Interpersonal communication scale;JMC, Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. tailored to your instructions. Additionally, in-depth interview was conducted among 10 nurses. 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]. A total of 236 nurses participated in the study making the response rate 96.7%. Transcultural nursing theory;TSE, transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). In this study, the participants revealed thoughts of constant comparisons, emotional journeys, and learning. Please visit www.rasmussen.edu/degrees for a list of programs offered. Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. Would you like email updates of new search results? doi: 10.2196/17324. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. 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). 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. Leininger M; Evaluation of culture care for appropriate and adequate practices. The .gov means its official. Leininger M; Cultural care theory and ethnocentric research method. Field notes were taken and a tape recorder was used to record the interviews lasting 2025 minutes. 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. 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. Rasmussen University may not prepare students for all positions featured within this content. One unit increase in cultural sensitivity leads to 2.075 units increase in transcultural self-efficacy ( = 2.075, p < .001). In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular . Accordingly, each text was read again and again carefully and then codes were generated by two data coders. 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]. A structured self-administered questionnaire was used to collect data for this study. The ability to recognize and embrace cultural diversity is of utmost importance to all health care providers, particularly to nurses since they come into very intimate contact with health care seekers of different cultures. Confidence interval;CMS, 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. Abebe Abera Tesema, This theory, unlike other theories which focus on people, health, nursing and environment, Thus . 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]. 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 Epub 2020 May 21. Finally, the collected data were checked for completeness. Transcultural nursing ethics: A framework and model for transcultural l ethical analysis . 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). 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. official website and that any information you provide is encrypted Nurses who had higher motivation to work amidst cultural diversity demonstrated higher perceptions of transcultural self-efficacy. 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). Bethesda, MD 20894, Web Policies The CSES consists of three subscales. The population comprised of 650 undergraduate students attending the nursing schools of three universities. Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. Spector RE; Cultural care: guidelines for inheritance, assessment and health traditions [. Jimma medical center;M, Geographically, it is located in Jimma town which is found at 352km from Addis Ababa, the Capital city of Ethiopia. The finding of this study highlights that it is advantageous if nurses struggle to improve their cultural understanding and knowledge of transcultural nursing theories. Then TSE level was divided into low, moderate, and high based on this score. 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. School of Nursing and Midwifery, Institute of Health Sciences, Jimma University, Jimma, Oromia Region, Ethiopia, Affiliation: Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. 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. 11.14.2022, Kalie Debelak | Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. The mean TSE scores for the knowledge of cultural concepts and specific nursing skills were 3.35 (SD = 0.78) and 3.14 (SD = 0.88) respectively. Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). 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. nurses, and M.Sc. 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 . This theory focuses on exploring different and universal cultures and providing comparative care. This article discusses changes that are important to transcultural nursing. 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. 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. 03/08/2017. 10.31.2022, Patrick Flavin | This finding is supported by the study of Herrero-Hahn et al. Mesfin Beharu Deme, Please select another program or contact an Admissions Advisor (877.530.9600) for help. sharing sensitive information, make sure youre on a federal The principal investigators (RDB and MBD) conducted the interviews in Afaan Oromo and Amharic. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). Accordingly, nurses should possess the cultural knowledge required to deliver effective and satisfactory care that is congruent with the culture of the patient [1114]. 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). Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. 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. The https:// ensures that you are connecting to the Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A Longitudinal Study. The study showed that transcultural self-efficacy varies with sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. Having the ability to understand complex cultural dimensions. 8600 Rockville Pike This self-efficacy may be affected by different factors, either positively or negatively. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. Out of these, 518 nurses were currently working at JMC while 35 attending education. for only $13.00 $11.05/page. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. 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There are also national concerns about health disparities since the cultural diversity of the population is increasing. This is consistent with the social cognitive theory, which proposes successful mastery experiences and vicarious experience increase self-efficacy [32]. 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. For full functionality of this site, please enable JavaScript. (2012), in which intercultural communication was positively associated with cultural self-efficacy [33,34]. Backward elimination was used for selecting variables in the final model. Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. The total scale score is between 25 and 125 in all subscales. These models focus on the relationship of nursing to concepts and theories related to life, health, disease and society, facilitate organizing their thoughts, and provide a common language among professional members. This is the basis of transcultural nursing. This requires nurses to recognize and appreciate cultural differen Continuous monitoring was made by the principal investigators during data collection. Front Public Health. 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. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. The overall mean score of TSE was divided by 25 (the total number of items) giving the value ranging from 1 to 5. This expands your motivation and lets you to the way to handle such diversity. Two hundred thirty-six (236) of the 244 invited participants completed the questionnaires making the response rate 96.7%. 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. 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. The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. Individualized intercultural care is a nurses responsibility as both a human and a professional. 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. Then codes were grouped through constant comparison of concepts, like with like, into four major themes. The IPCS was used to measure interpersonal communication. 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. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. Items were rated using a 5-point Likert-type scale with responses of strongly disagree, disagree, neutral, agree, and strongly agree. 2005 Nov-Dec;30(6):380-8. doi: 10.1097/00005721-200511000-00006. Competing interests: The authors declare that they have no competing interests. 10.24.2022. An awareness and comprehension of a group's practices is helpful prior to patient treatment to better establish communication and trust. The need for transcultural nursing will continue to be an important aspect in healthcare. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. Permission was obtained from JMC where the study was carried out. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. The total scale score is between 5 and 25. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. 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. 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]. 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Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. 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. PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US. Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the study. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. Pacquiao DF; Cultural competence in ethical decision making. & Amp; Paulanka BJ; Ppur model for cultural competence. For additional information about Licensing and State Authorization, and State Contact Information for Student Complaints, please see those sections of our catalog. (2019), in which longer experience positively predicted transcultural self-efficacy, and with the study of Quine et al. 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. Qualitative data were collected by the principal investigators. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. 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]. Descriptive statistics were performed to determine the mean and standard deviation of transcultural self-efficacy. Burchum JLR; Cultural competence: Evolutionary dimension. The significance of these other cues can vary widely depending on culture. Foronda and Belknap (2012) conducted a qualitative study investigating the experience of American nursing students who studied abroad in a low-income country. Cross T., Bazron B; Dennis K., Isaacs M.; Towards a culturally adequate care process: Effective services for minority children with emotionally serious illness. Simple random sampling technique was used to recruit participants in the quantitative part of the study.