eCollection 2022. The finding of this study encourages nursing curriculum makers in Ethiopia to incorporate transcultural nursing education into the present curriculum and it calls for the need to offer transcultural nursing training for nurses. This is a moderate level of transcultural self-efficacy perception. Campinha-Bacote J; Cultural competence in providing health care services: Culturally adequate care model. Dynamics of diversity: becoming better nurses through diversity awareness. The principal investigators (RDB and MBD) conducted the interviews in Afaan Oromo and Amharic. It is again consistent with the finding from the study of Li et al. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. Compromising cultural beliefs and studies with the general state of provision of health care, Respecting for the sociocultural diversity of women, newborn babies and their families [. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. Please select another program or contact an Admissions Advisor (877.530.9600) for help. Cross T., Bazron B; Dennis K., Isaacs M.; Towards a culturally adequate care process: Effective services for minority children with emotionally serious illness. They described cultural beliefs, health practices, poverty, fear, frustration, shock/surprise, and sympathy. Among these, 553 were diploma nurses, B.Sc. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. This list was used as a sampling frame. Make sure your answer has: There is an error in phone number. Unable to load your collection due to an error, Unable to load your delegates due to an error. J Transcult Nurs. . It is argued that extraordinary endeavors in cultural sensitivity can result in the classification of cultures, thereby leading to stereotyped behaviors in certain cultures, races and religions. Since the total number of nurses in JMC is 518, which is less than 10,000; and also since the ratio of initial sample size calculated to the total number of nurses in JMC (N) is greater than 0.05, correction formula was used and the minimum sample size required became 221. There is an error in email. The .gov means its official. (2017) reported Cronbachs alpha of 0.978 [3]. Beyond the realms of communication, there are a number of other areas where nurses will need to attain specific levels of cultural competency to optimize care for all patients. As mentioned previously, the central concepts in transcultural nursing were culture, nursing, and environment. Data were analyzed using IBM SPSS Statistics Version 26. The in-depth interview results also supported many of these findings. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. The studies conducted in Turkey show that the nurses need to have classification lists and guidelines to be used in care, and thus a more systematic care will be provided in less time for individual patients and more data will be collected. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Boyle JS & Andrews MM; Andrews/Boyle assessment guide. It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. This was a descriptive study. In late 2000, the Joint Commission, the accrediting agency from more than 21,000 healthcare organizations nationwide, said low healthcare literacy, cultural barriers and low English proficiency were the triple threat to communication in healthcare. You can learn more about the efforts being put into place and the statistics that support them by visiting the AACNs fact sheet on enhancing diversity in the workforce. The conceptualization of the cultural competence model in nursing has emerged after 1989. While there has been an increased awareness of the importance of cultural care and collecting cultural data in recent years in Turkey, no models or guides have been developed in Turkey [55]. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view What has the literature taught us about culturally competent care of women and children. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. However, it is opposite to the study of Asurakkody (2019), in which female nurses demonstrated a higher transcultural self-efficacy score than males [29]. These models focus on the relationship of nursing to concepts and theories related to life, health, disease and society, facilitate organizing their thoughts, and provide a common language among professional members. One-day training was given for data collection facilitators regarding the objective of the study, data collection tools and procedures, how to approach respondents, and how to keep confidentiality. (2012), in which experience predicted higher transcultural self-efficacy [25,33]. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. In this article, the first of two parts, transcultural nursing is explained in terms of its assumptions, benefits and limitations and the emerging literature in this area of mental healthcare . The IDI guiding questions were checked by experts. So what does this call for transcultural competency mean for practicing nurses? This finding was corroborated by the qualitative finding as a 25-year-old female participant said, my confidence in delivering care to patients of different cultures is increased as I stay longer in caring practice (Participant 4). Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A Longitudinal Study. This website uses cookies to ensure you get the best experience. 2022 Oct 26;93(5):e2022306. Nurses must consider these concepts in order to deliver culturally congruent healthcare. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. Conversely, a lack of diversity awareness can result in providing culturally incongruent nursing care, which adversely impacts patient outcomes and can even jeopardize patient safety in certain cases. Nurses actions, desires, and needs to learn about and engage with culture-based care measured using 5 items on a Likert scale with the value ranging from 525. Then codes were grouped through constant comparison of concepts, like with like, into four major themes. The level of perceived transcultural self-efficacy was moderate among nurses. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. More than three fourth 190(80.5%) of them had B.Sc. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. Vitale E, Lupo R, Calabr A, Ilari F, Lezzi A, Zacchino S, Vergori S, Chetta G, Latina S, Benedetto A, Lezzi P, Conte L. Acta Biomed. All the independent variables with p < .25 in the bivariate linear regression analysis were entered into the multivariable linear regression analysis to identify factors associated with transcultural self-efficacy. This expands your motivation and lets you to the way to handle such diversity. Transcultural nursing ethics: A framework and model for transcultural l ethical analysis . School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: 10.31.2022, Patrick Flavin |
For full functionality of this site, please enable JavaScript. Interpersonal communication scale;JMC, The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. 2 MULTICULTURAL AND TRANSCULTURAL NURSING THEORY Introduction Patient-centered care is an evidence-based approach that focuses on the needs, preferences, and values of patients, which guarantees quality, safe and optimal healthcare to patients (Engle et al., 2019). Linear regression assumptions were checked before data analysis. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view of health, illness, care, beliefs and values [3, 5, 13]. This finding is supported by the study of Herrero-Hahn et al. Cultural sensitivity scale;ETB, Finally, the collected data were checked for completeness. The Culture Care Diversity and Universality theory developed by Leininger in 1960, the first nurse who made the first work in this field and received the title of anthropologist, is the first theory developed in the field of transcultural nursing and still used worldwide. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. The CSES-Knowledge scale consists of 16 items that ask about knowledge of many health-related domains (e.g., health practices, nutritional patterns, employment patterns). Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. The hospital had 628 nurses and midwives currently. Therefore, this study result shows that respondents perceived themselves as having moderate transcultural self-efficacy in working with patients from different cultural backgrounds [Table 2]. It has outpatient and inpatient services, maternal and child health services, referral and follow-up services, physiotherapy and rehabilitative services, intensive care, and recovery services. The qualitative finding supported this in that a 32-year-old male participant said;as nurses are more and more culturally sensitive, they tend to have higher confidence in giving care to patients coming from different cultures (Participant 6). Transcultural nursing is defined as a substantive area of nursing focused on cultural care values, beliefs and practices of individuals or groups of similar or different cultures. Make sure your answer has: There is an error in ZIP code. But it is not by separating them by race, ethnicity, tradition, value, and belief that you care therefore, since I am motivated to deliver care in diversity, my perception of confidence in such condition is very good (Participant 1). Assuming a holistic approach to care instead of biophysical approach, Showing efforts to reach rapidly increasing cultural beliefs and activities that are unique to distinct groups and individuals. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. A key theme is preparing current and future nurses at all levels to understand and address health . & Davidhizar RE; Transcultural nursing; Evaluation and intervention. Abbreviations: Bethesda, MD 20894, Web Policies Backward elimination was used for selecting variables in the final model. In-depth interview;IPCS, This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. The Cronbachs alpha was 0.97 when it was developed [28] and Herrero Hahn et al. Then data were analyzed using descriptive statistics such as mean scores and standard deviations followed by inferential statistics. The interview findings were finalized into four major themes: transcultural self-efficacy perception, sociodemographic factors that influence transcultural self-efficacy, cultural factors influencing transcultural self-efficacy, and person-to-person communication skills. Please visit www.rasmussen.edu/degrees for a list of programs offered. There are also national concerns about health disparities since the cultural diversity of the population is increasing. The Future of Nursing is an ambitious and motivational report that includes 11 chapters focused on a variety of topics, including social determinants of health; health equity; the role of the nurse in improving health care access, quality, and health equity; and educating nurses for the future. Jimma medical center;M, Individualized intercultural care is a nurses responsibility as both a human and a professional. Ratings on all items are made on a 1 to 5 scale standing for the words very little confidence for a score of 1, little confidence for a score of 2, neutral or noncommittal confidence for a score of 3, moderate confidence for a score of 4 and high confidence for a score of 5. Jess is a Content Specialist at Collegis Education. The finding indicates the mean score of transcultural self-efficacy perceptions to be 2.89. official website and that any information you provide is encrypted El Arab RA, Urbanavice R, Jakavonyte-Akstiniene A, Skvarcevskaja M, Austys D, Mateos JT, Briones-Vozmediano E, Rubinat-Arnaldo E, Istomina N. Front Public Health. (2019) in which male nurses demonstrated a higher transcultural self-efficacy score than females [25]. For example, nurses must be culturally competent to recognizeor ask the questions necessary to help them discoverwhen folk medicine use may impact patient treatment. Disclaimer. While it may not be a specialty for which nurses pursue additional education to receive certification (the way you might with specialties like nursing informatics, acute care nursing, pediatric nursing and others), it is an area of competency that is highly valued within todays healthcare facilities. 8600 Rockville Pike Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. The CSES-Cultural Concepts scale consists of three items and assesses knowledge of cultural concepts (i.e., ability to distinguish inter- from intracultural diversity, ability to distinguish ethnocentrism from discrimination, ability to distinguish between ethnicity and culture). 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Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. The ICS consists of five questions that ask nurses to think about how they feel when communicating with patients from different cultural backgrounds from their own and rate their ability to understand feelings, communicate, resolve misunderstandings, comprehend points of view, and empathize with patients. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Transcultural nursing is defined as a learned subfield or branch of nursing that focuses upon the comparative study and analysis of cultures concerning nursing and health-illness caring practices, beliefs, and values to provide meaningful and efficacious nursing care services to their cultural values and health-illness context. She researches and writes articles on behalf of Rasmussen University to help empower students to achieve their career dreams through higher education. This page titled 4.10: Criticisms of Transcultural Nursing is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. eCollection 2022. tailored to your instructions. The program you have selected is not available in your ZIP code. FOIA Nurses are required to understand the cultural care beliefs, values, and lifeways of patients and then they need to immerse themselves in the culture of all patients to deliver care that is parallel to what the patient believes suitable according to his or her cultural expectations [79]. With similar changes in our nursing workforce, you can expect new nursing graduates to be armed with an abundant knowledge base of cultural competency and diversity in healthcare. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. First, the study relied on the self-reported data of nurses that may have introduced a social desirability bias. (2019), in which longer experience positively predicted transcultural self-efficacy, and with the study of Quine et al. The fundamental assumptions of this theory are: a. Transcultural consciousness (awareness, seeking to understand, critical reflection) engenders an appreciation of both cultural diversity and the reality of sharing a common humanity. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. It is considered a cognitive specialty within nursing, which first originated by combining the "culture" construct of anthropology with the "care" construct of nursing. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Holist Nurs Pract. The International Nurses Association (ICN) invited the nurses from the World Health Organization (WHO) member countries to work on adaptable models to their communities at the 1989 Seoul Conference. In fact, the U.S. is projected to become a majority-minority nation for the first time in the year 2043, which means that non-Hispanic whites will make up less than 50 percent of the population. Rasmussen University is not regulated by the Texas Workforce Commission. Thus if you do not accept this, later it would influence your confidence(Participant 5). 11.07.2022, Jordan Jantz |
It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. Epub 2020 May 21. The foundations of transcultural nursing were laid in the mid-1950s. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. This study employed a cross-sectional study design with a mixed method of data collection. Accordingly, nurses should possess the cultural knowledge required to deliver effective and satisfactory care that is congruent with the culture of the patient [1114]. The questionnaire had six parts: (i) socio-demographic questionnaire, (ii) cultural self-efficacy scale (CSES), (iii) intercultural communication scale (ICS), (iv) cultural sensitivity scale (CSS), (v) interpersonal communication scale (IPCS) and (vi) cultural motivation scale (CMS). Clipboard, Search History, and several other advanced features are temporarily unavailable. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided.
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