• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.334-345
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• 2014

연구의 목적: 본 연구는 간호대학생의 자기 효능감과 문화적 역량 정도, 문화적 교류 특성 및 자기 효능감과 문화적 역량의 관계를 확인하고자 하였다. 연구 방법: 본 연구의 대상자로 일 대학의 간호대학생 301명이 참여하였다. 자료 수집은 General Self-efficacy Scale, the Caffrey Cultural Competence Healthcare Scale(CCCHS), The Cultural Competence Assessment(CCA) 도구들을 통하여 설문조사하였다. 연구 결과: 본 연구 결과 자기 효능감과 문화적 역량 정도는 중간수준(자기 효능감: M=3.0, SD=0.38; 문화적 역량: M=2.8, SD=0.55)으로 나타났다. 그리고 간호대학생의 학년이 높을수록 외국인 친구가 있을수록 유의미하게 높은 자기 효능감과 문화적 역량 정도를 나타냈다. 더 나아가 자기 효능감과 문화적 역량의 상관성(r=.394, p < .001)은 통계적으로 유의한 순 상관관계가 있는 것으로 나타났다. 결론: 본 연구 결과를 토대로 간호대학생의 문화적 교류 및 자기 효능감 증진을 통하여 문화적 역량을 강화하여야 할 것으로 보인다.

• 한국사회복지학
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• 제63권2호
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• pp.207-231
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• 2011

본 연구는 다문화 사회복지 실무자가 다문화적 배경의 클라이언트와 효과적으로 일하기 위해 갖추어야 하는 문화적 역량의 구성개념을 탐색하고 이에 따른 척도를 개발, 타당화하는데 그 목적을 두었다. 먼저, 척도 개발을 위해 외국의 문화적 역량 관련 척도 분석과 다문화 사회복지 실무자 8명을 대상으로 포커스그룹 인터뷰를 실시하여 40개의 예비문항을 구성하였다. 이에 대해 사회복지 전문가 20명에게 2회에 걸친 예비조사 및 전문가회의를 실시하여 최종적으로 32개 예비문항을 확정하였다. 척도의 타당화를 위해 개발된 예비문항을 전국의 다문화 사회복지 실무자 194명을 대상으로 평가하였다. 요인분석을 통해 문화적 역량을 구성하는 요인의 수는 4개가 가장 적절한 것으로 나타났다. 요인 1은 '다문화적 실천기술', 요인 2는 '문화적 인식 및 민감성', 요인 3은 '다문화 지식', 요인 4는 '문화차이 극복노력'으로 명명하였고, 이는 관련 선행연구들 및 척도 개발과정에서 밝힌 문화적 역량의 개념화 논의와 부합되었다. 확인적 요인분석을 한 결과 모형적합도가 우수하였고, 유사 개념 척도 간의 수렴타당도가 적절하게 나타났다. 또한, 4개 요인의 Cronbach's alpha값, 반분신뢰도 및 측정의 표준오차 분석 결과 신뢰도 또한 양호하였다. 이러한 결과를 바탕으로 본 연구의 사회복지적 함의를 논하였다.

• 간호행정학회지
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• 제18권1호
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• pp.76-86
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• 2012

Purpose: As Korea has been rapidly transformed to be a multicultural society, it becomes essential for nurses to develop cultural competency. The purpose of this descriptive study was to assess the cultural competency level of general hospital nurses and to examine its contributing factors adopting ecological model. Method: A convenience sample of 327 nurses from six general hospitals in Seoul metropolitan area was recruited between November 14 to 28, 2011. Cultural competency was measured using the Korean version of the Caffrey Cultural Competence in Healthcare Scale (CCCHS) and Cultural Competence Assessment(CCA). Hierarchical multiple regression analysis was performed to assess the influence of intrapersonal, cultural-experience, and organizational factors on cultural competency. Results: Mean cultural competency in this study was 2.57(${\pm}0.43$). Cultural competency was associated with job position (p=.044) at the intrapersonal level. At the cultural experience level, foreign language classes experience (p=.005), fluency in a foreign language (p=.000), experience of working with foreign health care professionals (p=.000) were associated cultural competency. At the organizational level, training program (p=.000), job description (p=.002), health education materials (p=.016), insufficient job control (p=.000), and interpersonal conflicts (p=.011) showed significant difference. Foreign language class experience, foreign language fluency, experience of working with foreign health care professionals, and job control were the most consistent predictors of cultural competence and explained 20.4% of the total variance in the proposed ecological model. Conclusions: The findings suggest that to enhance cultural competency in general hospital nurses, cultural experience and organizational factors need to be more fully considered than intrapersonal factors.

• 한국치위생학회지
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• 제18권3호
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• pp.385-397
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• 2018

Objectives: The study was a cross-sectional research to examine dental hygiene students' multi-cultural experiences, emotional intelligence and cultural competency and to understand the correlations among them. Methods: The study was conducted from September $1^{st}$ to October $31^{st}$ 2016, based on the survey of 449 students in the department of dental hygiene at 7 Universities. The questionnaire consisted of 57 questions including general characteristics (n=7), multi-cultural experiences (n=7), emotional intelligence (n=16) and cultural competency (n=27). Results: Each score of students' emotional intelligence and cultural competency is 3.43 and 3.01 respectively in 5-point scale. An analysis of correlations between emotional intelligence and cultural competency shows that the higher the emotional intelligence, the higher the cultural competency (r=0.342). The factors affecting the cultural competency include use of emotions (${\beta}=0.327$, p<0.001), control of emotions (${\beta}=0.254$, p=0.001), frequency of multi-cultural media (${\beta}=0.221$, p<0.001) and experience of multi-cultural class (${\beta}=0.221$, p=0.002). The modified explanatory power in this model is 28.2% (F=10.856, p<0.001). Conclusions: There was a positive correlation between emotional intelligence and cultural competency, and the contacts with multi-culture and experience of class are identified as the affecting factors. Dental hygiene students should acquire theoretical experiences regarding the multi-culture through curriculum or continuous educations and it is necessary to promote such educations in order to develop and apply the programs for the enhancement of emotional intelligence.

• 한국간호교육학회지
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• 제19권2호
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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.

• Child Health Nursing Research
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• 제17권4호
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• pp.222-229
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• 2011

Purpose: This study was conducted to determine the predictors of cultural sensitivity for nursing students in Korea. Methods: The participants in this study were 332 nursing students. Data collection was conducted through the use of questionnaires which were constructed to include a Cultural Sensitivity Scale, Knowledge of Culture, Interpersonal Reaction Index, and Self-efficacy Scale. Results: Results showed that cultural sensitivity of nursing students was middle range. Knowledge level of culture was very low. There was a significant positive correlation between cultural sensitivity and knowledge of culture, empathy, and self-efficacy. The significant factors influencing cultural sensitivity of nursing students were empathy, self-efficacy, experience of an overseas trip and awareness of cultural education. These four factors explained 23.8% of the variance in cultural sensitivity of nursing students. Conclusion: These results indicate that cultural sensitivity is an important link with empathy and self-efficacy in nursing students. For nursing students to enhance cultural sensitivity, a transcultural nursing curriculum needs to develop for appropriate and effective services in cross-cultural situations of the multicultural families in Korea.

• 대한간호학회지
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• 제45권5호
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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.

• Child Health Nursing Research
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• 제25권2호
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• pp.214-222
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• 2019

Purpose: This study examined the mediating and moderating effects of multicultural efficacy in the relationship between cultural empathy and cultural competence in child care teachers. Methods: A cross-sectional descriptive survey design was used. The participants were 277 child care teachers at private and public daycare centers in G and S districts of Seoul. The survey instruments included a cultural empathy questionnaire, a multicultural efficacy scale, and a cultural competence scale. Data were analyzed using the SPSS and AMOS programs. For data analysis, descriptive statistics, correlation, and mediating and moderating effect analyses were performed. Bootstrapping was implemented to verify the mediating effect of the model developed herein. Results: Positive correlations among cultural empathy, multicultural efficacy, and cultural competence were noted. Multicultural efficacy showed a significant mediating effect on the relationships between cultural empathy and cultural competence. However, there was no moderating effect. Conclusion: In order to enhance the cultural competence of child care teachers, it is necessary to develop a strategy that can promote their cultural empathy and multicultural efficacy. Furthermore, these results will ultimately enhance the role of child care teachers, thus contributing to the normal growth and development of multicultural children.

• 지역사회간호학회지
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• 제30권3호
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• pp.281-294
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• 2019

Purpose: This study is to develop the Cultural Competence Scale for Registered Nurses (CCS-RN) and to examine its validity and reliability. Methods: The item pool was generated based on related scales, a wide review of the literature, and in-depth interviews with nurses according to Purnell's cultural competence model. Content validity was verified by nursing experts. Construct validity using exploratory factor analysis, convergent validity using correlation coefficients, discriminant validity, internal consistency reliability, and test-retest reliability were examined. Results: The CCS-RN consists of a 35-item/7-factor solution with 54.1% of the total variance explained. The convergent validity of CCS-RN was supported. Cronbach's ${\alpha}$ was .94 for the total scale and ranged from .77 to .90 for the seven factors. Test-retest reliability was moderate. Conclusion: The evaluation of the psychometric properties of the CCS-RN shows that this scale is expected to be a valid and reliable measure of cultural competence among nurses. This scale may be useful for assessing nurses' own cultural competence and thus contribute to strengthening cultural competence.

• 보건행정학회지
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• 제26권2호
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• pp.115-124
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• 2016

Background: This study aims at making a survey on health care service providers' cultural competence and making an appraisal of Chinese medical tourists on service quality, health care service providers' cultural competence, perceived value, and satisfaction. Methods: The data was collected from August until November, 2014 and 150 health care service providers and 65 Chinese medical tourists from 12 medical institutions in Daegu were enrolled in analysis. Results: The results showed that health care service provider's knowledge on Chinese culture was very low with 33.5% of correct answer. Health care service providers were found to get 3.82 point on a 5 point-scale in cultural perception, 3.53 points in cultural sensitivity, and 2.85 points in cultural skills. Chinese medical tourists were analyzed to give 4.08 points on a 5-point scale to satisfaction on health care service, followed by 4.01 points to health care service quality, 4.00 points to perceived value of health care service, and last 3.85 points to a health care service providers' cultural skills. However, there was a difference in points in cultural skills between health care service providers and Chinese medical tourists. Chinese medical tourists' satisfaction with health care service in Daegu was found to be comparatively high, but in relation to satisfaction with communication, it was found to be relatively low. Conclusion: Through this research, health care service providers' knowledge level of Chinese culture and cultural skills were low while they seemed to take a half-hearted attitude towards educational experience for building up cultural competence and foreign patient service response.