In the nursing context, RegisteredNursing.org defines transcultural nursing as a "nursing specialty which focuses on global cultures and comparative cultural caring, health, and nursing phenomena" with the aim of providing "culturally congruent nursing care." Diversity awareness, according to the National Student Nurses Association (NSNA), refers to a conscious and ongoing process in which we identify similarities and differences within and between varying cultural groups. 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. Finally, causality could not be established because the study was cross-sectional. Dynamics of diversity: becoming better nurses through diversity awareness. Having the ability to understand complex cultural dimensions. FOIA Nurses confidence when providing care for patients from different cultural backgrounds measured using 25 items on a 5-point Likert scale with the value ranging from 25125. The theory consistently approaches culturally based care by requiring the nurse to use cultural knowledge as well as specific skills when deciding nursing interventions and practices. Leininger M; Evaluation of culture care for appropriate and adequate practices. One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). Qualitative data were coded and analyzed thematically. This is consistent with the social cognitive theory, which proposes successful mastery experiences and vicarious experience increase self-efficacy [32]. Quantitative results were integrated with qualitative results. 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. Transcultural nursing theory;TSE, It is considered a cognitive specialty within nursing, which first originated by combining the culture construct of anthropology with the care construct of nursing. Copyright: 2021 Berhanu et al. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. The level of perceived transcultural self-efficacy was moderate among nurses. It is also inconsistent with the study of Li et al. Andrews MM; History of health and cultural competence in physical examination. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. (2017) reported Cronbachs alpha of 0.978 [3]. 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. Among these, 553 were diploma nurses, B.Sc. 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). The discrepancy may be because the vast majority (93.1%) of the participants in their study were females. The total scale score is between 25 and 125 in all subscales. This calls for the need to offer transcultural nursing training for nurses. There are also national concerns about health disparities since the cultural diversity of the population is increasing. MCN Am J Matern Child Nurs. The IPCS was used to measure interpersonal communication. PMC e0254643. However, I individually have the confidence of medium type though there are some disagreements among some few things (Participant 1). Millions of people come to this hospital. School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). Rasmussen University may not prepare students for all positions featured within this content. 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]. The qualitative finding from a 30-year-old female participant supported this, ability to communicate among patients having different cultures influences confidence for caring (Participant 7). The need for transcultural nursing will continue to be an important aspect in healthcare. Foronda and Belknap (2012) conducted a qualitative study investigating the experience of American nursing students who studied abroad in a low-income country. The initial calculated sample size was 384. 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). The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. 2005 Nov-Dec;30(6):380-8. doi: 10.1097/00005721-200511000-00006. Epub 2020 May 21. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. Its Cronbachs alpha was 0.75 [29]. The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. National Library of Medicine Jess is a Content Specialist at Collegis Education. Make sure your answer has only 5 digits. It also requires the specialization of health personnel in order to provide qualified, culturally specific care. 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 . tailored to your instructions. Competing interests: The authors declare that they have no competing interests. Bookshelf Data Availability: All the data underlying this study are provided in the Supporting information file. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. 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. Mean scores and standard deviations were computed to determine the level of transcultural self-efficacy of nurses. Simple random sampling technique was used to recruit participants in the quantitative part of the study. 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. This self-efficacy may be affected by different factors, either positively or negatively. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Additionally, in-depth interview was conducted among 10 nurses. In the multivariable linear regression model, statistical significance was declared at p < .05. 2021 Jul;32(4):310-317. doi: 10.1177/1043659620920693. https://www.researchgate.net/post/Can_some_one_suggest_me_the_way_to_decide_the_cut_off_score_for_a_scale/568a7b876143253b738b45a7/citation/download, http://dx.doi.org/10.7827/TurkishStudies.11272, Corrections, Expressions of Concern, and Retractions. Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. eCollection 2022. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. Being able to change the idea of believing that individuals own race is superior to others. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. I personally have use and will continue to use Madeleine Leininger theory. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. Addressing cultural heterogeneity among Hispanic subgroups by using Campinha-Bacote's model of cultural competency. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the study. Join us as we explore the definition of transcultural nursing, the need for increased cultural competency in U.S. healthcare and the impact these will have on the future of nursing in our country. Ethnonursing Careers. The significance of these other cues can vary widely depending on culture. (2012), in which experience predicted higher transcultural self-efficacy [25,33]. The use of nursing theories and models in nursing researches offers unparalleled contribution to the health care system through the practices of the nurse as a professional. For example, nurses must be culturally competent to recognizeor ask the questions necessary to help them discoverwhen folk medicine use may impact patient treatment. This self-efficacy may be affected by different factors, either positively or negatively. Sarah probes the potential and the limitations of care robots - and looks at historical ideas from earlier eras about emotional qualities, including fortitude and . Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. Andrews MM; Culturally adequate nursing care. Transcultural nursing ethics: A framework and model for transcultural l ethical analysis . Descriptive statistics were performed to determine the mean and standard deviation of transcultural self-efficacy. Fill out the form to receive information about: There are some errors in the form. The theory consistently approaches culturally based care by requiring the nurse to use cultural knowledge as well as specific skills when deciding nursing interventions and practices. Abebe Abera Tesema, A nursing theory turns out to be a group of significant related concepts and relationships the purpose of which is to guide practice and promote the delivery of care. Determine whether the following statement is true or false regarding the evolution of nursing to the point where the theory of transcultural nursing was introduced: Nurses were initially brought in to assist medical personnel in an administrative capacity. doi:10.1371/journal.pone.0254643, Editor: Paola Gremigni, University of Bologna, ITALY, Received: November 13, 2020; Accepted: June 30, 2021; Published: July 22, 2021. 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. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. Cultural sensitivity scale;ETB, With a national ratio of 854 nurses per 100,000 people reported in 2008while also taking into account the severe nursing shortage weve experienced since thenit has become increasingly crucial to nurture a more diverse, culturally competent nursing workforce. Before actual data collection, the data collection tools were pretested on 25 nurses working at Agaro General Hospital to measure the internal consistency of the tools, to estimate data collection time, and to make modifications as needed. One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). This choice was made as a social constructivist approach would allow us to better understand how participants construed their lived realities. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. Funding: The authors received no specific funding for this work. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. 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). Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. Dependability and confirmability were assured through transparently describing the research steps taken from the start of a research proposal to the development and reporting of the findings.
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