• 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 Engineering Education Research
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• v.19 no.1
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• pp.47-53
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• 2016

New occupational qualification system built on NCS(National Competency Standard) aimed to induce industries, the final appliers of qualification, to play a leading role in designing qualification and to spontaneously apply such qualification standard to employment and promotion so as to reinforce universality of qualification. In this study, we verified the validity of NCS level of qualification categories for 130 occupational fields by redesigning NCS-based new occupational qualification system with a focus on 7 major areas, including mechanical field, which were found to have wide-ranging social ripple effect throughout society and high acceptability in 2014. The results of study on suitability at qualification level suggested the followings: First, there is a difference in number of competency units for each qualification category, depending on area. New qualification covering 7 major areas included 15.3 competency units for each qualification category, which exceeds the number of competency units(about 10 units) in subdivided NCS. By field, some difference was found with 7.9 competency units for cultural field and 22.6 competency units for information and communication area. Second, preference above normal level was observed in the criteria, procedure and method for determining qualification redesigning. However, preference below normal level was exhibited in connection with possibility of linkage with overseas qualifications, although preference was above normal level in relation to the suitability of design/qualification level and qualification categories based on lifelong career development path within scope of NCS as the criteria for determining the redesign of qualification categories. Second, we compared NCS level and SC(Sector Council level, and the results showed that NCS level was found to be somewhat well-defined. For the qualifications with different definitions, it was deemed difficult to determine superiority between NCS level and SC level. However, majority opinion indicated that it would be desirable to follow NCS level because NCS was created through collection of opinions for a prolonged period.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.1
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• pp.38-47
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• 2019

Purpose: The purpose of this study was to investigate the influence of cultural competence on nursing professionalism among nursing students in South Korea. Methods: A sample of 218 nursing students in three universities answered a self-report questionnaire. Descriptive statistics, t-test, ANOVA, Mann-Whitney U-test, Kruskal-Wallis test, Pearson's correlation analyses, and hierarchical multiple regression were used to analyze the data. Results: There were significant differences in cultural competence depending on the use of foreign language, having foreign friends, frequency of interaction with foreigners, multi-cultural education experiences, and level of demand for multicultural education. There were significant differences in nursing professionalism depending on grade level, satisfaction with major choice, college life satisfaction, and foreign language learning experience. There was a significant positive correlation between cultural competence and nursing professionalism. Lastly, significant predictors of nursing professionalism included satisfaction with major choice (${\beta}=.22$, p=.004), cultural awareness (${\beta}=.22$, p=.007) and cultural experience (${\beta}=.17$, p=.026). The regression model explained 20.2% of nursing professionalism. Conclusion: In order to establish desirable nursing professionalism, strategies for enhancing cultural awareness and cultural experiences in nursing education courses are needed both inside and outside the curriculum.

• Research in Mathematical Education
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• v.26 no.3
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• pp.235-252
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• 2023

We investigated the classification of learner groups for students' mathematical modeling competency and analyzed the characteristics in each profile group for each country and variable using PISA 2012 data from six countries. With a perspective on measuring sub-competency, we applied the latent profile analysis method to student achievement for mathematical modeling variables - Formulate, Employ, Interpret. The findings showed the presence of 4-6 profile groups, with the variables exhibiting high and low achievement within each profile group varying by country, and a hierarchical structure was observed in the profile group distribution in all countries, interestingly, the Formulate variable showed the largest difference between high-achieving and low-achieving profile groups. These results have significant implications. Comparison by country, variable, and profile group can provide valuable insights into understanding the various characteristics of students' mathematical modeling competency. The Formulate variable could serve as the most suitable predictor of a student's profile group and the score range of other variables. We suggest further studies to gain more detailed insights into mathematical modeling competency with different cultural contexts.

• Research in Community and Public Health Nursing
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• v.23 no.2
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• pp.179-188
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• 2012

Purpose: This study aimed to describe the cultural competence among community health practitioners (CHPs). Methods: A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program. Results: Most participants reported a moderate level of cultural competence (M=3.0,SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence. Conclusion: The findings support the need for future education and training to enhance CHPs' cultural competence.

• Health Policy and Management
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• v.29 no.1
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• pp.49-57
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• 2019

Background: The purpose of this study was to examine the cultural competence of nurses caring for foreign patients in general hospitals. Methods: The subjects are 308 nurses who work in general hospitals in Seoul and Gyeonggi-do. The data, collected using a structured questionnaire on cultural competence, coping strategy, multicultural experience, intercultural uncertainty, and intercultural anxiety, were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation analysis, and hierarchical multiple regression. Results: Cultural competence was significantly associated with marital status, level of education, type of ward, and number of cared foreign patients. In hierarchical multiple regression analysis, the level of cultural competence was significantly associated with married, master degree qualified, high level of coping strategy and multicultural experience, and low level of cultural uncertainty. Conclusion: The findings revealed the need for educational programs which can contribute to lower the intercultural uncertainty and to enhance coping strategies dealing with foreign patients. In addition, individual and organization efforts to provide opportunities to expand nurses' multicultural experience will affect nurses' cultural competence development.

• Korean Journal of Social Welfare
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• v.61 no.4
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• pp.85-108
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• 2009

The quickening pace of international migration in the last twenty years brought fundamental demographic and social changes to the Korean society. Increasing number of marriage-based immigrant families imposes new challenges on social work community; however, the social work community has not been equipped with necessary practice models, sets of skills and professionals with cultural competency. This study aims to explore an integrative framework of social work practice with this client group. Research foci include the profile of marriage-based immigrant families in Korea, available social services at the time, challenges and issues they face, the compatibility of the empowerment based social work practice, and micro/mezzo/macro level concerns that arise for the effective service provision. Challenges among marriage-based immigrant families are converged into personal/familial, community related, and larger social-cultural issues. Empowerment is a multi-dimensional social process to help people gain control over their lives; a process that fosters power in people, for use in their lives, their communities and in their society. Empowerment based social work practice can be the most competent framework for working with multi-cultural families considering their multi-faceted acculturation issues while they navigate thru Korean society. Issues of educating and training of culturally competent social workers are discussed.

• Research in Community and Public Health Nursing
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• v.27 no.4
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• pp.410-422
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• 2016

Purpose: This study evaluated the effects of a cultural competence training program for public health nurses (PHNs) using intervention mapping. Methods: An embedded mixed method design was used. Forty-one PHNs (experimental: 21, control: 20) and forty marriage migrant women (MMW) (20, in each group) who were provided nursing care by PHN participated in the study. The experimental group was provided with a four-week cultural competence program consisting of an eight hour offline and online course, e-mail newsletters and social networking services (BAND). Transcultural Self-efficacy (TSE) of the PHNs, client-nurse trust, and satisfaction with nursing care of MMW were measured. Ten PHNs in the experimental group were interviewed after the experimental study. Results: The experimental group showed a significantly greater improvement in TSE, client-nurse trust, and satisfaction with nursing care than did the control group. Six themes emerged from qualitative data: (a) Recognizing cultural differences, (b) Being interested in the multicultural policy, (c) Trying to communicate in MMW's own language, (d) Providing medical information using internet and smart phone, (e) Embracing culturally diverse people into society, and (f) Requiring ongoing cultural competence training. Conclusion: Cultural competence training enabled PHNs to provide culturally competent care and contribute to MMW's health outcomes.

• Journal of Korean Academy of Nursing
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• v.43 no.1
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• pp.102-113
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• 2013

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.

• Journal of Korean Public Health Nursing
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• v.28 no.1
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• pp.87-101
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• 2014

Purpose: This study was conducted in order to investigate the experiences of nurses in health care of women with multi-cultural background. The structure of these experiences was identified in a social-cultural context. Methods: Data were collected by means of in-depth interviews using tape-recordings from 16 participants who were providing childbirth care for culturally different women. A phenomenological method proposed by Colaizzi was used to guide the process of data analysis. Results: A total of 138 significant statements were extracted from the data resulting in nine themes and five theme clusters. Theme clusters that emerged from the data were: more in-depth cultural difference, difficulty in providing care in multi-cultured, sticking to care in our own way, not being ready to nurse, and accepting culturally different woman, such as a Korean woman. Conclusion: The findings suggest that systematic educational programs for enhancement of cultural competency and its support systems should be developed for Korean nurses. Useful materials on Korean childbirth care should also be provided to women giving birth.