Multivariable linear regression results showing factors associated with transcultural self-efficacy among nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). 2023 Rasmussen College, LLC. (2012), in which intercultural communication was positively associated with cultural self-efficacy [33,34]. Suh EE; Cultural competence model through evolutionary concept analysis. 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. 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. Transcultural mental health nursing. 1: Benefits and limitations Through such communication, it also becomes possible to exchange cultural dimensions and worldviews (Betancourt & Daniel, 2015). Standard deviation;SE, Quantitative sample size was calculated using a formula for a single population proportion considering confidence interval of 95% (Z = 1.96), margin of error 5% (d = 0.05), and population proportion of 50% (p = 0.5) since there is no study on transcultural self-efficacy of nurses or predictor of transcultural self-efficacy in Ethiopia. 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). More than half 132 (55.9%) of them were female and 138(58.5%) of them were Oromo. The lowest mean score was observed in the knowledge of cultural patterns, which was 2.71 (SD = 0.61). With the population growing more diverse, its becoming more and more common for healthcare providers to treat patients whose cultural backgrounds differ from their own. Transcultural nursing ethics: A framework and model for transcultural l ethical analysis . Cross T., Bazron B; Dennis K., Isaacs M.; Towards a culturally adequate care process: Effective services for minority children with emotionally serious illness. Pacquiao DF; Cultural competence in ethical decision making. Since nurses lie at the front line of health care providers, they have the opportunity to stand out as the ones who can understand and are sensitive to the cultures of patients by helping patients with their particular lifeways and in their environmental context [9,19]. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). A total of 236 nurses participated in the study making the response rate 96.7%. official website and that any information you provide is encrypted Madeleine Leininger's Transcultural Nursing Theory - StudyCorgi.com For new nursing graduates looking to enter the field, it can be helpful to be proactive in learning more about cultural competence in healthcare, whether by signing up for a relevant class or volunteering in culturally diverse healthcare settings. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. This finding is also consistent with the study of Herrero-Hahn et al. It was administered in English. The level of perceived transcultural self-efficacy was moderate among nurses. In the multivariable linear regression model, statistical significance was declared at p < .05. The population comprised of 650 undergraduate students attending the nursing schools of three universities. Qualitative data were collected by the principal investigators. 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. degree in nursing. Leininger's theory is simple and easy to understand, and this implies it can be applied even on the first contact. One unit increase in cultural sensitivity leads to 2.075 units increase in transcultural self-efficacy ( = 2.075, p < .001). Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). Backward elimination was used for selecting variables in the final model. Bethesda, MD 20894, Web Policies Andrews MM; Culturally adequate nursing care. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). Becoming more aware of the other peoples cultures and exploring their problems as well as understanding the patients opinion, Describing therapeutic relationship relevant to the patients cultural beliefs and consensus values, Applying the sensitive care model to culturally different groups, Making the patient feel safe in the culturally sensitive care. This model includes technological, religious and philosophical, kinship and social factors, cultural values and lifestyle, political and legal, economic and social factors [50], which have been used in many studies in the west and in other countries since 1960 (Figure 4.8.1). transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). Competing interests: The authors declare that they have no competing interests. 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. (2012), in which experience predicted higher transcultural self-efficacy [25,33]. The final sample size was 244 after 10% non-response was added. There is an error in email. nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. Narayanasamy described the model in 1998 with the letters ACCESS (Assessment, Communication, Cultural negotiations and Compromise, Establishing respect, Sensitivity and Safety) to form the framework of cultural care practices [42] (Table 1). Please visit www.rasmussen.edu/degrees for a list of programs offered. The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientational definitions. 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. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. 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. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care The study results showed that sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. 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. It is also inconsistent with the study of Li et al. Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. 11.07.2022, Jordan Jantz | Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. Data Availability: All the data underlying this study are provided in the Supporting information file. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. and transmitted securely. Robera Demissie Berhanu, Additional nursing research is needed to promote transcultural nursing. Please correct the errors and submit again. Knowledge of transcultural nursing was also investigated. The questionnaire was adapted from related studies and was used for data collection [2427]. Spector RE; Cultural difference in health and disease. doi: 10.23750/abm.v93i5.13593. This study was conducted at Jimma Medical Center (JMC). This finding was corroborated by the finding from the qualitative study as one 28-year-old male participant said, I am willing and motivated to serve these people. A 26-year-old female participant also said, I imagine it to be medium because there are different cultures and different ways of thinking. The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. One unit increase in cultural motivation results in 0.635 unit increase in transcultural self-efficacy ( = .635, p < .001). Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. Federal government websites often end in .gov or .mil. Transcultural nursing theory and models: application in nursing The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. However, I individually have the confidence of medium type though there are some disagreements among some few things (Participant 1). 4.8: Transcultural Nursing Care Models - Medicine LibreTexts National Library of Medicine Papadopoulos I. This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. Rasmussen University has been approved by the Minnesota Office of Higher Education to participate in the National Council for State Authorization Reciprocity Agreements (NC-SARA), through which it offers online programs in Texas. (2019), in which longer experience positively predicted transcultural self-efficacy, and with the study of Quine et al. Transcultural nursing theory;TSE, The .gov means its official. Dynamics of diversity: becoming better nurses through diversity awareness. Its Cronbachs alpha was 0.75 [29]. Transcultural Nursing - Current Nursing During the time, several theories related to culture have been adopted from other disciplines and used in nursing with some modifications and refinements of the major and subconcepts of existing theories from other disciplines. Thus . Two hundred thirty-six (236) of the 244 invited participants completed the questionnaires making the response rate 96.7%. The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). This difference might be due to differences in socio-cultural characteristics and study settings. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. nurses, and M.Sc. Nursing is a profession that relies on a holistic approach to delivering health care. 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Make sure your answer has: There is an error in ZIP code. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. 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]. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. Rasmussen University may not prepare students for all positions featured within this content. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. 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. The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. This will result in continued efforts to recruit a graduating nursing workforce that more closely mirrors the diverse patient population. 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. More info, By Jess Scherman In-depth interview;IPCS, I personally have use and will continue to use Madeleine Leininger theory. Therefore, nurses must be prepared to recognize clients desires that are derived from their culture and to develop skills that will help facilitate their achievement [10]. 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. 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). The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. This model is a tool developed to assess cultural values and their effects on health and disease behavior [33] (Figure 4.8.2). Another 27-year-old male participant also said, for example patients come from different regions speaking different languages and having different cultures.
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