Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. 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]. Leininger M; Evaluation of culture care for appropriate and adequate practices. The hospital had 628 nurses and midwives currently. This website uses cookies to ensure you get the best experience. Andrews MM; Culturally adequate nursing care. (2017) reported Cronbachs alpha of 0.978 [3]. 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). Nurses who had higher communication ability with people had greater transcultural self-efficacy. Transcultural nursing is an essential aspect of healthcare today. Before Nurses must acquire the necessary knowledge and skills in cultural competency. Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care Andrews MM; History of health and cultural competence in physical examination. The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. Make sure your answer has: There is an error in phone number. 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 study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. 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. PLOS ONE promises fair, rigorous peer review, Facility-based cross-sectional study with both quantitative and qualitative methods of data collection was conducted among 244 nurses and 10 key informants from 20 May to 20 June 2020. 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). Self-efficacy is ones own belief in ones ability to succeed in specific situations or accomplish a task as defined by psychologist Albert Bandura. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. 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. 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. However, the study has several limitations. 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 Bjarnason D, Mick J, Thompson JA, Cloyd E. Nurs Clin North Am. First, the study relied on the self-reported data of nurses that may have introduced a social desirability bias. PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US. The final sample size was 244 after 10% non-response was added. 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. Among these, 553 were diploma nurses, B.Sc. Its Cronbachs alpha was 0.75 [29]. Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Our experts can deliver a Madeleine Leininger's Theory of Transcultural Nursing essay. Transcultural self-efficacy (TSE) is defined as the perception or expectation of a nurse regarding his or her own ability to accomplish activities effectively in the conditions characterized by cultural diversity [2]. Ethnonursing 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. This piece of ad content was created by Rasmussen University to support its educational programs. Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. 7.5.16 for coding and analyzed thematically. PLoS ONE 16(7): Variance inflation factor. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. 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. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. The organization said more emphasis needed to be placed . In-depth interview;IPCS, It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Confidence interval;CMS, The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. J Transcult Nurs. 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. 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. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. The authors also would like to thank Jimma University health science institute and Jimma medical center for all their help. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Linear regression assumptions were checked before data analysis. Spector RE; Cultural difference in health and disease. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Data Availability: All the data underlying this study are provided in the Supporting information file. The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. Ray, M. (1994). Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Continuous monitoring was made by the principal investigators during data collection. 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). Permission was obtained from JMC where the study was carried out. Four B.Sc. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. This choice was made as a social constructivist approach would allow us to better understand how participants construed their lived realities. With similar changes in our nursing workforce, you can expect new nursing graduates to be armed with an abundant knowledge base of cultural competency and diversity in healthcare. With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. 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? It was administered in English. The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). 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. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. This calls for the need to offer transcultural nursing training for nurses. Then data were analyzed using descriptive statistics such as mean scores and standard deviations followed by inferential statistics. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. 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 Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. This finding is also consistent with the social cognitive theory which suggests individuals with greater mastery tend to have higher self-efficacy [35]. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). Standard deviation;SE, Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. Thats where transcultural nursing comes in. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. An observational study. This theory, unlike other theories which focus on people, health, nursing and environment, I personally have use and will continue to use Madeleine Leininger theory. 8600 Rockville Pike 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. Cultural self-efficacy scale;CSS, 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. More info, By Jess Scherman
Mean;SD, Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. 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. Data were analyzed using IBM SPSS Statistics Version 26. Finally, causality could not be established because the study was cross-sectional. Recent qualitative studies have shown that communication problems were the major reasons nurses were not able to provide culturally competent nursing care (Boi, 2000, Cioffi, 2003). However, I individually have the confidence of medium type though there are some disagreements among some few things (Participant 1). It also requires the specialization of health personnel in order to provide qualified, culturally specific care. Approximately, it provides service for 15,000 inpatients, 160,000 outpatient attendants, 11,000 emergency cases, and 4500 deliveries in a year coming to the hospital from the catchment population of about 15 to 20 million people. Background Transcultural self-efficacy is a nurse's perception of his or her own ability to accomplish activities effectively for culturally diverse clients. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Knowledge of transcultural nursing was also investigated. This difference might be due to differences in socio-cultural characteristics and study settings. 10.31.2022, Patrick Flavin |
Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. All Rights Reserved. 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. You can expect nursing programs to direct their efforts toward attracting and retaining students from underrepresented groups in nursing. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. They described cultural beliefs, health practices, poverty, fear, frustration, shock/surprise, and sympathy. tailored to your instructions. The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. Through such communication, it also becomes possible to exchange cultural dimensions and worldviews (Betancourt & Daniel, 2015). 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. 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. Leininger, Campinha-Bacote, Giger and Davidhizar, Orque, Purnell and Paulanka, Spector, Andrews and Boyle are regarded as the pioneers contributing to the accumulation of the relevant data. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. 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. 2021 Jul;32(4):310-317. doi: 10.1177/1043659620920693. 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. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the 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). Front Public Health. 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). Then, simple random sampling using lottery methods was employed to select the nurses from the hospital. 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. 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). Interpersonal communication scale;JMC, 2023 Rasmussen College, LLC. Out of these, 518 nurses were currently working at JMC while 35 attending education. Abbreviations: One hundred one (42.8%) of the respondents were orthodox in religion. 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. 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. Would you like email updates of new search results? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Simple random sampling technique was used to recruit participants in the quantitative part of the study. The need for transcultural nursing will continue to be an important aspect in healthcare. Transcultural nursing theory;TSE, It is again consistent with the finding from the study of Li et al. This article discusses changes that are important to transcultural nursing. 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. The IDIs were conducted in the silent and comfortable room (home, workplace) after time and place were decided by the interviewees. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. The finding of this study encourages nursing curriculum makers in Ethiopia to incorporate transcultural nursing education into the present curriculum and it calls for the need to offer transcultural nursing training for nurses. For full functionality of this site, please enable JavaScript. Intercultural communication scale;IDI, 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. This self-efficacy may be affected by different factors, either positively or negatively. { "4.01:_Introduction" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.
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