• 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.

• 한국보건간호학회지
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• 제37권2호
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• pp.233-246
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• 2023

Purpose: The purpose of this study was to investigate the level of cultural competency and cultural nursing competence educational needs of public health nurses (PHNs) and community health practitioners (CHPs) and to uncover the difference between the two groups. Methods: The subjects of this study were 217 PHNs and 165 CHPs. Data were collected using a structured questionnaire. Descriptive statistics, an independent two-sample t-test, the x² test, one-way ANOVA, and the Scheffé test were used for data analysis. Result: There was no statistically significant difference between the cultural competency of CHPs (4.27±1.00) and that of PHNs (4.10±1.07) which were at a moderate level. Among the subareas, cultural awareness and sensitivity were above average, but cultural skills and knowledge showed relatively low scores. There was no statistically significant difference between the cultural nursing competence educational needs of CHPs (3.85±0.65) and PHNs (3.90±0.70) and these were at a relatively high level. Among the subareas, knowledge of key concepts, cultural communication, and attitudes and skills were above average. Conclusion: The results of this study highlight the need to develop and implement educational programs to enhance the cultural competency of PHNs and CHPs nationwide using various teaching-learning methods.

• 임상간호연구
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• 제22권1호
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• pp.68-77
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• 2016

Purpose: The present study was done to identify the relationship of cultural competence, self efficacy and job stress of nurses working on wards for foreign patients. Methods: The participants were 133 clinical nurses who agreed to participate in the study and were working on wards for foreign patients in three general hospitals in Seoul. A structured questionnaire that covered the three tested constructs was conducted between Dec. 15, 2014 and Jan. 15, 2015. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients with SPSS/WIN 21.0 program. Results: Cultural competence was found to have a significant positive correlation with self efficacy (r=.464, p<.001) and self efficacy had a significant negative correlation with job stress (r=-.397, p<.001). Conclusion: The findings of the study suggest that programs designed to nourish cultural sensitivity and cultural skills need to be developed in order to promote cultural competence. The results also suggest that in these programs to improve self efficacy and reduce job stress should be considered.

• 중환자간호학회지
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• 제14권1호
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• pp.40-49
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• 2021

Purpose : This study identified the factors affecting the clinical competence of emergency unit nurses caring for foreign patients. Methods : This study utilized a descriptive correlation design. Participants were 112 emergency unit nurses working in different hospitals designated as the government's emergency medical centers and agencies in 2018. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analysis. Results : Subjects' clinical competence showed positive relationships with cultural competency (r=.45, p<.001) and intercultural communication (r=.53, p<.001). Factors that affect the clinical competence of subjects showed intercultural communication (β=0.38, p=.001). Conclusion : It is necessary to develop programs to improve intercultural communication, factors that influence clinical competence of emergency unit nurses, and apply them to practical fields.

• 한국산학기술학회논문지
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• 제15권11호
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• pp.6527-6535
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• 2014

이 연구의 목적은 액션러닝 기반의 다문화 간호교육이 문화적 역량 증진에 미치는 효과를 알아보고자 한 것이다. 연구대상은 4년제 간호학과 학생 118명으로 다문화 간호를 수강하는 학생이었다. 이 중에서 액션러닝 기반 수업 집단은 61명이었고 전통적 강의 기반 수업집단은 57명이었다. 다문화 간호수업은 2시간씩 13회 실시하였고 1회와 13회 수업에서는 학생들의 문화적 역량을 측정하였다. 자료처리는 SPSS 21.0 프로그램을 활용하여 집단 내 사전 사후 비교는 대응표본 t검증, 집단 간 사후비교는 일원공변량분석을 실시하였다. 연구결과는 다음과 같다. 먼저, 다문화 간호교육의 전통적 강의 기반 수업 방법과 액션러닝 기반의 수업방법에서 모두 문화적 역량이 증진되었다. 문화적 역량의 하위 요인 즉, 문화지식, 문화인식과 문화수용성 모두 유의미하게 향상되었다. 둘째, 다문화 간호교육에서 액션러닝 기반 수업과 전통적 강의 기반 수업은 문화적 역량의 하위요소인 문화적 지식과 문화적 인식에는 유의미한 차이가 없었다. 그러나 액션러닝 기반 수업이 전통적 강의 기반 수업에 비하여 문화적 수용성은 유의미하게 높았다. 이는 다문화 간호교육이 문화적 역량 증진에 효과적이며, 특히 수업방법에 있어서 전통적 강의 기반 수업보다 액션러닝 기반의 수업이 문화적 수용성 증진에 매우 긍정적인 영향을 미친다고 할 수 있다. 따라서 다문화 간호교육에 있어서 학습자 중심의 능동적인 참여 전략을 사용하는 액션러닝 기반의 수업방법이 간호 대학생의 문화적 역량 증진에 매우 효과적인 수업방법임을 시사한다. 본 연구결과를 토대로 추후 간호대학생의 문화적 역량 증진을 위하여 과제 유형에 따른 액션러닝 기반 수업 설계, 간호행위로의 수행 그리고 액션러닝 기반 수업 성과에 대한 타당성 확보를 위한 반복연구를 제안한다.

• 한국간호교육학회지
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• 제19권3호
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• pp.446-454
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• 2013

Purpose: South Korea is rapidly changing into a multicultural society; the nursing discipline faces the need to educate its students in cultural competence to meet the health care needs of an ethnically diverse population. However, there is little evidence suggesting that nursing programs provide this education. The purpose of this study was to measure nursing students' cultural awareness in a nursing education program. Methods: Four hundred thirty-three nursing students at 4 universities in Daejeon participated in this cross-sectional descriptive study, which was held from August to September 2012. Data collection was conducted via questionnaires based on the Cultural Awareness Scale(CAS), and demographics included general and cultural characteristics. Results: The mean cultural awareness score was 4.54, which was relatively low compared to studies completed in other countries. The highest rating was in the cognitive awareness subscale, and the lowest was in the general education experiences subscale in CAS. The level of cultural awareness was significantly different in those who had experienced overseas travel. Those students also perceived a greater need for cultural education. Conclusion: The study's finding suggest the need for a transcultural nursing education program designed to enhance the level of cultural awareness in Korea's nursing students.

• 지역사회간호학회지
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• 제29권4호
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• pp.450-466
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• 2018

Purpose: The purpose of this study is to identify trends in research on cultural competency of nursing students and nurses in Korea and to provide suggestions for future studies. Methods: A literature search was conducted with 432 papers published between 1985 and 2016 from five electronic databases and other sources using such key words as 'cultural competency', 'cultural nursing', 'multi-cultural competency', 'nursing students', 'nurses', etc. Results: The research design of 86 nursing researches on the cultural competence of nurses and nursing students analyzed in this study was 90.7% in quantitative research, 9.3% in qualitative research, and 2.3% in mixed research. Cultural competence was the most measured concept. A total of 41 papers (47.7%) out of 86 papers were used to measure cultural competence. Ten different tools were used various instruments of cultural competency were used in 41 papers. In 11 experimental studies, new methods such as role playing, case study, four stage 3D puzzle model, newspaper reading, and writing reflection note were used other than traditional method of lecture. Conclusion: The overall findings of this study suggest that future research should include more well-designed experimental studies, qualitative studies and repeated studies to confirm the effects of findings from previous studies. Development of effective and highly diverse teaching methods is recommended to increase cultural competency. Supporting systems and funding are required to help activate research of nurses.

• 한국산학기술학회논문지
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• 제21권8호
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• pp.241-247
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• 2020

본 연구는 간호대학생의 다문화 인식과 문화적 공감이 문화적 역량에 미치는 영향을 확인하여 문화적 역량을 향상시키기 위한 기초자료를 제공하기 위하여 시도된 서술적 조사연구이다. 연구대상자는 광주와 전남 지역에 소재한 2개의 간호대학에 재학 중인 1학년에서 4학년까지의 학생을 대상으로 하였다. 자료는 2018년 9월부터 12월까지 수집하였으며, 분석을 위해 총 201명의 자료를 사용하였다. 자료 분석을 위해 SPSS 25.0 program을 이용하여 기술적 통계, t-test, ANOVA, Pearson 상관계수, 다중회귀분석을 실시하였다. 본 연구의 결과는 다음과 같다. 간호대학생의 다문화 인식((r=.451, p<.01)과 문화적 공감(r=.582, p<.01)은 문화적 역량에 유의하게 높은 양의 상관관계를 갖는 것으로 나타났다. 또한 간호대학생의 문화적 역량에 영향을 미치는 요인은 문화적 공감(β=.422, p<.001), 다문화 인식(β=.222, p<.001) 순으로 긍정적인 영향을 미치는 것으로 나타났으며, 이들 요인의 설명력은 40.5%로 확인되었다. 이러한 연구 결과는 간호대학생의 문화적 역량을 증진시키기 위해서는 다문화 인식과 문화적 공감을 높이기 위한 다양한 방안들이 적극적으로 개발되어야 하며, 이러한 방안을 개발할 때 다문화 인식보다는 문화적 공감에 더 중점을 두어야 함을 시사한다.

• 보건행정학회지
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• 제29권1호
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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.

• 한국융합학회논문지
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• 제10권1호
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• pp.361-370
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• 2019

본 연구는 간호 학생을 대상으로 일반적 특성, 전인간호 태도와 문화역량을 확인하여 전인간호 태도 향상을 돕기 위한 기초자료를 마련하기 위하여 실시한 서술적 조사 연구이다. 연구 결과 전인간호 태도는 전공만족도, 학과 성적 등의 일반적 특성과 관련이 있었다. 비과학적 중재라도 대상자가 원하면 제공하겠다고 응답한 경우와 학부교육과정에서 보완대체요법을 배우는 것에 긍정적으로 응답한 경우 전인간호 태도 점수가 높았다. 전인간호 태도와 문화역량은 양의 상관관계를 보였다. 일반적 특성을 통제한 상태에서 문화역량은 전인간호 태도 증가에 영향을 주었다. 간호학생의 전인간호 태도에 대한 확인은 중요하며 그 수준에 따라 맞추어진 교육이 제공 되어야 할 것으로 생각된다.