScienceOn
19 Jeong, G. H., Nam, K. A., Kim, Y. H., Park, H. S., & Kim, S. H. (2012). Transcultural nursing. Chunchoen: XMLARCHIVE.
20 Jeffreys, M. R., & Smodlaka, I. (1998). Exploring the factorial composition of the transcultural self-efficacy tool. International Journal of Nursing Studies, 35(4), 217-225.   DOI   ScienceOn
21 Leininger, M., & McFarland, M. (2002). Transcultural nursing: Concepts, theories, research and practice (3rd ed.). New York: McGraw-Hill.
22 Vargas Jimenez, J. A., Molino Contreras, J. L., Shellman, J., Cantero Gonzalez, M. L., & Bernal, H. (2006). The level of cultural self-efficacy among a sample of Spanish nurses in southeastern Spain. Journal of Transcultural Nursing, 17(2), 164-170. http://dx.doi.org/10.1177/1043659605285417   DOI
23 Yoon, I. J., Song, Y. H., Kim, S. D., & Song, J. Y. (2010). Korean perception of immigrant workers and a multicultural society. Paju: Edambooks.
24 Korea Institute for Health and Social Affairs. (2011). Foreign patients in 2010 increased by 36 percentover the previous year, 81,789 people: Medical Korea, Attracted 224,260 patients per year. Retrieved July 16, 2012, from http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=252183&page=1
25 Larsen, R., & Reif, L. (2011). Effectiveness of cultural immersion and culture classes for enhancing nursing students' transcultural self-efficacy. Journal of Nursing Education, 50(6), 350-354. http://dx.doi.org/10.392 8/01484834-20110214-04   DOI
26 Lee, S. S., Chun, Y. J., Shin, H. Y., & Choi, H. J. (2011). Analysis on impact of foreigners' inflow in society undergoing low fertility and population aging. Seoul: Korea Institute for Health and Social Affairs.
27 Lim, J., Downie, J., & Nathan, P. (2004). Nursing students' self-efficacy in providing transcultural care. Nurse Education Today, 24(6), 428-434. http://dx.doi.org/10.1016/j.nedt.2004.04.007   DOI   ScienceOn
28 Liu, L., Mao, C. L., & Barnes-Willis, L. E. (2008). Cultural self-efficacy of graduating baccalaureate nursing students in a state funded university in the Silicon Valley. Journal of Cultural Diversity, 15(3), 100-107.
29 Migrant Health Association in Korea. (2009, September). Migrants' right to health through the eyes of human rights "Era of 1,000,000 immigrants, integrated health care policies were disputed". September discussion report. Retrieved May 20, 2011, from http://www.mumk.org/html/05library/ ngoLibrary_view.php?number=627&start=20&key=&keyfield=
30 Ministry of Public Administration and Security. (2011, September). Survey results on foreign residents of local governments in 2011. Retrieved January 29, 2012, from http://www.mopas.go.kr/gpms/ns/mogaha/user/userlayout/ bulletin/userBtView.action?userBtBean.bbsSeq=1021046&userBtBean. ctxCd=1291&userBtBean.ctxType=21010002¤tPage=1