It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular attention may be paid to certain cultural individuals in the caring process. I personally have use and will continue to use Madeleine Leininger theory. The level of perceived transcultural self-efficacy was moderate among nurses. Transcultural health: attitudes, perceptions, knowledge of Italian nurses. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. 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. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. 2023 Rasmussen College, LLC. Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Make sure your answer has: There is an error in phone number. Jimma medical center;M, In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. Millions of people come to this hospital. 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. Mean scores and standard deviations were computed to determine the level of transcultural self-efficacy of nurses. Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. Nurses who were not found during the data collection period due to annual leave, maternal leave, or some other social problems were excluded. Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. Dynamics of diversity: becoming better nurses through diversity awareness. The IPCS was used to measure interpersonal communication. CSS consists of 3 items that ask to know about patients cultures, adapting treatments for patients, and considering culture when making recommendations. It adopts a multi-factorial approach affecting health and care such as environmental conditions, ethnography, language, gender, class, racism, social structuring, belief, politics, economics, kinship, technology, culture and philosophy. Ones self-efficacy perceptions can have an important role in how one deals with challenging situations [1]. Cultural sensitivity scale;ETB, Discover a faster, simpler path to publishing in a high-quality journal. This expands your motivation and lets you to the way to handle such diversity. It is also inconsistent with the study of Li et al. Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. Qualitative data were coded and analyzed thematically. Accordingly, nurses should possess the cultural knowledge required to deliver effective and satisfactory care that is congruent with the culture of the patient [1114]. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. tailored to your instructions. 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. Socio-demographic characteristics of nurses working at JMC, Oromia Region, Southwest Ethiopia, May to June 2020 (n = 236). A total of 236 nurses participated in the study making the response rate 96.7%. 7.5.16 for coding and analyzed thematically. as the communication ability of nurses increases amidst different cultures, their transcultural self-efficacy perception increase. nurses, and M.Sc. 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). This site needs JavaScript to work properly. Sarah probes the potential and the limitations of care robots - and looks at historical ideas from earlier eras about emotional qualities, including fortitude and . A structured self-administered questionnaire was used to collect data for this study. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. The other finding of this study was the identification of factors that are significantly associated with the transcultural self-efficacy perceptions of nurses. The in-depth interview results also supported many of these findings. 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. Finally, causality could not be established because the study was cross-sectional. 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]. Among these, 553 were diploma nurses, B.Sc. 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 study results showed that sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. 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. Purposive sampling technique was used to recruit participants for in-depth interviews. The total scale score is between 25 and 125 in all subscales. Holist Nurs Pract. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. 2009 Jan-Feb;23(1):3-12; quiz 13-4. doi: 10.1097/01.HNP.0000343203.26216.c9. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Qualitative data were collected based on specified criteria throughout the interviews. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. eCollection 2022. 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. 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. 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. 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. Bethesda, MD 20894, Web Policies The questionnaire was adapted from related studies and was used for data collection [2427]. Addressing cultural heterogeneity among Hispanic subgroups by using Campinha-Bacote's model of cultural competency. Ethnonursing Leininger MM; The differences in cultural care and the theory of universality. 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. Therefore, having good communication ability is crucial to give care with confidence (Participant 5). 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. The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. 8600 Rockville Pike Two hundred thirty-six (236) of the 244 invited participants completed the questionnaires making the response rate 96.7%. Knowledge of transcultural nursing was also investigated. Some limitations include the limited of new graduate nurse that are prepared to conduct research need it to provide cultural effective care. { "4.01:_Introduction" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.02:_Cultural_Factors_Affecting_Health_and_Disease" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.03:_Health_Culture" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.04:_Transcultural_Healthcare" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.05:_Understanding_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.06:_The_Significance_of_Cultural_Competence" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.07:_The_History_of_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.08:_Transcultural_Nursing_Care_Models" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.09:_Transcultural_Nursing_Education" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.10:_Criticisms_of_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()" }, { "00:_Front_Matter" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "01:_Introductory_Chapter-_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "02:_Choosing_Your_Philosophical_Slat" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "03:_Effective_Communication_in_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "04:_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "05:_How_to_Solve_Conflicts_between_Nurses_and_Patients-_Examination_from_Japanese_Culture" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "zz:_Back_Matter" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()" }, [ "article:topic", "license:ccby", "showtoc:no", "autonumheader:yes2", "authorname:nulutasdemir", "licenseversion:30", "author@Vasfiye Bayram De?er", "source@https://www.intechopen.com/chapters/61494" ], https://med.libretexts.org/@app/auth/3/login?returnto=https%3A%2F%2Fmed.libretexts.org%2FBookshelves%2FNursing%2FNursing_(Ulutasdemir)%2F04%253A_Transcultural_Nursing%2F4.08%253A_Transcultural_Nursing_Care_Models, \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}}}\) \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{#1}}} \)\(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\), 4.7: The History of Transcultural Nursing, Giger and Davidhizars Trans-cultural Assessment Model, Nurses Competence to Provide Trans-cultural Care, source@https://www.intechopen.com/chapters/61494, status page at https://status.libretexts.org, Culturally focusing on the patients life style, beliefs and practices related to health, Awareness of the variety of verbal and nonverbal reactions. Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. official website and that any information you provide is encrypted PLoS ONE 16(7): 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. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. Nearly half 115(48.7%) of them had monthly income which falls in the range of 4,001.006,000.00 ETB. 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). on This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. They described cultural beliefs, health practices, poverty, fear, frustration, shock/surprise, and sympathy. Competing interests: The authors declare that they have no competing interests. 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 goal of the theory is to develop a body of knowledge to establish nursing care that is sometimes culture-specific and sometimes culture-universal. 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]. The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. The level of perceived transcultural self-efficacy was moderate among nurses. The IDI guiding questions were checked by experts. The records of the research path were kept throughout the study. The internal consistency was tested using a reliability scale. 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. It was checked whether the themes work with the coded extracts. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. 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. Whilst g lobalisation was a pparent some time b efore the appearance of . Andrews MM; History of health and cultural competence in physical examination. This finding is supported by the study of Herrero-Hahn et al. Pretest was conducted on 25 (10%) nurses at Agaro General Hospital. 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. It is considered a cognitive specialty within nursing, which first originated by combining the culture construct of anthropology with the care construct of nursing. broad scope, and wide readership a perfect fit for your research every time. Pacquiao DF; Cultural competence in ethical decision making. 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. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Accessibility One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). 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. Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. Our experts can deliver a Madeleine Leininger's Theory of Transcultural Nursing essay. The organization said more emphasis needed to be placed . PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US. 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). 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. 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). Transcultural nursing is an essential aspect of healthcare today. The nurses. All Rights Reserved. Additionally, in-depth interview was conducted among 10 nurses. The questionnaire had six parts: (i) socio-demographic questionnaire, (ii) cultural self-efficacy scale (CSES), (iii) intercultural communication scale (ICS), (iv) cultural sensitivity scale (CSS), (v) interpersonal communication scale (IPCS) and (vi) cultural motivation scale (CMS). The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. 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. Table 1: Narayanasamys ACCESS model (1998). All participants were provided written informed consent to participate in the study. The program you have selected is not available in your ZIP code. 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 orientatio 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. Intercultural communication scale;IDI, 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. 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. An observational study. Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. 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 This website uses cookies to ensure you get the best experience. The https:// ensures that you are connecting to the Interpersonal Communication in Transcultural Nursing Care in India: A Descriptive Qualitative Study. It is emphasized that the patient may feel special, needing protection or patronized. Confidence interval;CMS, This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. A key theme is preparing current and future nurses at all levels to understand and address health . 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. 10.24.2022. CI, Given the presence of some 3000 cultures around the world, it is impossible for healthcare professionals to have knowledge of all cultures. The population comprised of 650 undergraduate students attending the nursing schools of three universities. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. In Turkey internationally developed models and classification systems in nursing care are translated into Turkish, or new guidelines specific to clinics are developed and used. The CSES consists of three subscales. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. 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]. A low level is a mean score between 1 and 2.33, a moderate level is a mean score between 2.34 and 3.67, and a high level is a mean score between 3.68 and 5 [23]. These include having a base knowledge of propensity of certain diseases among various cultures; holidays and prohibited foods and beverages of specific religious groups; psychological and biological variations among varying cultures; and a cultures relationship to the environment, which can impact receptivity to healthcare interventions. In-depth interview;IPCS, This self-efficacy may be affected by different factors, either positively or negatively. Abebe Abera Tesema, A 26-year-old female participant also said, I imagine it to be medium because there are different cultures and different ways of thinking. 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. The significance of these other cues can vary widely depending on culture. 11.14.2022, Kalie Debelak | The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). Talk with an admissions advisor today. 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]. Transcultural nursing employs the concepts of ethnicity, race, and culture in order to understand individuals' perceptions and behaviors. 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. Longitudinal study is encouraged to determine cause and effect relationships. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. One unit increase in cultural motivation results in 0.635 unit increase in transcultural self-efficacy ( = .635, p < .001). HHS Vulnerability Disclosure, Help Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. Linear regression assumptions were checked before data analysis. Epub 2020 May 21. Four B.Sc. (2019) in which male nurses demonstrated a higher transcultural self-efficacy score than females [25]. The site is secure. Continuous monitoring was made by the principal investigators during data collection. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. (2017) reported Cronbachs alpha of 0.978 [3]. Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Qualitative data were collected by the principal investigators. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. 2021 Jul;32(4):310-317. doi: 10.1177/1043659620920693. 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. 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.