• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.690-696
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• 2013

Purpose: This study was done to examine the effects of a multicultural education program on nursing students' cultural competence, empathy, and self-efficacy. Methods: In this quasi-experimental study, the participants were assigned to an experimental group (n=40) or a control group (n=40). The data were analyzed using independent t-test, Chi-square or Fisher's exact test, and paired t-test with the SPSS windows 18.0 program. Results: After receiving the multicultural education program, the levels of cultural competence and self-efficacy in the experimental group were higher than in the control group. The level of empathy increased slightly in the experimental group while it decreased in the control group. Conclusion: The results of this study indicate that multicultural education is effective in raising the level of cultural competence and self-efficacy in nursing students. Thus, there is a need for continuous effort to integrate multicultural education programs in the nursing curriculum. Repeated study to test effects of these multicultural education programs should be also necessary.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.1
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• pp.100-109
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• 2018

Purpose: This study evaluated the effect of a teaching model to improve cultural competency (TMCC) for Korean undergraduate nursing students. Methods: A nonequivalent control group pretest/posttest quasi-experimental study was conducted with a convenience sample of 168 undergraduate nursing students in South Korea. The experimental group of 121 seniors was taught a 13-week teaching model in order to improve cultural competence. A control group with 47 junior students underwent nursing major courses, but did not take this teaching model. Before and after the program, students' level of cultural competency was measured using the Questionnaire for Cultural Competence (QCC) consisting of three sub-scales: "awareness and desire," "encounter," and "nursing skill and knowledge." Results: After the experiment, the experimental group showed significantly higher improvement in the Questionnaire for Cultural Competence in the three sub-scales of "awareness and desire," "encounter," and "nursing skill and knowledge" than the control group (p=<.050). Conclusion: A teaching model to improve cultural competence was effective in improving Korean undergraduate nursing students' cultural competency. Further studies need to be repeated in order to identify the effectiveness of the teaching model to improve cultural competency with graduate or clinical nurses.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.2
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• pp.183-193
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• 2013

Purpose: The purpose of this study aimed to describe the empathy and cultural competence and to find the relationship between the empathy and cultural competence in Korean nursing students. Methods: A total of 276 nursing students participated in this study. Data collection was conducted through the use of questionnaires which were constructed to include an Interpersonal Reaction Index, the Caffrey Cultural Competence in Healthcare scale, and Cultural Competence Assessment. Results: Empathy and cultural competency of participants in this study were shown to have moderate levels (Empathy: M=3.5, SD=0.41; Cultural competency: M=2.7, SD=0.42). And the nursing students who exhibited more frequent interaction with foreigners and willing to have multicultural education were found to have significantly higher empathy and cultural competence. There was a significant positive correlation between empathy and cultural competency(r=.189, p<.001). Conclusion: The findings suggest that nursing students need to enhance empathy and cultural competence.

• Journal of East-West Nursing Research
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• v.21 no.1
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• pp.52-60
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• 2015

Purpose: This study investigated the relationship between cultural competence and empathy of nursing students who can provide appropriate health care to their patients in the future. Methods: All the participants (N=364) were nursing students and completed a survey of the Caffrey Cultural Competence in Health Scale (CCCHS), Cultural Competence Assessment (CCA), and Interpersonal Reactions Index (IRI). Results: The mean of cultural competence and empathy of participants were 2.8 and 3.7, respectively. The cultural competence score in male students was higher than the score of female students (p=.044). In addition, the cultural competence score of nursing students who had an experience with foreigners was higher than the score of students who had not (p=.017). However, the cultural competence score of nursing students who did not take a multicultural education was higher than the score of students who took it. The empathy score of female students was higher than the score of male students (p=.003). The empathy score of students who had a multicultural education was higher than the score of students who did not take it (p=.008). Conclusion: The findings suggest that nursing students need to enhance cultural competence and empathy.

• Women's Health Nursing
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• v.22 no.2
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• pp.86-95
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• 2016

Purpose: The aim of this study was to conduct a concept analysis of cultural nursing competence. Methods: Cultural nursing competence was analyzed using Rodgers' evolutionary concept development method. A literature search using the keywords "cultural nursing competence", "intercultural nursing competence", "cultural nursing", "cultural health nursing", and "cultural competence" was conducted in PubMed, CINAHL, ERIC, and RISS on material published before 2015. Database and bibliographic searches yielded 35 records. Results: Cultural nursing competence comprised cognitive, affective, and behavioral domains. The critical attributes of the concept were sensitivity, equality, and activity. The analysis identified the following dimensions: awareness, openness, and coherence. The consequences of cultural nursing competence were personal satisfaction and social justice. The definition contained competence on both an individual and social level. Conclusion: Cultural competency enhances quality of care by narrowing health disparities and increasing client satisfaction. The concept analysis of cultural nursing competence may offer an acceptable framework which can be used to develop psychometric tools of this concept and provide guidelines in nursing practice.

• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.684-693
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• 2015

Purpose: This methodological study was conducted to develop and test a cultural competence scale for nursing students. Methods: Based on the five constructs of cultural competency identified in the conceptual analysis of Suh, 76 items for the tool were derived initially. These items were reduced to 58 items after content validity tests (two times) by 6 multicultural experts. Data collected from 526 nursing students were utilized to test the validity and reliability of the preliminary tool. Item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha were used for the analysis. Results: Twenty-seven items were selected for the final scale, and categorized into 5 factors explaining 62.1% of the total variance. Cronbach's alpha was .91 and the reliability of the subscales ranged from .76 to .91. Criterion validity between the developed tool and empathy (r=.26, p <.001) was significant. Conclusion: The results show that this scale can provide scientific and empirical data when evaluating the effectiveness of school curriculums or multicultural empowerment programs regarding cultural competence of nursing students.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.2
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• pp.172-179
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• 2010

Purpose: The purpose of this study was to examine the canonical correlation between organizational culture and nurses' informatics competency. Method: Participants in this study were 354 nurses from three hospitals and one university. The scales of organizational culture, informatics competency for nurses were used. Descriptive statistics, Pearson correlation coefficient, canonical correlation were used for data analysis. Results: The dominant organizational culture was hierarch-oriented culture. Nursing informatics competency of the participants was relatively low with a mean score 3.04. Organizational culture was related to informatics competency with 2 significant canonical variables. The first variate showed the higher four subcategories of organizational culture showed the better nursing informatics. The second variate indicated that nurses felt higher innovation-related and lower hierarch-related culture showed higher medical informatics-related software usage and computer related information management, lower perception of informatics and information search using internet. Conclusion: Organization culture has a major of impact on the success of information system use. Therefore, the continuous strategy for higher innovation-related organizational culture such as management support should be needed.

• Journal of Digital Convergence
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• v.19 no.10
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• pp.357-365
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• 2021

This study is a descriptive survey research for identifing double mediating effect of ego-integrity and cultural competency and the moderated mediation effect of Wisdom on the relationship between basic pychological needs and successful aging. The participants were 211 elderly people aged at least 60 from June 2020 to March 2021. Data were collection by self-report questionnaire. Data was analyzed by Hayes' number 6 and 91 models using the SPSS/25.0 program and SPSS PROCESS MACRO. According to the study, the ego-integration and cultural competence were effected to double mediated in successful aging, and the ego-integration and cultural competence were effected to successful aging through moderated mediation by wisdom. Therefore, it is needed to develop welfare policy and strategy for the elderly to enhance ego-integration and cultural competence by effort to satisfy basic pychological needs and wisdom.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.4
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• pp.580-593
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• 2013

Purpose: This study was conducted to develop and implement an educational program for cultural competence in nursing for nursing students, and to evaluate its effects on transcultural self-efficacy, intercultural communication competence, and state anxiety. Methods: A nonequivalent control group pretest-posttest design was used with an experimental group (n=22) and a control group (n=27). Outcome variables were measured by transcultural self-efficacy, intercultural communication competence, and state anxiety before and after the program. The experimental group participated in an educational course for cultural competence in nursing for 14 weeks while the control group did not participate in any course. Chi-square test, Fisher's exact probability test, t-test, MANCOVA, and ANCOVA were performed to analyze the data. Results: The experimental group showed significantly higher posttest scores in the transcultural self-efficacy score (F=19.76, p<.001, partial ${\eta}^2=.34$, observed power .99) and the intercultural communication competence score (F=17.56, p<.001, partial ${\eta}^2=.32$, observed power .98) than that of the control group. The experimental group showed a significantly lower state anxiety score (F=5.30, p=.027, partial ${\eta}^2=.12$, observed power .61) than that of the control group. Conclusions: This educational program was effective on nursing students' cultural competence. Therefore, it is suggested that this program be used for other nursing students. It is also necessary to evaluate its effects after a longer period.

• Journal of Home Health Care Nursing
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• v.25 no.2
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• pp.147-154
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• 2018

Purpose: The study examined the effects of self-efficacy and intercultural communicative competence on the cultural competence of allied health college students. Methods: The participants were 176 allied health college students. Data collection was conducted from June 12 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with the SPSS program. Results: The mean self-efficacy score was 3.52;, the mean intercultural communicative competence score was 3.24;, and the mean cultural competence score was 3.26. Cultural competence differed significantly by grade(p=.008), major(p<.001), overseas study exchange(p=.020), foreign language skill(p=.011), domestic multicultural friends (p=.002) and contact with people(p=.026) of general characteristics. Statistically significant positive relationships were observed between self-efficacy(r=.23), intercultural communicative competence(r=.58), and cultural competence. A total of 35.9% of cultural competence was explained by intercultural communicative competence and grade. Conclusion: These results can be used to develop cultural education programs to improve cultural competence, with consideration for intercultural communicative competence and grade levels.