1
|
Jafarian S. Culturally Responsive Care in Veterinary Medicine. Vet Clin North Am Small Anim Pract 2024; 54:889-910. [PMID: 39415397 DOI: 10.1016/j.cvsm.2024.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2024]
Abstract
This article examines how culturally responsive care can enhance veterinary medicine by focusing on the interpersonal relationships between veterinarians, their teams, and pet owners. It begins by exploring the historical context of trust within veterinary practice and addresses stereotypes in pet ownership demographics, reinforcing the universal human-animal bond. The article outlines the components of culturally responsive care, noting the scarcity of research in veterinary settings and drawing extensively on the substantial research from human medicine, particularly nursing. It redefines veterinarians as trusted caregivers and details the benefits of culturally responsive care, advocating for more inclusive practices to inspire a more empathetic and culturally competent veterinary community.
Collapse
|
2
|
Pool N, Gryskiewicz C, Dunemn KN. Developing Cultural Awareness in Nursing Students Using a Multimodal Strategy: Results From a Mixed-Methods Study. Nurs Educ Perspect 2024:00024776-990000000-00282. [PMID: 39287644 DOI: 10.1097/01.nep.0000000000001327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2024]
Abstract
ABSTRACT Cultural awareness is linked with improved patient outcomes across populations but can be challenging for nurse educators to teach. The purpose of this study was to evaluate the impact of a multimodal strategy for increasing cultural awareness in prelicensure nursing students using a quasi-experimental, mixed-methods design. Following implementation of curricular revisions, analysis of the Cultural Competence Self-Assessment Checklist was completed for a sample of 106 students. Results were statistically significant across all areas and analysis of reflective writing resulted in three major themes. Designing cultural awareness learning activities should be a major focus of nurse educators.
Collapse
Affiliation(s)
- Natalie Pool
- About the Authors The authors are faculty at the University of Northern Colorado School of Nursing, Greeley, Colorado. Natalie Pool, PhD, RN, CNE, is an associate professor. Courtney Gryskiewicz, MSN, RN, CNL, is senior lecturer. Kathleen N. Dunemn, PhD, APRN, CNM-BC, is professor emeritus. For more information, contact Dr. Pool at
| | | | | |
Collapse
|
3
|
Chan SL, Fung JTC, Takemura N, Chau PH, Lee JJJ, Choi HR, Wan WH, Withrow H, Lin CC. Enhancing nursing students' cultural awareness through Community of Inquiry-guided online 'Internationalization at Home' strategies-An intervention study. Nurs Open 2024; 11:e2251. [PMID: 39205385 PMCID: PMC11358211 DOI: 10.1002/nop2.2251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 07/10/2024] [Accepted: 07/31/2024] [Indexed: 09/04/2024] Open
Abstract
AIM Internationalization at Home (IaH) strategies play an important role in nursing curricula to enhance nursing students' cultural awareness in the globalized world. The Community of Inquiry (CoI) is a theoretical framework for the optimal design of online learning environments to support critical inquiry and discourse among students and teachers. To optimise nursing students' online cultural awareness learning experiences, it was timely to develop online IaH strategies based on a sound theoretical model. This study aimed to examine the effectiveness of CoI-guided online IaH strategies on enhancing the cultural awareness of nursing undergraduates who enrolled in a community nursing course. DESIGN This was an interventional pre-test post-test study. METHOD One hundred and six nursing undergraduates who enrolled in the course participated in the study. The online IaH strategies were developed focusing on the interactions of teaching presence, cognitive presence and social presence of CoI framework and they were integrated into the course. A previously validated Cultural Awareness Scale was adopted for pre-post evaluation. Higher scores indicate greater cultural awareness. RESULTS The results showed that there was a significantly higher total score of cultural awareness of participating students at post-online IaH strategies. To be effective, aligning CoI-guided online IaH strategies with course content, pedagogy and assessment was shown to be significant. The inclusion of technological elements in related strategies was also critical to engage student learning. The positive change on the total score of cultural awareness suggested the effectiveness of the deployed strategies. In this ever-changing educational landscape, it may provide insights to educators regarding considering online IaH strategies with theoretical underpinning for curriculum planning and design.
Collapse
Affiliation(s)
- Siu Ling Chan
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - John Tai Chun Fung
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Naomi Takemura
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Pui Hing Chau
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Jay Jung Jae Lee
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Hye Ri Choi
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Wai Hin Wan
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Harrison Withrow
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| | - Chia-Chin Lin
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong City, Hong Kong
| |
Collapse
|
4
|
Galan-Lominchar M, Roque IMS, Cazallas CDC, Mcalpin R, Fernández-Ayuso D, Ribeiro AS. Nursing students' internationalization: Virtual exchange and clinical simulation impact cultural intelligence. Nurs Outlook 2024; 72:102137. [PMID: 38340388 DOI: 10.1016/j.outlook.2024.102137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 11/10/2023] [Accepted: 01/10/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND There is a need for globally competent nurses; however, some cannot train abroad. Internationalization at home strategies seek to teach intercultural and international competencies to all students, regardless of location. PURPOSE This study evaluated the impact of a virtual exchange and clinical simulation program on nursing students' cultural intelligence. METHODS The Global Nursing Care (GNC) program was designed to improve nursing students' global competencies, particularly cultural intelligence. It was implemented in two universities in Spain and the USA. A quasi-experimental, analytic, and longitudinal study involved 261 nursing students, 57 from the GNC program and 204 in the control group. Sociodemographic data were collected, and the Cultural Intelligence Scale was used to measure cultural intelligence. DISCUSSION All cultural intelligence dimensions were augmented following program participation. Moreover, students who participated in the program presented higher cultural intelligence than the control group. CONCLUSION The results suggest that program participation was associated with a statistically significant gain in nursing students' cultural intelligence.
Collapse
Affiliation(s)
- Maria Galan-Lominchar
- Comillas Pontifical University, Health Sciences Department. San Juan de Dios School of Nursing and Physical Therapy, Madrid, Spain; San Juan de Dios Foundation, Madrid, Spain.
| | | | | | - Rochelle Mcalpin
- West Coast University, BSN Nursing-Simulation Program, Irvine, CA
| | - David Fernández-Ayuso
- Comillas Pontifical University, Health Sciences Department. San Juan de Dios School of Nursing and Physical Therapy, Madrid, Spain; San Juan de Dios Foundation, Madrid, Spain
| | - Ana Sf Ribeiro
- Comillas Pontifical University, Health Sciences Department. San Juan de Dios School of Nursing and Physical Therapy, Madrid, Spain; San Juan de Dios Foundation, Madrid, Spain
| |
Collapse
|
5
|
Cieślak I, Jaworski M, Panczyk M, Barzykowski K, Majda A, Theofanidis D, Gotlib-Małkowska J. Multicultural personality profiles and nursing student attitudes towards refugee healthcare workers: A national, multi-institutional cross-sectional study. NURSE EDUCATION TODAY 2024; 134:106094. [PMID: 38277758 DOI: 10.1016/j.nedt.2024.106094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 12/19/2023] [Accepted: 01/12/2024] [Indexed: 01/28/2024]
Abstract
BACKGROUND Multicultural organizations in the era of globalization require intercultural leadership skills. Healthcare, as a sector serving diverse populations, necessitates culturally sensitive staff. Intercultural nurse education should start in undergraduate education. A tailored approach is needed, especially in the context of Poland's refugee crisis. OBJECTIVE To investigate how a multicultural personality profile and specific intercultural perspectives affect the attitudes of nursing students towards Ukrainian refugee background healthcare professionals. DESIGN A nationwide cross-sectional multicentre online survey study was conducted. The questionnaire was distributed with the aid of the Lime Survey web platform. METHODS The study utilized a Polish version of the Multicultural Personality Questionnaire. The questionnaire also included demographics and questions assessing intercultural competence and attitudes towards refugee medical professionals. K-Means Cluster Analysis was used to classify different patterns of multicultural personality. P-value <0.05 was deemed to be statistically significant. PARTICIPANTS The study sample consisted of 1325 undergraduate nursing students from 39 nursing schools in Poland: 54.0% in first year, 28.7% in second year, and 17.3% in third year. Most respondents were female (N = 1229, 90%). RESULTS Using cluster analysis respondents were categorized into four groups based on their level of three analyzed multicultural personality traits: cultural empathy, social initiative, and open-mindedness (high, low, average or mixed level). Statistical analysis demonstrated that personality profiles significantly affected nursing students' attitudes towards refugee health professionals (p = 0.003). Additionally, students' willingness to engage in intercultural communication classes and their belief in the learnability of intercultural competence also impacted their attitudes (p < 0.001 for both). Further analysis revealed correlations between personality profiles, belief in competency acquisition, and willingness to enhance competencies. CONCLUSION The design of intercultural competence education for undergraduate nursing students should be preceded by a mapping of the students' personality profile and a needs analysis in this regard, which may contribute to long-term effectiveness of such initiatives.
Collapse
Affiliation(s)
- Ilona Cieślak
- Department of Education and Research in Health Sciences, Medical University of Warsaw, Litewska 14/16 street, Warsaw 00-581, Poland.
| | - Mariusz Jaworski
- Department of Education and Research in Health Sciences, Medical University of Warsaw, Litewska 14/16 street, Warsaw 00-581, Poland
| | - Mariusz Panczyk
- Department of Education and Research in Health Sciences, Medical University of Warsaw, Litewska 14/16 street, Warsaw 00-581, Poland
| | - Krystian Barzykowski
- Institute of Psychology, Faculty of Philosophy, Jagiellonian University, Ingardena 6 street, 30-060 Kraków, Poland
| | - Anna Majda
- Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kopernika 25 street, 31-501 Kraków, Poland
| | - Dimitros Theofanidis
- Department of Nursing, International Hellenic University, PO. Box 141, Sindos, 57400 Thessaloniki, Greece
| | - Joanna Gotlib-Małkowska
- Department of Education and Research in Health Sciences, Medical University of Warsaw, Litewska 14/16 street, Warsaw 00-581, Poland
| |
Collapse
|
6
|
Lalande FD. The Effects of Reverse-Role Simulation on Nursing Students' Ethnocultural Empathy: A Quantitative Study. Nurs Educ Perspect 2024:00024776-990000000-00210. [PMID: 38315749 DOI: 10.1097/01.nep.0000000000001238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
AIM The aim of this study was to examine the impact of reverse-role simulation on nursing students' empathy levels toward ethnoculturally diverse patients. BACKGROUND Empathy is an essential component of culturally competent care; however, it is often left out of cultural competence education. Enhancing nursing students' cultural empathy may benefit students and patients. METHOD The study used a quasi-experimental one-group pretest-posttest design in a private nursing school in the Northeast. The sample consisted of 37 undergraduate nursing students. RESULTS Pretest and posttest scores were statistically different, indicating a significant increase in the students' ethnocultural empathy, t (36) = -3.20, p = .003. CONCLUSION This study supports using reverse-role simulation as an effective teaching strategy to enhance nursing students' empathy toward ethnocultural diverse patients. Placing students in the "shoes" of an ethnoculturally diverse patient can increase their empathy levels and enhance cultural competence education.
Collapse
Affiliation(s)
- Fabiola D Lalande
- About the Author Fabiola D. Lalande, DNP, RN, is an associate professor, Richard and Sheila Young School of Nursing Regis College, Regis College, Weston, Massachusetts. For more information, contact her at or
| |
Collapse
|
7
|
Yava A, Tosun B, Papp K, Tóthová V, Şahin E, Yılmaz EB, Dirgar E, Hellerová V, Tricas-Sauras S, Prosen M, Ličen S, Karnjus I, Tamayo MDB, Leyva-Moral JM. Developing the better and effective nursing education for improving transcultural nursing skills cultural competence and cultural sensitivity assessment tool (BENEFITS-CCCSAT). BMC Nurs 2023; 22:331. [PMID: 37752481 PMCID: PMC10523685 DOI: 10.1186/s12912-023-01476-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 08/31/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND A clear need for the development of new comprehensive, reliable, sensitive and valid measurement tools to adequately asses the cultural competence and cultural sensitivity of nursing students exists. This study aimed to develop a new measurement tool to assess the nursing students' cultural competence and sensitivity. METHODS This cross-sectional, instrument development study's first phase included postgraduate nursing students (n = 60) for the piloting study, and the second one included undergraduate nursing students (n = 459) for the main survey. This study used two data collection forms: The Student Descriptive Information Form and the Better and Effective Nursing Education for Improving Transcultural Nursing Skills Cultural Competence and Cultural Sensitivity Assessment Tool (BENEFITS-CCCSAT) draft. The content validity index was calculated using the Davis method. Cronbach's α coefficient and the item total correlation were calculated during the reliability analysis. The Kaiser-Meyer-Olkin (KMO) coefficient test, Bartlett significance test, and explanatory factor analysis (EFA) were used to evaluate the validity of the assessment tool. RESULTS Scale validity and reliability analyses showed that the BENEFITS-CCCSAT included 26 items and five sub-dimensions: respect for cultural diversity; culturally sensitive communication; achieving cultural competence; challenges and barriers in providing culturally competent care; and perceived meaning of cultural care. CONCLUSION The BENEFITS-CCCSAT appears to be a valid and reliable instrument for measuring the cultural sensitivity and cultural competence of nursing students. This can be of great use, especially before attending clinical areas, and can offer both students and faculty reliable information to promote reflective and critical thinking, especially in areas where improvement is needed.
Collapse
Affiliation(s)
- Ayla Yava
- Faculty of Health Sciences, Nursing Department, Hasan Kalyoncu University, Gaziantep, Turkey
| | - Betül Tosun
- Faculty of Health Sciences, Nursing Department, Hasan Kalyoncu University, Gaziantep, Turkey.
| | - Katalin Papp
- Nursing Department, Faculty of Health Sciences, University of Debrecen, Nyíregyháza, Hungary
| | - Valérie Tóthová
- Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, University of South Bohemia, České Budějovice, Czech Republic
| | - Eda Şahin
- Faculty of Health Sciences, Nursing Department, Giresun University, Giresun, Turkey
| | - Emel Bahadir Yılmaz
- Faculty of Health Sciences, Nursing Department, Giresun University, Giresun, Turkey
| | - Ezgi Dirgar
- Gaziantep University, Faculty of Health Sciences, Department of Midwifery, Gaziantep, Turkey
| | - Věra Hellerová
- Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, University of South Bohemia, České Budějovice, Czech Republic
| | - Sandra Tricas-Sauras
- Department of Healthcare, Design and Technology, Erasmus Hogeschool Brussel, Brussels, Belgium
- Social Approaches to Health Research Centre, School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - Mirko Prosen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | - Sabina Ličen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | - Igor Karnjus
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | | | - Juan M Leyva-Moral
- Faculty of Medicine, Nursing Department, Universitat Autònoma de Barcelona, Barcelona, Spain
| |
Collapse
|
8
|
El-Messoudi Y, Lillo-Crespo M, Leyva-Moral J. Exploring the education in cultural competence and transcultural care in Spanish for nurses and future nurses: a scoping review and gap analysis. BMC Nurs 2023; 22:320. [PMID: 37716954 PMCID: PMC10504770 DOI: 10.1186/s12912-023-01483-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 09/05/2023] [Indexed: 09/18/2023] Open
Abstract
BACKGROUND Globalization and population migration have led to increasingly culturally diverse societies, which has made nursing education in cultural competence and transcultural care a priority. This includes the ability to provide person-centered and culturally congruent care, even within one's own culture. However, this sort of training has been developed and implemented in practice comparatively more by English-speaking societies. Therefore, the aim of this study was to identify the existing educational initiatives for nurses and future ones in cultural competence and transcultural care in Spanish and explore their didactic characteristics in terms of teaching and learning formats, contents, skills, and evaluation methods at different academic levels. METHODS A scoping review was carried out by following the specific PRISMA recommendations and those of the Joanna Briggs Institute guidance throughout PudMed, Web of Science, Embase, Google Scholar, and Cinahl databases and also gray literature in the form of official documentation that later was complemented with a gap analysis including training programs published by Spanish and Latin-American educational institutions and the approaches of key academic informants. RESULTS The published evidence on nursing training in cultural competence or related topics in Spanish-speaking higher education for nurses is limited. Specific nursing programs in Spanish-speaking universities are primarily found in Spain, with fewer options available in Latin America. These contents are offered either as optional subjects or immersed in other courses and mainly taught in theoretical sessions. Practice in real contexts is supposed to be evaluated transversally under the cultural scope according to national educational recommendations though barely visible in students' evaluation reports. Even though postgraduate training dedicated to these issues exists, it is still limited, mixed with other contents, and generally depends on a few researchers investigating and publishing on the topic from very specific universities. CONCLUSIONS It is essential to establish a common global strategy including Spanish-speaking countries in nurses' higher education and professional training on topics focused on cultural competence as well as the provision of nurses' social and cultural sensitivity towards their own culture and to define whether those that currently exist are effective. It is also crucial that this training was evaluated in practice in order to achieve enough impact on students, health organizations, and population health.
Collapse
Affiliation(s)
- Yasmin El-Messoudi
- Facultad de Ciencias de La Salud, Universidad de Málaga, Arquitecto Francisco Peñalosa, 3, 29071, Málaga, Spain
| | - Manuel Lillo-Crespo
- Nursing Department, Faculty of Health Sciences, University of Alicante, Alicante, Spain.
| | - Juan Leyva-Moral
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| |
Collapse
|
9
|
Pérez-Rivas FJ, Rico-Blázquez M, López-López C, Domínguez-Fernández S, Cobos-Serrano JL, Ajejas Bazán MJ. 'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses. BMC Nurs 2023; 22:236. [PMID: 37420220 DOI: 10.1186/s12912-023-01398-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 06/29/2023] [Indexed: 07/09/2023] Open
Abstract
BACKGROUND 'Learning by doing' is a learning model based on performing actions and gaining experience. The 'nursing process' is a systematic, rational method for providing nursing care. During their university education, nursing students need to acquire the ability to promote healthy lifestyles. OBJECTIVE To determine the effectiveness of a learning strategy based on learning by doing and grounded in the use of the nursing process, on the lifestyle of nursing students. METHODS This quasi-experimental intervention (before-after), performed over 2011-2022, involved 2300 nursing students at a university nursing school in Spain. The risk factors for chronic diseases-being a smoker, being overweight, or having high blood pressure-to which each student was exposed were recorded. Those positive for at least one risk factor selected companion students as 'support nursing students' who became responsible for designing an individualised care plan to reduce the risk(s) faced. To ensure the correct use of the nursing process, teachers approved and monitored the implementation of the care plans. Whether risk-reduction objectives were met was determined three months later. RESULTS The students with risk factors largely improved their lifestyles (targets for reducing smoking/body weight were met) with the help of their supporting peers. CONCLUSIONS The learning by doing method demonstrated its effectiveness, improving the lifestyle of at-risk students via the use of the nursing process.
Collapse
Affiliation(s)
- Francisco Javier Pérez-Rivas
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain.
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud-RICAPPS-(RICORS), Instituto de la Salud Carlos III, Madrid, Spain.
- Instituto de Investigación Sanitaria Hospital 12 de Octubre (Imas12), Madrid, Spain.
| | - Milagros Rico-Blázquez
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Unidad de Investigación de la Gerencia Asistencial de Atención Primaria, Servicio Madrileño de la Salud, Madrid, Spain
| | - Candelas López-López
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Unidad de Cuidados Intensivos de Trauma y Emergencias, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Silvia Domínguez-Fernández
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Madrid Salud, Ayuntamiento de Madrid, Madrid, Spain
| | | | - María Julia Ajejas Bazán
- Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Plaza Ramón y Cajal nº3, Ciudad Universitaria, Madrid, 28040, Spain
- Grupo de Investigación UCM "Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el entorno comunitario", Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
- Academia Central de la Defensa, Escuela Militar de Sanidad, Ministerio de Defensa, Madrid, Spain
| |
Collapse
|
10
|
Akca A, Ayaz-Alkaya S. Determinants of attitudes towards refugees and intercultural sensitivity of nursing students: A descriptive and correlational study. NURSE EDUCATION TODAY 2023; 124:105772. [PMID: 36889047 DOI: 10.1016/j.nedt.2023.105772] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 02/09/2023] [Accepted: 02/26/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The number of refugees, asylum seekers, and migrants is increasing worldwide. It is crucial to determine attitudes and intercultural sensitivities of nursing students towards refugees and individuals from different cultures. These nursing students will be providing healthcare in the future to these diverse communities. OBJECTIVES To determine the attitudes towards refugees and intercultural sensitivity of nursing students and to identify the determinants of these parameters. DESIGN The study was conducted with a descriptive and correlational design. SETTINGS Nursing departments of two universities in Ankara, Turkey. PARTICIPANTS The population of the study consisted of nursing students at two universities (N = 1530). A total of 905 students were included in the study. METHODS Data were obtained by a personal information form, the Attitudes Towards Refugees Scale, and the Intercultural Sensitivity Scale. Linear regression analysis was used to analyze the data obtained from the scales. RESULTS The participants' mean Attitudes Towards Refugees Scale score was 82.49 ± 16.66 and the Intercultural Sensitivity Scale score was 91.31 ± 11.15. Caring for refugees, intercultural sensitivity, interaction engagement, and respect for cultural differences were associated with attitudes towards refugees. Academic level, income, place of residence, and attitude towards refugees were associated with intercultural sensitivity. CONCLUSIONS Most of the nursing students displayed a negative attitude towards refugees, although they presented a high level of intercultural sensitivity. Integration of refugee-related topics into the nursing education curriculum and designing education programs are recommended to increase awareness and positive attitudes, and to improve cultural competence of nursing students.
Collapse
Affiliation(s)
- Ayşegül Akca
- Ankara Yildirim Beyazit University, Faculty of Health Sciences, Nursing Department, Ankara, Turkey
| | | |
Collapse
|
11
|
Sahamkhadam N, Andersson AK, Golsäter M, Harder M, Granlund M, Wahlström E. Testing the Assumptions in the Process of Cultural Competence in the Delivery of Healthcare Services Using Empirical Data, Focusing on Cultural Awareness. J Transcult Nurs 2023; 34:187-194. [PMID: 36759971 PMCID: PMC10114250 DOI: 10.1177/10436596231152212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
INTRODUCTION Encounters with children of foreign origin call for school nurses' cultural competence during the health visits. This study aimed to investigate the statistical associations between the cultural constructs described by the Process of Cultural Competence in the Delivery of Healthcare Services (PCCDHS) model and whether school nurses' cultural encounters, cultural knowledge, and cultural skill could statistically predict their cultural awareness. METHODOLOGY Spearman correlation and hierarchical regression analyses were conducted using cross-sectional secondary data from 816 Swedish school nurses. The cultural constructs in the theoretical description of the PCCDHS model guided the selection and sorting of the items on cultural competence. RESULTS The constructs of cultural knowledge, cultural skill, cultural encounters, and cultural awareness were positively correlated with each other. However, becoming culturally aware was not statistically predicted by included cultural constructs (R2 = 13.4, p = .06). DISCUSSION Despite the interrelations between the investigated cultural constructs of the PCCDHS model, understanding cultural awareness development requires further empirical testing.
Collapse
Affiliation(s)
| | - Anna Karin Andersson
- School of Health and Welfare, Jönköping University, Jönköping, Sweden.,School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Marie Golsäter
- School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Child Health Services and Futurum, Region Jönköping County, Jönköping, Sweden
| | - Maria Harder
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Child Health Care Services, Region Västmanland, Västerås, Sweden
| | - Mats Granlund
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Emmie Wahlström
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| |
Collapse
|
12
|
Greaker TK, Grudt SK, Aune I. Norwegian nursing students' experience during clinical placement in an African country: Communication, relationship building and nursing identity. A qualitative study. Nurs Open 2022; 10:1803-1810. [PMID: 36302653 PMCID: PMC9912398 DOI: 10.1002/nop2.1440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 07/03/2022] [Accepted: 10/12/2022] [Indexed: 11/07/2022] Open
Abstract
AIM The aim of this study was to gain a deeper understanding of the experience of Norwegian bachelor nursing students during clinical placement in an African country, with a focus on communication, relationship building and nurse identity. DESIGN Explorative, qualitative methods were used. METHODS The data consisted of individual written reflection notes from 8 students' clinical placement in Africa, and transcripts from one semi-structured focus group interview. The materials were analysed with systematic text condensation. RESULTS The students described their experience with the community of practice as challenging and enlightening. They found themselves in contexts where communication and language problems occurred. The students described how important relationships were for their practical training, and how this helped shape their nursing identity.
Collapse
Affiliation(s)
- Tove Kristin Greaker
- Department of Public Health and Nursing, Faculty of Medicine and Health SciencesNorwegian University of Sciences and TechnologyTrondheimNorway
| | - Solveig Kirsti Grudt
- Department of Public Health and Nursing, Faculty of Medicine and Health SciencesNorwegian University of Sciences and TechnologyTrondheimNorway
| | - Ingvild Aune
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Health SciencesNorwegian University of Sciences and TechnologyTrondheimNorway,Faculty of Health SciencesUiT‐The Arctic University of NorwayTromsøNorway
| |
Collapse
|
13
|
Plaza Del Pino FJ, Arrogante O, Simonelli-Muñoz AJ, Gallego-Gómez JI, Jiménez-Rodríguez D. Use of high-fidelity clinical simulation for the development of cultural competence of nursing students. NURSE EDUCATION TODAY 2022; 116:105465. [PMID: 35820362 DOI: 10.1016/j.nedt.2022.105465] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 06/28/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Affiliation(s)
| | - Oscar Arrogante
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain.
| | | | | | | |
Collapse
|
14
|
Vaismoradi M, Fredriksen Moe C, Ursin G, Ingstad K. Looking through racism in the nurse-patient relationship from the lens of culturally congruent care: A scoping review. J Adv Nurs 2022; 78:2665-2677. [PMID: 35441739 PMCID: PMC9544978 DOI: 10.1111/jan.15267] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 03/19/2022] [Accepted: 04/05/2022] [Indexed: 02/06/2023]
Abstract
AIM This review aimed to identify the nature of racism in the nurse-patient relationship and summarize international research findings about it. DESIGN A scoping review of the international literature. DATA SOURCES The search process encompassed three main online databases of PubMed (including MEDLINE), Scopus and Embase, from 2009 until 2021. REVIEW METHODS The scoping review was informed by the Levac et al.'s framework to map the research phenomenon and summarize current empirical research findings. Also, the review findings were reflected in the three-dimensional puzzle model of culturally congruent care in the discussion section. RESULTS The search process led to retrieving 149 articles, of which 10 studies were entered into data analysis and reporting results. They had variations in the research methodology and the context of the nurse-patient relationship. The thematical analysis of the studies' findings led to the development of three categories as follows: bilateral ignition of racism, hidden and manifest consequences of racism and encountering strategies. CONCLUSION Racism threatens patients' and nurses' dignity in the healthcare system. There is a need to develop a framework of action based on the principles of culturally congruent care to eradicate racism from the nurse-patient relationship in the globalized context of healthcare. IMPACT Racism in the nurse-patient relationship has remained a relatively unexplored area of the nursing literature. It hinders efforts to meet patients' and families' needs and increases their dissatisfaction with nursing care. Also, racism from patients towards nurses causes emotional trauma and enhances job-related stress among nurses. Further research should be conducted on this culturally variant phenomenon. Also, the participation of patients and nurses should be sought to prohibit racism in healthcare settings.
Collapse
Affiliation(s)
| | | | - Gøril Ursin
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
| | - Kari Ingstad
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
| |
Collapse
|
15
|
Addressing the effects of transcultural nursing education on nursing students' cultural competence: A systematic review. Nurse Educ Pract 2021; 55:103171. [PMID: 34388616 DOI: 10.1016/j.nepr.2021.103171] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 07/13/2021] [Accepted: 08/01/2021] [Indexed: 11/23/2022]
Abstract
AIM This study aimed to synthesize the findings of studies evaluating educational programs providing curricular transcultural nursing education. BACKGROUNDS Nursing care education about cultural diversity and experience with taking care of patients from different cultures and special populations are significant factors that could likely influence cultural competence. The effect of transcultural nursing education given to nursing students has been investigated by different researchers and different methods. Addressing the effects of transcultural nursing education on nursing students' cultural awareness, knowledge and attitudes can contribute to future transcultural nursing education activities and the creation of training content. DESIGN This study was a methodological systematic review study. METHODS Methodological quality was assessed following the PRISMA guidelines. PubMed, Science Direct, APA PsycArticles, OVID, EBSCO, and Web of Science databases were searched from 2010 to 2020. The following keywords were used: "Transcultural nursing", "education", "curriculum", "course", "effectiveness", "cultural competence", "knowledge", "skills", "attitudes", and "nursing students". Studies published in peer-reviewed journals in English using both experimental and quasi-experimental designs were included. RESULTS Total of 11 research papers, (n = 1375) nursing students' outputs were included in this review. Cultural competence interventions/programs were provided as part of the core theoretical courses or as elective courses. Different durations and types of teaching methods included debates, discussions, case scenarios, practicums, simulation, international learning projects, experiential learning, storytelling, and traditional teaching lectures. In ten studies, an increase in the level of culture-related competences was reported as statistically significant (p < 0.05). CONCLUSIONS Limited studies have generally proven the effectiveness of transcultural nursing education provided to nursing students. Education content, training methods and training periods were not standard in the literature. More comprehensive, valid and reliable measurement tools are needed to evaluate the education provided for nursing students.
Collapse
|
16
|
Alexander-Ruff JH, Ruff WG. The impact of cultural immersion service learning on BSN graduates: A quasi-experimental evaluation. Nurse Educ Pract 2021; 54:103099. [PMID: 34116376 DOI: 10.1016/j.nepr.2021.103099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 05/21/2021] [Accepted: 05/24/2021] [Indexed: 11/28/2022]
Abstract
AIM/OBJECTIVE The cultural immersion service-learning model evaluated in this study sought to facilitate cultural consciousness of culturally congruent nursing care among predominantly White nursing students attending a university that was racially and culturally homogeneous. BACKGROUND Evidence supports the use of cultural immersion service learning during undergraduate nursing programs in developing the skills necessary for effective transcultural healthcare; yet, little is known about its impact beyond the semester of the experience. DESIGN This project used a quasi-experimental design to determine if transcultural self-efficacy of BSN graduates among five campuses differed. METHODS One campus of the five conducted a mandatory cultural immersion service-learning experience during the graduates' junior year. From a population of 94 BSN graduates of which 30 (32%) graduates participated in the cultural immersion service-learning experience, 53 completed the Transcultural Self-Efficacy Tool. Eighteen (34%) of the graduates who participated in the cultural immersion service-learning experience participated in this study. RESULTS The transcultural self-efficacy was significantly greater in those graduates who participated in the cultural immersion service-learning experience; yet, no difference was found among graduates of the four campuses not offering the experience. CONCLUSIONS The cultural immersion service-learning experience seems to provide nursing students from racially and ethnically homogeneous communities with an experiential learning context which facilitates the development of transcultural self-efficacy.
Collapse
|
17
|
Dos Santos LM. Upgrading Nursing Students' Foreign Language and Communication Skills: A Qualitative Inquiry of the Afterschool Enhancement Programmes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105112. [PMID: 34065901 PMCID: PMC8150763 DOI: 10.3390/ijerph18105112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 05/08/2021] [Accepted: 05/10/2021] [Indexed: 11/04/2022]
Abstract
Learning a foreign language is not easy for many students, particularly for nursing students who need to complete their internships in the hospital. However, motivation always drives them to the foreign language classrooms. The purpose of this study was to understand the motivations and reasons behind why these nursing students decided to study Mandarin Chinese as part of their personal development and enhancement beyond the curriculum. One main question and one sub-research question were written, why would nursing students decide to take Chinese as the tool for foreign language and culture development? What and why are the reasons and motivations for nursing students to take Chinese beyond their curriculum? The qualitative case study method was employed in order to investigate 36 nursing university students in the United Kingdom. The results of this study concluded that nursing students tend to study Chinese due to personal development and career goals. School leaders, department heads, government leaders, policymakers, human resources professionals, vocational trainers, and researchers may take this study as the opportunity to reform their current human resource and education plans to offer foreign language courses to university students, members of the public, learners, and interested parties for both personal development and career enhancements.
Collapse
Affiliation(s)
- Luis Miguel Dos Santos
- Department of Global Convergence Management, Finance and Tax Management, Endicott College, Woosong University, Daejeon 34514, Korea
| |
Collapse
|
18
|
Cultural Awareness in Nursing: Concept Analysis Using Rodgers’ Evolutionary Approach. JOURNAL OF RESEARCH DEVELOPMENT IN NURSING AND MIDWIFERY 2021. [DOI: 10.52547/jgbfnm.18.1.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023] Open
|
19
|
Abstract
Discussing racism is challenging for nurse educators and nursing students, because White privilege and racial inequities are deeply embedded and normalized in our societal structures. Avoiding the topic of racism in nursing education renders White supremacy invisible and serves to perpetuate racial discrimination and disparities in health care. Nursing education has the potential to train both faculty and students to recognize and dismantle oppressive attitudes, structures, and practices that have led to negative health outcomes for patients. Equipping nurse educators with the tools to understand and address White supremacy as well as to educate themselves and their students about antiracist language, self-care, and patient care is an important step toward promoting health and creating an antiracist society.
Collapse
|
20
|
Sánchez-Ojeda MA, Navarro-Prado S, Martín-Salvador A, Luque-Vara T, Fernández-Gómez E, Plaza del Pino FJ. Nursing Students' Attitudes towards Immigrants' Social Rights. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238875. [PMID: 33260327 PMCID: PMC7730376 DOI: 10.3390/ijerph17238875] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 11/22/2020] [Accepted: 11/26/2020] [Indexed: 11/25/2022]
Abstract
The migrant population has increased in recent years and, as a result, so has cultural diversity. Universities are incorporating specific modules addressing cultural diversity. However, the native population has negative attitudes towards immigrants, as they believe that immigrants receive more social benefits and abuse healthcare services. Nurses may have these attitudes too, which may affect the way they treat patients. The objective of this study was to determine nursing students’ attitudes towards the rights of the migrant population. This is a descriptive ex post facto study using a cross-sectional design, with 821 nursing students in Melilla, Ceuta, and Almeria, Spain. An anonymous questionnaire was used for data collection. Students recognize the same rights for both the immigrant and native populations. More than 80% of the sample upholds the right of undocumented immigrants and their families to access publicly funded healthcare. Attitudes were more positive among students with a Berber background and first-year students. Students approved of the right of immigrants and their families to healthcare and education. The students’ negative attitudes towards the social rights of immigrants need to be addressed with intercultural training to reduce their prejudices as future professionals in a multicultural society.
Collapse
Affiliation(s)
- María Angustias Sánchez-Ojeda
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52017 Melilla, Spain; (M.A.S.-O.); (A.M.-S.); (T.L.-V.); (E.F.-G.)
| | - Silvia Navarro-Prado
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52017 Melilla, Spain; (M.A.S.-O.); (A.M.-S.); (T.L.-V.); (E.F.-G.)
- Correspondence: ; Tel.: +34-696006900
| | - Adelina Martín-Salvador
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52017 Melilla, Spain; (M.A.S.-O.); (A.M.-S.); (T.L.-V.); (E.F.-G.)
| | - Trinidad Luque-Vara
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52017 Melilla, Spain; (M.A.S.-O.); (A.M.-S.); (T.L.-V.); (E.F.-G.)
| | - Elisabet Fernández-Gómez
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52017 Melilla, Spain; (M.A.S.-O.); (A.M.-S.); (T.L.-V.); (E.F.-G.)
| | | |
Collapse
|
21
|
Markey K, O' Brien B, O' Donnell C, Martin C, Murphy J. Enhancing undergraduate nursing curricula to cultivate person-centred care for culturally and linguistically diverse older people. Nurse Educ Pract 2020; 50:102936. [PMID: 33276299 DOI: 10.1016/j.nepr.2020.102936] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Revised: 09/09/2020] [Accepted: 11/19/2020] [Indexed: 11/17/2022]
Abstract
With an ageing global community and widening socio-cultural diversity, nurse educators are increasingly challenged to align responsive undergraduate nursing curricula to rapidly changing healthcare environments. In future-proofing nurse education, educators need to collectively examine ways of interconnecting and developing gerontological and cultural competence within undergraduate curricula. However, there is limited guidance as to how this can be achieved in already compacted curricula. We suggest that this could be achieved by critically examining undergraduate curricula to make explicit how they can be adapted to educate nurses in the provision of culturally competent person-centred care. This approach could help nurse educators adapt student nurse preparation to meet the needs of culturally diverse older people and their families.
Collapse
Affiliation(s)
- Kathleen Markey
- Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Ireland.
| | - Brid O' Brien
- Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Ireland.
| | - Claire O' Donnell
- Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Ireland.
| | - Catherine Martin
- School of Modern Languages & Applied Linguistics, University of Limerick, Ireland.
| | - Jill Murphy
- Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Ireland.
| |
Collapse
|
22
|
Patterson C, Perlman D, Moxham L, Sudhakar C, Nayak AK, Velayudhan B, Jose TT, Tapsell A. Australian and Indian nursing students' skills and attitudes surrounding mental illness: Preparing for a transnational nursing education collaboration. Nurse Educ Pract 2020; 50:102909. [PMID: 33285402 DOI: 10.1016/j.nepr.2020.102909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 10/11/2020] [Accepted: 10/27/2020] [Indexed: 11/17/2022]
Abstract
Cultural competence is a viewed as a necessary set of skills within nursing, and there is a need for student support in this area. This is particularly important in mental health care, with two skills considered crucial for providing quality care: therapeutic relationship skills and positive attitudes. With the objective of initiating an educational collaboration between two educational institutions, this study examined Australian and Indian undergraduate nursing student's perceived therapeutic relationship skills and stigma attitudes associated with mental illness. Participants were five hundred and fifty-five (n = 555) undergraduate nursing students from two different universities in Indian and Australia. The modified version of the Scale To Assess Therapeutic Relationship (STAR-C) and the Social Distance Scale (SDS) were both used to examine student's perceived therapeutic relationship skills and stigma attitudes. Australian nursing students indicated lower levels of stigma with lower levels of self-reported therapeutic relationships skills, as compared with the Indian nursing student cohort. However, Indian nursing students indicated higher levels of stigma with higher self-reported therapeutic relationship skills. The results of this study may reflect cultural differences and meanings attached to mental illness.
Collapse
Affiliation(s)
- Christopher Patterson
- School of Nursing, Faculty of Science Medicine and Health, University of Wollongong Northfields Avenue, NSW, 2522, Australia.
| | - Dana Perlman
- School of Education, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Northfields Avenue, Wollongong, NSW, 2522, Australia
| | - Lorna Moxham
- Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, Northfields Avenue, Wollongong, NSW, 2522, Australia
| | - Christopher Sudhakar
- Department of Mental Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Karnataka, 576104, India
| | - Asha K Nayak
- Department of Mental Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Karnataka, 576104, India
| | - Binil Velayudhan
- Department of Mental Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Karnataka, 576104, India
| | - Tessy Treesa Jose
- Department of Mental Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Karnataka, 576104, India
| | - Amy Tapsell
- Global Challenges Program, Research and Innovation Division, University of Wollongong, Northfields Avenue, Wollongong, NSW, 2522, Australia
| |
Collapse
|
23
|
Evgin D, Muz G. Nursing students learning to care for refugee patients: a qualitative study †. Int Nurs Rev 2020; 68:341-348. [PMID: 33137217 DOI: 10.1111/inr.12641] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 10/07/2020] [Accepted: 10/09/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nursing students should gain cultural knowledge and skills necessary for providing care to all types of patients. AIM This study aimed to determine problems faced by nursing students who care for refugee patients. METHOD The study used phenomenological qualitative design. The sample comprised 25 nursing students who cared for refugee patients in a clinic. Data were analysed using Colaizzi's seven-step method following focus group interviews. RESULTS Two themes were identified for the interviews: (i) language barrier: insufficient care and (ii) students' perspectives on being a refugee. Furthermore, three subthemes were also identified by analysis of the interviews: (i) superficial communication and insufficiency in psychological support, (ii) health problems in difficult living conditions and (iii) unchanged basic human needs and unmet care needs. CONCLUSIONS Nursing students find it difficult to care for refugee patients, but nursing education programmes based on culture care improve their knowledge and perceptions and the quality of care they provide to patients from different cultures. IMPLICATION FOR NURSING AND HEALTH POLICY In a multicultural society, nursing students must recognize cultural differences. Consequently, a multicultural education programme helps lay the groundwork for successful integration of nursing students in new cultures.
Collapse
Affiliation(s)
- D Evgin
- Department of Nursing, Kumluca Faculty of Health Sciences, Akdeniz University, Antalya, Turkey
| | - G Muz
- Department of Nursing, Semra and Vefa Küçük Faculty of Health Sciences, Nevsehir Haci Bektas Veli University, Nevsehir, Turkey
| |
Collapse
|
24
|
Markey K. Nurturing cultural awareness needs to be explicitly addressed in undergraduate nurse curricula. Evid Based Nurs 2019; 23:117. [PMID: 31685658 DOI: 10.1136/ebnurs-2019-103202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2019] [Indexed: 11/03/2022]
Affiliation(s)
- Kathleen Markey
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| |
Collapse
|
25
|
Newly Qualified Nurses' Perception of Their Competency Achievement on Leaving University: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214284. [PMID: 31690034 PMCID: PMC6862868 DOI: 10.3390/ijerph16214284] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 11/01/2019] [Accepted: 11/03/2019] [Indexed: 01/06/2023]
Abstract
Background: After implementing the Tuning Educational Structures in Europe Project, numerous efforts have been made to define, establish, and evaluate nursing competences. The European Federation of Nurses Association played a key role in enacting the nursing competences included in Directive 2013/55/EU. Nevertheless, assessing competences remains elusive, and there is little research into nurses’ perceptions of the competency training provided by their universities. The purpose of the study was to explore the perceptions and experiences of newly qualified nurses about the competences they acquired during their university education. Methods: A qualitative research study was developed in a Spanish university. Twelve semi-structured interviews with newly qualified nurses were conducted, and two focus groups made up of twelve students were carried out in order to triangulate the results. Participants were recruited through email contact. Interviews focused on clinical training, theoretical content, and the reality of healthcare. Data was analyzed thematically. Results: Two main themes emerged: (1) improving theoretical content and (2) rethinking practical lessons and clinical training. A lack of knowledge about mental health, pharmacology, or critical care has been found; in addition, it was highlighted, among others, the need to improve communication skills in difficult and conflictive situations. Conclusions: Considering the participants’ perception of deficiency in some aspects of most of the competences established by the European Federation of Nurses Association, further research has been suggested to include other stakeholders’ views.
Collapse
|