• Title/Summary/Keyword: 문화간호

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Managing Illness of Korean Immigrants in Transition (재미 한인들의 초기 이민 경험과 질병관리에 관한 고찰)

  • Im Eun-Ok
    • Journal of Korean Public Health Nursing
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    • v.10 no.1
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    • pp.58-79
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    • 1996
  • 재미 한인들의 급격한 증가와 더불어 미국 간호학의 한인들에 대한 문화적 지식의 유입을 필요로 하게 하였다. 더구나 기존 연구들은 한인들이 질병을 비효율적이며 부적절하게 관리하는 것으로 보고하고 있어 이에 대한 연구의 필요성이 더욱 증가하였다. 기존 연구에 의하면 초기 이민 경험은 이민자들의 건강과 질병 관리에 크게 영향을 미치는 것으로 나타났다. 이 연구에서는 비평적 문헌 고찰을 통하여 초기 이민 경험이 재미 한인들의 질병관리에 어떻게 영향을 미치는지에 관하여 살펴보고 이에 근거하여 재미 한인들을 위한 적절한 간호의 방향을 제시하고자 했다. 의학도서 목록 전산망과 기타 문헌 자료를 이용하여 1966년부터 1995년까지의 의학, 보건학, 생물학, 심리학, 사회학 문헌들을 살펴보았다. 체계적인 문헌 고찰을 위하여 4개의 세부적인 주제 아래 문헌들을 구분하여 고찰하였다 첫째. 일반적인 이민자들의 초기 이민경험, 건강, 질병 관리가 고찰되었고. 둘째로 재미 한인들의 초기 이민 경험이 고찰되어졌으며, 셋째로, 재미 한인들의 건강. 질병관리가 고찰되어졌고, 마지막으로 이들을 위한 간호의 방향을 제시해 줄 기존의 간호 모델들이 고찰되어졌다. 문헌 고찰 결과, 재미 한인들의 부적절한 질병 관리는 그들의 초기 이민 경험들과 관련되는 것으로 나타났다 첫째 문화적으로 결정되어진 신념이나 태도들이 재미 한인들의 적절한 질병 관리를 방해하는 것으로 나타났다. 둘째, 재미 한인들도 본국인들과 마찬가지로 질병관리를 위해 현대의학. 한방, 무속, 민간요법을 사용하는 것으로 나타났는데. 한방의 사용이나 이러한 치료법들의 흔용은 한인들의 적절한 질병 관리를 방해하는 것으로 나타났다. 셋째, 문화적 차이, 언어장벽, 그리고 비언어적 의사소통의 차이점에서 오는 오해들이 재미 한인들의 질병 관리를 부적절하게 만드는 것으로 나타났다. 넷째, 이민생활에서 오는 여러 어려움들 또한 재미 한인들의 질병관리를 어렵게 만드는 것으로 나타났으며, 다섯째. 사회적 지지의 부족 역시 재미 한인들의 적절한 질병관리를 힘들게 하는 것으로 나타났다. 마지막으로 적절한 간호 모델의 부재가 이들을 위한 적절한 간호의 제공을 어렵게 하고 있는 것으로 밝혀졌다. 이러한 결과에 근거를 두고 초기 이민 적응기에 있는 재미 한인들에게 적절한 간호를 제공하기 위한 몇 가지 제안들이 제시되었다. 첫째, 이민자들에게 적절한 간호가 제공되기 위해서도 문화적 배경을 고려해야 하겠다. 문화적으로 적절한 간호를 위해서 간호 제공자들은 자신들의 문화와 다른 간호 대상자의 문화도 존중해 주어야 하며, 문화적으로 결정되어진 건강 신념들과 질병 관리 행태도 생명을 위협하지 않는 한 존중해 주어야 할 것이다. 또한 간호제공자들은 자문화 중심적인 사고방식에서 벗어나야 하며, 간호 대상자들의 상황을 총괄적으로 이해하여야 하고 이민자들의 어려움에 대해 공감을 가지고 간호를 제공하여야 하겠다. 둘째, 간호 제공자들은 한방에 관한 지식을 가지고 한 의학 혼용으로 인한 위험으로부터 간호 대상자를 보호하여야 할 것이다. 셋째, 문화적 차이나 자민족 중심적 사고방식으로 인한 오해를 막기 위하여 간호 제공자들은 간호 대상자와 자주 상호 교류함으로써 배우는 자세로 간호 대상자를 대하여야 할 것이며, 자신의 자민족 중심적인 사고방식을 인지하고 언어적, 비언어적 의사소통의 문화 집단별 차이를 앎으로써 오해의 소지를 줄여야 할 것이다. 넷째, 적절한 간호의 제공을 위하여 의사소통을 위해 대화만을 직접 번역해 주는 통역자와는 달리 문화적 배경까지도 이해하고 해석해 주는 문화적 통역자의 도움을 밟아야 할 것이다. 다섯째, 한국문화는 가족 중심적 문화이므로 간호 대상자의 혈연관계를 이해하고 그에게 크게 영향을 주는 가족원을 간호 중재에 참여시킴으로써 치료 효과를 높여야 할 것이다. 마지막으로 효과적인 간호를 위하여 재미 한인을 위한 적절한 간호 모델을 개발함으로써 체계적인 간호의 방향을 제시할 수 있어야 할 것이다.

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A Study on Nursing Students Multicultural Efficacy towards North Korean Refugees (간호대학생의 북한이탈주민에 대한 다문화 효능감에 관한 연구)

  • Park, Jin Kyoung;Choi, Soon Ook;Kim, HeeSook;Seo, Im Sun
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.632-643
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    • 2019
  • The purpose of this study was to determine the factors affecting the multicultural efficacy towards North Korean Refugees of Nursing Students. Data were collected 283 undergraduate students from July 2017 to December 2017. Data were analyzed using descriptive statistics, correlation and multiple regression. The findings showed that study grade(p=.033), liberal arts in formal multicultural education experience(p=.009), membership of national identity(p=.001), and cognition(p=.049), consciousness (p=.008), behavior(p=.001) of cultural awareness were significant factors affecting multicultural efficacy towards North Korean Refugees of Nursing Students. The results of this study indicate that multicultural education and educational system related to North Korean Refugees should be establish in the curriculum to enhance the efficacy of nursing. This research is expected to provide a foundation for nursing students to perform their roles as competent cultural agents in society after graduation.

Changing Direction In Nursing Education - Primary and Transcultural Nursing Care (간호교육 초점의 변화-1차 건강간호와 초 문화적 간호-)

  • Leininger Medeleine
    • The Korean Nurse
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    • v.16 no.4 s.90
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    • pp.58-67
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    • 1977
  • 미국에서는 2가지 중요한 움직임이 일어나고 있다. 즉 간호의 문화적 교류와 1차 건강 간호의 움직임이다. 이것들은 모두가 간호 교육과 실제를 증진시키는데 놀랍고, 도전적이며, 유망한 발전이다. 그들은 효과적이고 성공적인 간호원을 준비시키는 간호 지도자들에게 새롭고 무거운 책임을 지우고 있다. 따라서, 우리는 교육적 노력과 실제의 영향을 지도해 줄 수 있는 체계적인 평가와 조사연구가 필요하다는 것을 인식한다. 1차 건강 간호와 간호의 문화적 교류는 일반적 의사의 접근법으로 간호와 건강관리의 관심사에 대해 인류를 도와준다. 이 둘 모두가 인류의 다양한 요구를 만족시킬 수 있는 문화적 생활양식과 지역사회에 기초를 두어야 한다. 이 둘은 기타 간호와 타 건강관리 제공자의 일반적인 건강사업 및 치료사업과 통합되어야 한다. 의심할 여지도 없이 이 둘은 질병예방, 건강증진에 대한 통합적인 접근법과 원기 회복을 위한 건강수행을 위하여 지역적이고 국내적이며 세계적인 건강관리 체제와 실제의 일부분이 되야 한다. 전문적인 간호원은 세계에서 가장 규모가 큰 건강관리 제공자로서 급속히 나타나는 세계 건강 문화 속의 인류를 위하여, 우수한 건강 관리를 개선하고 유지할 수 있는 상당한 잠재력과 도전성을 지니고 있다.

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Cultural Competence and Psychological Well-being in Nursing Students and Non-Nursing Students (간호대학생과 비 간호대학생의 문화적 역량과 심리적 안녕감)

  • Lee, Eliza;Lee, Si Eun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.3
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    • pp.963-974
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    • 2018
  • This study was done to compare cultural competence(CC) and psychological well-being(PWB) in nursing students(NS) and non-nursing students(NNS). Participants were 251 NS and NNS at college in S and I city. Mean score(range:1~5) of CC in NS was 3.35 and NNS, 3.23 and PWB in NS was 3.53 and NNS, 3.37. Thus, mean score of CC and PWB of two group were above the average and NS significantly higher than NNS. Significant relationship were in NS CC, cultural awareness, knowledge, sensitivity, skill and experience, PWB, self-acceptance, environmental mastery, positive relations with others, autonomy, purpose in life, personal growth. Therefore, it is necessary to develop cultural competencies and to provide nursing considering cultural diversity in PWB through extracurricular activities, lectures related to multiple cultures and the placement of multi-cultural subjects in the curriculum.

Difference of Cultural competence and Educational needs for cultural nursing competence by Cultural contact experience of Nursing students (간호대학생의 다문화 접촉경험에 따른 문화적 역량과 문화간호역량 교육요구 차이)

  • Yoo, Jang Hak;Cheon, Eui Young;Kim, Haejin
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.867-875
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    • 2022
  • This study was to identify the cultural competence and educational needs for cultural nursing competence according to the cultural contact experience. The survey participants were 125 nursing students in S university of Gyeonggi-do. The data were collected through self-report questionnaires from October 1 to 31 in 2021. Data were analyzed using independent t-test, one-way ANOVA of the SPSS WIN 21.0 program. The cultural competence was 3.49±0.55 points, and the educational needs for cultural nursing competence was 8.25±0.10 points. The cultural competence showed significant differences according to academic score(F=7.465, p=.001), multicultural friend(t=-2.477, p=.016), foreign language communication ability(t=-3.113, p=.002), and suburban multicultural education (t=-2.030, p=.045), and there was no difference in educational needs for cultural nursing competence according to cultural contact experience. It is necessary to provide an educational program that enhances foreign language communication and strengthens qualitative contact experience with multicultural subjects in order to increase the cultural competency of nursing students.

The Effect of the Cultural Competence in Multicultural Nursing Education by Action Learning (액션러닝 기반의 다문화 간호교육이 문화적 역량 증진에 미치는 효과)

  • Kim, Yeon-Soon;Kim, Jin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6527-6535
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    • 2014
  • This research aims is to confirm the effects of cultural competence of an action learning based teaching method in multicultural nursing education. Cultural competence was composed of cultural knowledge, cultural awareness and cultural acceptance. A total of 118 college students were enrolled in this study. Both before and after learning, the students were guided to fill out a questionnaire regarding culture competence. The students from each group studied multicultural nursing by different teaching types: the Traditional Lecture-based Teaching method (TLT) and Action Learning based Teaching method (ALT). Data analysis was carried out by SPSS 21.0. A pre-post comparison within the group was performed using a paired t-test and the comparison between groups was performed using ANCOVA. The results showed that there was a significant difference in the culture competence in both teaching methods. In addition, ALT showed higher cultural acceptance results than TLT; however, there was no difference in cultural knowledge and cultural awareness between the two groups Therefore, ALT should be considered as a teaching method to enhance cultural competence in multicultural nursing education for Nursing students. Further studies on instructional design according to the task types, nursing performance, and the validity of ALT will be needed.

A Study on the Cultural Competency and Demand for a Multicultural Education Program among Nursing College Students (간호대학생의 문화적 역량과 다문화 교육 요구도에 관한 연구)

  • Lee, Inn Sook;Cho, Ju Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.283-290
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    • 2014
  • This study analyzed the cultural competency and demand for a multicultural education program among nursing college students. The participants were 278 college students gathered through convenience sample method. Data were collected from November, 19 to 30, 2012 and analyzed using SPSS/PC Win 12.0 program. The major findings were as follows, First, the mean scores of cultural competency and demand for a multicultural education program were 2.8 and 3.9. respectively. Second, cultural competency scores of students varied with multicultural educational course experience. Third, demand for a multicultural education program varied in accordance with student's views of the necessity of multicultural education. Our results suggest that, courses focusing on understanding multicultural clients are needed and highly desired by nursing students.

Relation Between Cultural Empathy, Multicultural Sensitivity, and Cultural Competence of Nursing College Students (간호 대학생의 문화적 공감, 다문화 감수성, 문화적 역량과의 관계)

  • Choi, Ye-Sook;Lee, Kyem-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.6
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    • pp.105-113
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    • 2021
  • The purpose of this study was to examine the correlation among Cultural empathy, Multicultural sensitivity, and Cultural competence of Nursing Students. Data were collected using questionnaires from 191 nursing students who were in 2rd and 4th year of the college in D city. The collected data was analyzed using SPSS version 22.0. The mean score of Cultural empathy, Multicultural sensitivity and Cultural competence in nursing students were 3.72±0.23, 3.14±0.27, and 3.10±0.32 respectively. Cultural empathy showed significant positive correlations with Multicultural sensitivity(r=.63, p<.001), and Cultural competence(r=.57, p<.001). Multicultural sensitivity was also positively correlated with Cultural competence(r=.41, p<.001). The result of this study suggest that multicultural nursing education is necessary for students to develop and support programs that can provide diverse cultural experiences.

The Mediating Effect of Emotional Intelligence on the Relationship between Multicultural Perception and Multicultural Efficacy of Nursing University Students (간호대학생의 다문화인식과 다문화효능감의 관계에서 감성지능의 매개효과)

  • Eun-Ha Na;Mi-Jung Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.419-427
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    • 2023
  • This study attempted to provide basic data for developing strategies to improve the multicultural efficacy of nursing university students by identifying the mediating effect of emotional intelligence on the relationship between multicultural perception and multicultural efficacy of nursing university students. The subjects of the study were 179 nursing students at two universities in J province and G city. The SPSS/23.0 program was used to analyze the data with descriptive statistics; an independent t-test, analysis of variance ANOVA, Pearson's correlation coefficient, and mediating effect analysis were performed using Process Macro 4.0. As a result of the study, nursing students multicultural efficacy was found to be positively correlated with multicultural awareness(r=.596, p<.001) and a positive correlation with emotional intelligence(r=.620, p<.001). Emotional intelligence showed a mediating effect on the relationship between multicultural perception and multicultural efficacy(β=.471, p<.001). Based on the results of this study, it is necessary to development and apply systematic programs to increase multicultural perception and increase emotional intelligence for improving the multicultural efficacy of nursing university students.

Global Health Nursing Competency and Multicultural Acceptance Among Nursing Students (간호대학생의 국제보건간호역량과 다문화 수용성)

  • Ko, Jeong-A;Kim, Heeyoung
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.383-391
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    • 2022
  • This study was aimed at investigating relationship between global health nursing competency and multicultural acceptance of nursing students. The subjects were 145 nursing students from a university, and data were collected from June 8 to 19, 2020. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and regression. The subjects' global health nursing competency was 2.81±1.11 points (four-point scale) and multicultural acceptance was 3.84±0.68 points (six-point scale). Global health nursing competency differed according to gender and degree of preparation as a global nurse, and multicultural acceptance differed according to gender, multicultural education experience, and degree of preparation as a global nurse. Global health nursing competency had a positive correlation with multicultural acceptance (r=.18, p=.027), and it was showed that multicultural acceptance affected global health nursing competency (B=.29, p=.027). To be prepared as a global nurse, it is necessary to enhance the global citizen insight about multicultural experiences.