CI, 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. 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. 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 does not guarantee, approve, control, or specifically endorse the information or products available on websites linked to, and is not endorsed by website owners, authors and/or organizations referenced. The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. 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. Orque M.; Orques ethnic/cultural system: Conceptual framework for ethnic nursing care. This was a descriptive study. Finally, causality could not be established because the study was cross-sectional. Ethnonursing One of the cornerstones of transcultural nursing is being aware of cultural trends while respecting the preferences of each individual patient. official website and that any information you provide is encrypted Please enable it to take advantage of the complete set of features! (2019) in Columbia in which the mean score was 2.58 [25]. nurses, and M.Sc. The growing interest in Leininger's transcultural nursing model has begun with population changes and migration. The model developed in 1988 was first published in 1990. This list was used as a sampling frame. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. The American population is currently more diverse than it has ever been, and it is predicted that the country will become even more racially and ethnically diverse in the coming years, according to the U.S. Census Bureau. This self-efficacy may be affected by different factors, either positively or negatively. 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. In addition, it has been pointed out that concerns about transcultural care in the field of health will only lead to formation of specialization in transcultural care that could increase responsibilities for nurses, which in turn will put a burden on them [2]. Nurses who were more culturally sensitive had higher confidence among clients 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. 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). 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. Jess is a Content Specialist at Collegis Education. for only $13.00 $11.05/page. The Cronbachs alpha was 0.97 when it was developed [28] and Herrero Hahn et al. 7.5.16 for coding and analyzed thematically. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). The theory is guided by powerful concepts and propositions that are applicable in different healthcare settings. Bloch B; Blochs assessment guide for ethnic/cultural diversity. 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. 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 necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. This model is a tool developed to assess cultural values and their effects on health and disease behavior [33] (Figure 4.8.2). eCollection 2022. This theory focuses on exploring different and universal cultures and providing comparative care. The IDI guiding questions were checked by experts. There is also the need for research funds to support continue study of caring practices (George, 2010a, p. 423). broad scope, and wide readership a perfect fit for your research every time. An awareness and comprehension of a group's practices is helpful prior to patient treatment to better establish communication and trust. These include NANDAs diagnosis, Gordons Functional Health Patterns, NIC, NOC and Daily Living Activities and the OMAHA system [55]. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. 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. Culture develops over generations and is therefore difficult to fully penetrate as an outsider, which is why it is important for nurses to learn about cultural care. External links provided on rasmussen.edu are for reference only. It is considered a cognitive specialty within nursing, which first originated by combining the "culture" construct of anthropology with the "care" construct of nursing. Semi-structured in-depth interview (IDI) guiding questions were used. 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 practice is highlighted. Literature reveals that culture is central to the human condition, and nurses who are transculturally confident in understandings of health and disease held by patients are needed for todays multicultural population. Accordingly, each text was read again and again carefully and then codes were generated by two data coders. Bethesda, MD 20894, Web Policies (2012), in which intercultural communication was positively associated with cultural self-efficacy [33,34]. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. Thats where transcultural nursing comes in. The findings of the present study also indicate that cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. 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). 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. School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: 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. The program you have selected requires a nursing license. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. 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 [. An observational study. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. 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. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. Quantitative results were integrated with qualitative results. Longitudinal study is encouraged to determine cause and effect relationships. Burchum JLR; Cultural competence: Evolutionary dimension. 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. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. This study employed a cross-sectional study design with a mixed method of data collection. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. This study was conducted at Jimma Medical Center (JMC). Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. & Lees S; Training culturally competent researchers. The level of perceived transcultural self-efficacy was moderate among nurses. It was checked whether the themes work with the coded extracts. 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. 4.10: Criticisms of Transcultural Nursing. 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]. The internal consistency was tested using a reliability scale. This theory, unlike other theories which focus on people, health, nursing and environment, 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. 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Nurs Forum. A structured self-administered questionnaire was used to collect data for this study. It is considered a cognitive specialty within nursing, which first originated by combining the culture construct of anthropology with the care construct of nursing. 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). Copyright: 2021 Berhanu et al. Qualitative data were collected by the principal investigators. Ray, M. (1994). Variance inflation factor. Spector RE; Cultural care: guidelines for inheritance, assessment and health traditions [. The study was conducted from 20 May to 20 June 2020. 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 ethics: A framework and model for transcultural l ethical analysis . This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. So what does this call for transcultural competency mean for practicing nurses? Data relevant to each code were collected together. It was administered in English. There is no obligation to enroll.This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. 2022 Oct 26;93(5):e2022306. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Table 1: Narayanasamys ACCESS model (1998). When you find the way, your confidence is increased (Participant 3) [Table 3]. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. The program you have selected is not available in your ZIP code. As for more visible changes to the nursing workforce, its true that nursing leaders recognize the strong connection that exists between a culturally diverse nursing workforce and quality, culturally competent care, according to the American Association of Colleges of Nursing (AACN). 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. She researches and writes articles on behalf of Rasmussen University to help empower students to achieve their career dreams through higher education. How to Become an Aesthetic Nurse: A New Look at This Nursing Niche, Pros and Cons of Being a Travel Nurse: Expert Insight for New Nurses, Vascular Access Nursing: The Sticking Points You Should Know, Can Nurses Have Tattoos? One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). 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). There are also national concerns about health disparities since the cultural diversity of the population is increasing. The CSES consists of three subscales. 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. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. Make sure your answer has: There is an error in ZIP code. Confidence interval;CMS, The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. 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. 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. Purnell LD. 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). Four B.Sc. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. The mean transcultural self-efficacy score was 2.89 0.59. This is supported by the findings from studies of Chan and Sy (2016) and Quine et al. Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. 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. 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. Its Cronbachs alpha was 0.75 [29]. 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. Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. 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. degree in nursing. Credibility was assured through long-lasting engagement with IDI participants and by investing sufficient time to become familiar with the setting and context, to test for misinformation, to build trust, and to get to know the data to get rich. Abbreviations: eCollection 2022. 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. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. Transcultural nursing theory;TSE, We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Qualitative data were collected based on specified criteria throughout the interviews. 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 article discusses changes that are important to transcultural nursing. As the need for a more direct relationship with patients presented itself, nurses filled . The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. 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. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. Nurses who had higher communication ability with people had greater transcultural self-efficacy. Competing interests: The authors declare that they have no competing interests. Transcultural nursing is a comparative study of cultures to understand similarities (culture universal) and difference (culture-specific) across human groups (Leininger, 1991). 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. All participants were provided written informed consent to participate in the study. Permission was obtained from JMC where the study was carried out. Knowledge of transcultural nursing was also investigated. 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). The nurses. patient care and well-being through a culturally competent nursing education would later be coined as the "Transcultural Theory of Nursing" (Sitzman & Eichelberger, 2004, p. 93). MeSH 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.
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