• Child Health Nursing Research
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• v.25 no.2
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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.

• 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 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.

• International Journal of Advanced Culture Technology
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• v.11 no.4
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• pp.255-262
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• 2023

The purpose of this study was to clarify the concept of LGBT cultural competence in nurses. This study used Walker and Avant's 8 steps of conceptual analysis. The specific steps are: (1) selecting the concept, (2) selecting the purpose of concept analysis, (3) identifying the scope of concept use, (4) identifying the determinant attributes of the concept, (5) presenting model cases, (6) additional cases of the concept (boundary cases, opposite cases, and related cases), (7) identifying antecedents and consequences, and (8) presenting empirical evidence. As a result, five attributes of nurses' LGBT cultural competence were identified in the final 12 articles: cultural experience and cultural acceptance, cultural knowledge, cultural attitude and awareness, and cultural skills. Antecedents included diversification of society, heteronormative healthcare environment, continuing education and training, intercultural understanding, and open-mindedness. Outcomes of cultural competence were identified as reducing LGBT health inequalities and providing quality care. In conclusion, this study contributes to providing a basis for improving the quality of nursing care by providing more culturally appropriate care to the target population through conceptual analysis and understanding of nurses' LGBT cultural competence. Furthermore, it is necessary to continue research on the development of tools to measure nurses' LGBT cultural competence and the development of nursing intervention programmes that can be applied in nursing practice.

• 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 Journal of the Korea Contents Association
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• v.20 no.5
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• pp.367-374
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• 2020

The purpose of this study was to identify the relationship between empathy, communicative competence, and cultural competence among nursing students and investigate the factors influencing cultural competence. The subjects of the study consisted of 173 nursing students. Data were analyzed based on Pearson's correlations, and multiple regressions using the SPSS 18.0 program. The mean value of cultural competence was 3.44, showing significant positive correlations with empathy(r=.450, p<.001) and communicative competence(r=.579, p<.001) in nursing students. Empathy, communicative competence and foreign language skill accounted for 37.1% of the total variance in cultural competence among nursing students. Overall cultural competence can be improved by empathy, communicative competence enhancement program.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.36-45
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• 2015

Purpose: The purpose of this study was to identify the correlation coefficient cultural competence, health promotion behavior, and quality of life of married immigrant women in Korea. Methods: The participants included 88 married immigrant women who applied to educational programs for medical tour coordinators and agreed to participate in the study. Data were collected through self-report questionnaires that were constructed to include scales to measure cultural competence, health promotion behavior, and quality of life. Data were analyzed using ANOVA, Pearson correlation coefficients with SPSS/WIN 19.0. Results: Both cultural competence and health promotion behavior were different according to the husband's occupation. There was a positive correlation between cultural competence and quality of life, a positive correlation between health promotion behavior and quality of life, and a positive correlation between health promotion behavior and cultural competence. Conclusion: From a long-term point of view, various programs for married immigrant women should greatly strengthen their cultural competence and help them become genuine members of our society and live an independent life. Developing detailed and active programs for nursing intervention to constitute a healthy lifestyle and improve the quality of life is recommended.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.16-27
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• 2015

Purpose: This study evaluates the level of cultural competence (CC) and educational needs for cultural competence in nursing (CCN) in undergraduate nursing students. Methods: A self-report instrument was used to measure CC and educational needs for CCN. Questionnaires were completed by 330 nursing students in three nursing colleges. Descriptive statistics, a t-test, an ANOVA, Pearson correlation analyses, and multiple regression were used to analyze the data. Results: The mean CC score was 2.99 and the mean CCN educational needs score was 7.1. CC positively correlated with educational needs for CCN. The regression model explained 36% of the variance in CC. Factors affecting CC were school grades, multicultural education experience, frequency of meeting foreigners, length of encounters with foreigners, foreign-language fluency, and degree of interest in multicultural nursing. Conclusion: To strengthen the CC of students, nursing educators should develop an educational program for CCN and incorporate CCN into nursing school curricula.

• 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.

• 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.