Abbreviations: Make sure your answer has only 5 digits. External links provided on rasmussen.edu are for reference only. The goal of the theory is to develop a body of knowledge to establish nursing care that is sometimes culture-specific and sometimes culture-universal. Transcultural nursing is an essential aspect of healthcare today. The findings of the present study also indicate that cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. While this outcome might sound far-fetched on the surface, there have been a number of malpractice cases of this kind that arose from issues involving cultural incompetence. Learn more about the benefits of earning a BSN on an accelerated educational track orif youve already reached RN statusmaking the jump from RN to BSN to enhance your healthcare repertoire. 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 scale is measured on a 5-point Likert scale with responses ranging from strongly disagree to strongly agree. Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. 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." Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). Field notes were taken and a tape recorder was used to record the interviews lasting 2025 minutes. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. government site. Transcultural health: attitudes, perceptions, knowledge of Italian nurses. Funding: The authors received no specific funding for this work. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. This helps researchers and clinicians discover and explain the interdependence of care and culture while understanding cultural similarities and differences [5,6]. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Nursing is a profession that relies on a holistic approach to delivering health care. Rasmussen University may not prepare students for all positions featured within this content. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. Pursing a Bachelors degree in Nursing could hold the key to your achieving the educational cornerstones of becoming the culturally competent nurse that healthcare facilities are looking for. eCollection 2022. Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. Please select another program or contact an Admissions Advisor (877.530.9600) for help. J Transcult Nurs. 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. This piece of ad content was created by Rasmussen University to support its educational programs. Transcultural nursing theory;TSE, The initial calculated sample size was 384. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Longitudinal study is encouraged to determine cause and effect relationships. Citation: Berhanu RD, Tesema AA, Deme MB, Kanfe SG (2021) Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study. Before Data relevant to each code were collected together. It also requires the specialization of health personnel in order to provide qualified, culturally specific care. However, the study has several limitations. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. Fill out the form to receive information about: There are some errors in the form. Mean scores and standard deviations were computed to determine the level of transcultural self-efficacy of nurses. Cross T., Bazron B; Dennis K., Isaacs M.; Towards a culturally adequate care process: Effective services for minority children with emotionally serious illness. Bethesda, MD 20894, Web Policies 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. This self-efficacy may be affected by different factors, either positively or negatively. This includes taking into account patients cultural needs [11]. Developing communicative and scientific language skills. Knowledge of transcultural nursing was also investigated. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. (2019), in which longer experience positively predicted transcultural self-efficacy, and with the study of Quine et al. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. The aims of transcultural nursing are to provide sensitive and effective nursing care to meet the cultural needs of individuals, families and groups, to integrate transcultural concepts, theories and practices into nursing education, research and clinical applications, to improve transcultural nursing knowledge, and to incorporate this knowledge into nursing practice. 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]. This study was conducted at Jimma Medical Center (JMC). Leininger MM; The differences in cultural care and the theory of universality. Whilst g lobalisation was a pparent some time b efore the appearance of . This requires nurses to recognize and appreciate cultural differen Leininger's transcultural nursing theory guided the project. 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. Quantitative results were integrated with qualitative results. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. Additional nursing research is needed to promote transcultural nursing. Please select another program or contact an Admissions Advisor (877.530.9600) for help. Mean;SD, First, the study relied on the self-reported data of nurses that may have introduced a social desirability bias. competence of registered nurses (RNs) through a transcultural nursing education program. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Descriptive statistics for each subscale of transcultural self-efficacy and the total TSE scale score of nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. 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. official website and that any information you provide is encrypted as the communication ability of nurses increases amidst different cultures, their transcultural self-efficacy perception increase. The discrepancy may be because the vast majority (93.1%) of the participants in their study were females. Leininger M; Evaluation of culture care for appropriate and adequate practices. 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. The history of culture is as old as the history of human beings but it was during the time of Madeline Leininger that culture became the central concept in the transcultural nursing theory (TNT) and evidence-based area of study. The IDIs were conducted in the silent and comfortable room (home, workplace) after time and place were decided by the interviewees. Permission was obtained from JMC where the study was carried out. The result showed the data were approximately normally distributed. The site is secure. Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care Bivariate analysis revealed that age, sex, level of education, monthly income, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy at p < .25. Boyle JS & Andrews MM; Andrews/Boyle assessment guide. Therefore, having good communication ability is crucial to give care with confidence (Participant 5). Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. For example, nurses must be culturally competent to recognizeor ask the questions necessary to help them discoverwhen folk medicine use may impact patient treatment. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. Suh EE; Cultural competence model through evolutionary concept analysis. MeSH What has the literature taught us about culturally competent care of women and children. Nurses who had greater than 2-years of work experience were included purposely in the qualitative strand of the study for they could provide detailed information. Confidence interval;CMS, Even if nurses are educated in Ethiopia with the curriculum adapted from the international curriculum, they provide care for patients unique in culture from those of patients where transcultural self-efficacy is well studied. 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). Disclaimer. These findings are supported by the study of Asurakkody (2019), in which cultural sensitivity, interpersonal communication, and cultural motivation positively and significantly predicted TSE [29]. The total scale score is between 5 and 25. This calls for the need to offer transcultural nursing training for nurses. The authors also would like to thank Jimma University health science institute and Jimma medical center for all their help. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. 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 model developed in 1988 was first published in 1990. More than three fourth 190(80.5%) of them had B.Sc. Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. Abebe Abera Tesema, The level of perceived transcultural self-efficacy was moderate among nurses. However, researchers identified that working with culturally diverse patients can be challenging due to differences in ideas, beliefs, thoughts, norms, customs, and traditions. doi: 10.23750/abm.v93i5.13593. It is again consistent with the finding from the study of Li et al. 2020 Nov 30;9(11):e17324. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. A total of 236 nurses participated in the study making the response rate 96.7%. Simple random sampling technique was used to recruit participants in the quantitative part of the study. 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]. Operating on the belief that quality healthcare can only occur within the patients cultural context and that embracing diversity among healthcare professionals will promote multicultural workplace harmony and minimize workplace conflict, it has been posed that the nursing workforce should renew its focus on diversity awareness. For full functionality of this site, please enable JavaScript. Papadopoulos I. This is corroborated by the qualitative finding as one 28-year-old male participant said, Patients come from different places, like southern region, Gambela, and Sudan. The theory is guided by powerful concepts and propositions that are applicable in different healthcare settings. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. HHS Vulnerability Disclosure, Help It is also true that the number of people who identify as belonging to two or more races will triplefrom 7.5 million to 26.7 millionby 2060. 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. Thats where transcultural nursing comes in. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. An official website of the United States government. Sarah probes the potential and the limitations of care robots - and looks at historical ideas from earlier eras about emotional qualities, including fortitude and . This is consistent with the social cognitive theory, which proposes successful mastery experiences and vicarious experience increase self-efficacy [32]. Four B.Sc. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. There is also the need for research funds to support continue study of caring practices (George, 2010a, p. 423). This ethnographic model created to promote cultural understanding of peoples status in the context of health promotion and illness is based on ethical perspectives of individual, family and community. Ray, M. (1994). But this means much more than hiring qualified interpreters. All participants were provided written informed consent to participate in the study. The cultural needs of mental health clients can be met by transcultural nursing. Despite the desire to create multicultural societies in the world in which there are liberal immigrant policies, it cannot be argued that there is an accepted standard in health care, in terms of the socioeconomic status, ethnic characteristics, sexual behavior and lifestyle preferences. School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: Journal of Transcultural Nursing Impact Factor: 1.869 5-Year Impact Factor: 2.322 JOURNAL HOMEPAGE SUBMIT PAPER Restricted access Research article First published online June 29, 2016 Overview of the Theory of Culture Care with the Ethnonursing Research Method Madeleine Leininger, PhD, LHD, DS, CTN, RN, FAAN View all authors and affiliations In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular . More info, By Jess Scherman 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. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: Wells M; Beyond cultural competence: a model for individual and institutional cultural development [, Giger JN. 2009 Jan-Feb;23(1):3-12; quiz 13-4. doi: 10.1097/01.HNP.0000343203.26216.c9. This theory, unlike other theories which focus on people, health, nursing and environment, Nurs Forum. 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 is a nurses confidence in delivering care to patients coming from different cultural backgrounds or it indicates nurses degree of confidence to provide both culture-general and culture-specific care [3,4]. (2012), in which experience predicted higher transcultural self-efficacy [25,33]. This choice was made as a social constructivist approach would allow us to better understand how participants construed their lived realities. 10.31.2022, Patrick Flavin | Standard error;TNT, (2017) reported Cronbachs alpha of 0.978 [3]. One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). Cultural sensitivity scale;ETB, Would you like email updates of new search results? The https:// ensures that you are connecting to the Then codes were grouped through constant comparison of concepts, like with like, into four major themes. Thus . Then, simple random sampling using lottery methods was employed to select the nurses from the hospital. Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. This site needs JavaScript to work properly. It is considered a cognitive specialty within nursing, which first originated by combining the "culture" construct of anthropology with the "care" construct of nursing. Nurses must acquire the necessary knowledge and skills in cultural competency. Foronda and Belknap (2012) conducted a qualitative study investigating the experience of American nursing students who studied abroad in a low-income country. It is emphasized that the patient may feel special, needing protection or patronized. In this study, the participants revealed thoughts of constant comparisons, emotional journeys, and learning. This expands your motivation and lets you to the way to handle such diversity. The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. Pacquiao DF; Cultural competence in ethical decision making. Our experts can deliver a Madeleine Leininger's Theory of Transcultural Nursing essay. Transcultural nursing is an essential aspect of healthcare today. The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. CI, Robera Demissie Berhanu, 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 The organization said more emphasis needed to be placed . Accordingly, each text was read again and again carefully and then codes were generated by two data coders. The growing interest in Leininger's transcultural nursing model has begun with population changes and migration. As a comprehensive text for master's and bachelor's level nursing students, it features case studies, care plans, initial role playing exercises, and implications of TCN concepts when planning, implementing and evaluating client care.T CN Theory, Models, and Assessment Guide Discussed: Leininger's Expand lghttp.48653.nexcesscdn.net The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. Cultural diversity: the intention of nursing. One hundred one (42.8%) of the respondents were orthodox in religion. Bloch B; Blochs assessment guide for ethnic/cultural diversity. The finding indicates the mean score of transcultural self-efficacy perceptions to be 2.89. 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. 11.07.2022, Jordan Jantz | These include NANDAs diagnosis, Gordons Functional Health Patterns, NIC, NOC and Daily Living Activities and the OMAHA system [55]. Ethiopian birr;ICS, I personally have use and will continue to use Madeleine Leininger theory. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Please correct the errors and submit again. This study employed a cross-sectional study design with a mixed method of data collection. 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. Please enable it to take advantage of the complete set of features! 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 requires nurses to recognize and appreciate cultural differences in healthcare values, beliefs, and customs. 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. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. The mean transcultural self-efficacy score was 2.89 0.59. It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Spector RE; Cultural difference in health and disease. 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 finding of this study highlights that it is advantageous if nurses struggle to improve their cultural understanding and knowledge of transcultural nursing theories. A major limitation of transcultural nursing models is their lack of consideration of the relationship between power and knowledge, and the analysis of prejudice and discrimination (Mulholland, 1995). 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. & Lees S; Training culturally competent researchers. Participants who were genuinely willing to take part and prepared to offer data freely were involved in the study. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. So what does this call for transcultural competency mean for practicing nurses? This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. The hospital had 628 nurses and midwives currently. Having the ability to understand complex cultural dimensions. In the multivariable linear regression model, statistical significance was declared at p < .05. As the need for a more direct relationship with patients presented itself, nurses filled . The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. Linear regression assumptions were checked before data analysis. Variance inflation factor. Self-efficacy is ones own belief in ones ability to succeed in specific situations or accomplish a task as defined by psychologist Albert Bandura. Burchum JLR; Cultural competence: Evolutionary dimension. Make sure your answer has: There is an error in ZIP code. Purposive sampling technique was used to recruit participants for in-depth interviews. Accessibility Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. Then data were analyzed using descriptive statistics such as mean scores and standard deviations followed by inferential statistics. Jess is a Content Specialist at Collegis Education. PLoS ONE 16(7): It is considered a cognitive specialty within nursing, which first originated by combining the culture construct of anthropology with the care construct of nursing. Out of these, 518 nurses were currently working at JMC while 35 attending education. It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). Addressing cultural heterogeneity among Hispanic subgroups by using Campinha-Bacote's model of cultural competency. Sex, work experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. Data Availability: All the data underlying this study are provided in the Supporting information file. 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. 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. The total number of in-depth interviews was determined by the level of data saturation and a minimum of eight in-depth interviews were conducted. Individualized intercultural care is a nurses responsibility as both a human and a professional. Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A Longitudinal Study. 03/08/2017. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. Federal government websites often end in .gov or .mil. The need for transcultural nursing will continue to be an important aspect in healthcare. The growth of minority populations in tandem with growing healthcare disparities across the nation reflect the importance of recruiting and retaining a diverse healthcare workforce. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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