The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. This is a moderate level of transcultural self-efficacy perception. Abebe Abera Tesema, 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. 03/08/2017. Rasmussen University is accredited by the Higher Learning Commission and is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education. Orque M.; Orques ethnic/cultural system: Conceptual framework for ethnic nursing care. Madeleine Leininger: Transcultural Nursing Theory - Nurseslabs It is considered a cognitive specialty within nursing, which first originated by combining the "culture" construct of anthropology with the "care" construct of 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. 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]. nurses, and M.Sc. 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. It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Madeleine Leininger and the Transcultural Theory of Nursing Ones self-efficacy perceptions can have an important role in how one deals with challenging situations [1]. Field notes were taken and a tape recorder was used to record the interviews lasting 2025 minutes. The reliability of the data collection tool was measured, data collection time was estimated and some modifications such as logical order and rewriting items difficult to understand were made as well. 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. Full article: Mental health professionals' perspectives regarding how This expands your motivation and lets you to the way to handle such diversity. Disclaimer. The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. The discrepancy may be because the vast majority (93.1%) of the participants in their study were females. 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. 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]. There is also the need for research funds to support continue study of caring practices (George, 2010a, p. 423). The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. Ethiopian birr;ICS, Spector RE; Cultural care: guidelines for inheritance, assessment and health traditions [. The model developed in 1988 was first published in 1990. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. The foundations of transcultural nursing were laid in the mid-1950s. Discover a faster, simpler path to publishing in a high-quality journal. CI, Successfully implementing the tenets of transcultural nursing can result in overcoming barriers to communication that may otherwise stand in the way of providing patients with quality care. Being able to change the idea of believing that individuals own race is superior to others. This page titled 4.8: Transcultural Nursing Care Models 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. Funding: The authors received no specific funding for this work. The total scale score is between 25 and 125 in all subscales. eCollection 2022. Quantitative results were integrated with qualitative results. The hospital had 628 nurses and midwives currently. The mean TSE score was 2.89 (SD = 0.59) out of the total possible scores ranging from 1 to 5 which indicates a moderate level of transcultural self-efficacy. Andrews MM; Culturally adequate nursing care. Thus if you do not accept this, later it would influence your confidence(Participant 5). Purposive sampling technique was used to recruit participants for in-depth interviews. The organization said more emphasis needed to be placed . Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. Standard error;TNT, 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]. Transcultural nursing is an essential aspect of healthcare today. 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 [. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. This theory focuses on exploring different and universal cultures and providing comparative care. The need for transcultural nursing will continue to be an important aspect in healthcare. The IDIs were conducted in the silent and comfortable room (home, workplace) after time and place were decided by the interviewees. 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. Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. Perceived transcultural self-efficacy and its associated factors - PLOS Backward elimination was used for selecting variables in the final model. National Library of Medicine A Theory of Cultural Humility - Cynthia Foronda, 2020 - SAGE Journals 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. 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. sharing sensitive information, make sure youre on a federal The lowest mean score was observed in the knowledge of cultural patterns, which was 2.71 (SD = 0.61). Knowledge, awareness, and acceptance of other cultures measured using 3 items on a Likert scale with the value ranging from 315. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. 7.5.16 for coding and analyzed thematically. 11.07.2022, Jordan Jantz | 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. This site needs JavaScript to work properly. 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? Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. Accordingly, nurses should possess the cultural knowledge required to deliver effective and satisfactory care that is congruent with the culture of the patient [1114]. This difference might be due to differences in socio-cultural characteristics and study settings. The CSES consists of three subscales. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Additionally, in-depth interview was conducted among 10 nurses. and transmitted securely. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. The cultural needs of mental health clients can be met by transcultural nursing. The questionnaire was adapted from related studies and was used for data collection [2427]. 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. Andrews MM; History of health and cultural competence in physical examination. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. 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]. Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. 2022 Jul 22;10:904158. doi: 10.3389/fpubh.2022.904158. Finally, the collected data were checked for completeness. 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. 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. Leininger's Culture Care Theory - Nursing Theory Millions of people come to this hospital. 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. As mentioned previously, the central concepts in transcultural nursing were culture, nursing, and environment. Addressing cultural heterogeneity among Hispanic subgroups by using Campinha-Bacote's model of cultural competency. Nearly half 115(48.7%) of them had monthly income which falls in the range of 4,001.006,000.00 ETB. 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). Transferability was assured by describing the behavior and experiences of the participants with their context so that the behavior and experiences become meaningful to an outsider. Ulrey and Amason (2001) reported Cronbachs alpha of 0.83 for ICS [27]. Transcultural self-efficacy is a nurses perception of his or her own ability to accomplish activities effectively for culturally diverse clients. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. Transcultural health: attitudes, perceptions, knowledge of Italian nurses. 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]. 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. Make sure your answer has only 5 digits. 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. The level of perceived transcultural self-efficacy was moderate among nurses. 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]. PLOS ONE promises fair, rigorous peer review, This piece of ad content was created by Rasmussen University to support its educational programs. 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. Accordingly, each text was read again and again carefully and then codes were generated by two data coders. Confidence interval;CMS, 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. Bloch B; Blochs assessment guide for ethnic/cultural diversity. The records of the research path were kept throughout the study. 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. Transcultural nursing is an essential aspect of healthcare today. Through such communication, it also becomes possible to exchange cultural dimensions and worldviews (Betancourt & Daniel, 2015). Intercultural communication scale;IDI, Transcultural Nursing: Current Trends in Theoretical Works Out of these, 518 nurses were currently working at JMC while 35 attending education. 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. competence of registered nurses (RNs) through a transcultural nursing education program. What has the literature taught us about culturally competent care of women and children. Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. Please select another program or contact an Admissions Advisor (877.530.9600) for help. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. The population comprised of 650 undergraduate students attending the nursing schools of three universities. For full functionality of this site, please enable JavaScript. More than three fourth 190(80.5%) of them had B.Sc. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. Linear regression assumptions were checked before data analysis. Discuss the strengths and limits to leiningers theory - Course Hero Our experts can deliver a Madeleine Leininger's Theory of Transcultural Nursing essay. There are also national concerns about health disparities since the cultural diversity of the population is increasing. Finally, causality could not be established because the study was cross-sectional. J Transcult Nurs. Nurses communication effectiveness when caring for patients from different cultural backgrounds measured using 5 items on a 5-point Likert scale with the value ranging from 525. Department of Health Informatics, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia. Cultural competency among Lithuanian nurses and preparedness to work with intercultural immigrants: A quantitative study protocol. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Copyright: 2021 Berhanu et al. 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. Semi-structured in-depth interview (IDI) guiding questions were used. 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. One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). 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). What is Transcultural Nursing? Learn More About This Critical Aspect of 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 . 10.24.2022. This website uses cookies to ensure you get the best experience. Qualitative data were collected by the principal investigators. 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).
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