Cultural Sensitivity Among Clinical Nurses: A Descriptive Study

Comparison of global nursing education and necessary supports for nurse educators between Japan and four English-speaking countries: An international cross-sectional study

AIM

This study aimed to compare characteristics of nurse educators, factors related to teaching global nursing, contents of global education and support and the level of burden of global education and factors related to the burden between nurse educators among top nursing universities in Japan and four English-speaking countries.

BACKGROUND

Intercultural sensitivity is the active desire to motivate oneself to understand, appreciate and accept different cultures. Nurse educators need to be culturally sensitive to teach cultural care to nursing students.

DESIGN

This is a cross-sectional exploratory international comparative study using an online survey.

METHODS

Participants were nurse educators with a nurse license in the top 20 in Japan and the top 10 universitiesin the United States, Canada, United Kingdom and Australia (hereafter "English-speaking countries"), respectively. The questions in Google form selected participants by the inclusion criteria. Intercultural sensitivity was measured by the Intercultural Sensitivity Scale. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and Spearman's correlation coefficients were used for the analyses. Data were collected from October 2023 to January 2024.

RESULTS

A total of 144 in Japan (response rate=29.0 %) and 106 educators in English-speaking countries (response rate=2.4 %) were included in the analysis. Nurse educators in Japan had less work experience in foreign countries, had fewer opportunities to take part in cross-cultural interactions and had significantly lower intercultural sensitivity. In both groups, those who had more experience in foreign countries with higher intercultural sensitivity taught global nursing. While in Japan nurse educators who had higher proficiency in non-native languages and those who had more frequently taken part in cross-cultural interactions taught global nursing, in English-speaking countries full-time workers who had attended international academic conferences taught. In Japan, global nursing was a more optional course and the number of contents taught was lower. While participants in Japan had international seminars at universities as support for global nursing education, those in English-speaking countries had faculty members with different cultural backgrounds. Participants in Japan felt more burden for global nursing education. In Japan, more proficient non-native language, more frequent cross-cultural interaction and higher intercultural sensitivities were associated with a lower burden, while teaching other than in their native language, contents taught and performance evaluation were associated with a higher burden in English-speaking countries.

CONCLUSIONS

Higher intercultural sensitivity, performance evaluation and proficiency in non-native language may be important for nurse educators to teach global nursing and support is necessary to enhance them.

The Challenges of Iranian Female Nurses Caring for Male Patients: A Qualitative Study

Background

Caring is a multidimensional concept with many factors that can affect its quality such as caring for the opposite sex. This study aims to explore the experiences of Iranian female nurses caring for male patients.

Materials and Methods

A descriptive qualitative study was conducted via conventional content analysis and purposeful sampling. Seventeen female nurses including staff and head nurses participated. Unstructured, face-to-face, in-depth interviews were conducted from June to December 2019 in Iran. The interviews were recorded by an MP4 player. When no new codes were extracted from the interview the data saturation was achieved. All interviews were immediately transcribed verbatim and were analyzed via Graneheim and Lundman's conventional content analysis guidelines.

Results

Four themes emerged from the data: 1) women nurses' concerns about caring for men, 2) women nurses' unpleasant feelings while caring for men, 3) Ignoring women nurses' dignity, and 4) efforts to avoid unpleasant situations.

Conclusions

Female nurses in Iran are faced with multidimensional challenges when providing care to men. Not only can these challenges decrease the quality of nursing care for male patients, but also make the hospital a stressful environment for female nurses and may lead to them leaving the work.

Cultural sensitivity and associated factors among nurses in southwest Ethiopia: a cross-sectional study

BACKGROUND

Because of the rapidly rising cultural diversity, the ability to recognize cultural diversity is extremely important to all healthcare professionals, especially to nurses. However, there is a paucity of information regarding the cultural sensitivity of nurses in Ethiopia. Hence, this study aimed to assess cultural sensitivity and associated factors among nurses working at Jimma Medical Center, Oromia Regional State, Southwest Ethiopia.

METHODS

Health-facility-based cross-sectional study was conducted among 244 nurses selected by simple random sampling from May 20th to June 20th, 2020. A structured, self-administered questionnaire was used to collect data. Data were analysed using Statistical Product and Service Solution Version 26.0. Bivariate binary logistic regression analyses were used to select variables for the final model. Multivariable binary logistic regression analysis was used to identify factors associated with cultural sensitivity. Statistical significance was declared at [Formula: see text]0.05, and adjusted odds ratio with respective 95% CI was used to report significant covariates.

RESULTS

Out of the total sample, 236 nurses participated in this study, giving a response rate of 96.72%. Nurses who were culturally sensitive while delivering routine nursing services were found to be 40.3% (95% CI (34.3, 46.6)). Level of education ([AOR (95% CI)], [4.846 (1.188, 19.773)]), interpersonal communication ([AOR (95% CI)], [4.749 (1.334, 16.909)]), and intercultural communication ([AOR (95% CI)], [51.874 (13.768, 195.45)]) were positively and significantly associated with the cultural sensitivity of nurses.

CONCLUSION

Cultural sensitivity is found to be low in the study area. Increasing level of education, effective interpersonal communication abilities, and intercultural communication abilities positively predict cultural sensitivity of nurses. It is helpful for nurses to improve their knowledge of transcultural nursing theories and cultural understanding.

Exploring the care experiences of hemodialysis nurses: from the cultural sensitivity approach

BACKGROUND

Culturally sensitive care has been identified as a best-practice approach for improving health outcomes. Hemodialysis patients require culturally sensitive care because it involves totally changing their previous life. The purpose of this study was to explore the subjective experiences of hemodialysis nurses in providing culturally sensitive care to hemodialysis patients.

METHODS

A qualitative study was carried out in the hemodialysis center of a teaching hospital in northern Taiwan. Purposive sampling and semi-structured interview guidelines were employed to interview 23 hemodialysis nurses. The interviews were recorded and transcribed verbatim, and the resulting data were analyzed and summarized using content analysis by constant comparative methods.

RESULTS

Hemodialysis nurses exhibited the characteristics for delivering culturally sensitive care, which comprised five aspects: finding the true meaning of the behavior of the participants, recognizing and honoring individual psychological states, culturally sensitive communication in line with patients' values, customizing care content through cultural transformation strategies, and empowerment rather than prohibition.

CONCLUSIONS

The findings of this study on the culturally sensitive care provided by hemodialysis nurses can be utilized by nursing educators and administrators as a reference to develop and enhance the nursing education related to culturally sensitive care for hemodialysis professionals.

First Contact With Transcultural Care: A Phenomenological Study of Practical Turkish Nursing Students' Experiences in a Migrant Health Center

INTRODUCTION

This study examines the subjective experiences of Turkish students who work in immigrant health facilities providing nursing care to people of different cultures. Nurses are often encountered by immigrants in these centers. Although qualitative research on nurses' experiences assisting immigrants has been often cited in the literature, the literature on nursing students' experiences is limited.

METHODOLOGY

The study has a descriptive qualitative design. Data were collected using a face-to-face, in-depth, and semistructured interview form. The data were evaluated using a content analysis method.

RESULTS

The study yielded four themes: (a) inability to control emotions, (b) barriers to care involvement, (c) benefits of intercultural care, and (d) recommendations.

DISCUSSION

Learning intercultural care is critical in these years of increased immigration. Understanding nursing students' experiences is essential for improving the quality of intercultural care.

From a learning opportunity to a conscious multidimensional change: a metasynthesis of transcultural learning experiences among nursing students

BACKGROUND

Several educational activities in nursing schools worldwide have been implemented to promote transcultural nursing and cultural competence. Despite the diversity of their experiences and outcomes, the available evidence has not been systematically reviewed and reinterpreted. This study aimed to review and reinterpret all rigorous qualitative evidence available, providing an opportunity to understand how students learn transcultural nursing and assisting faculties, researchers, managers, and practitioners in designing new interventions to improve transcultural training.

METHODS

A meta-synthesis was conducted to review and integrate qualitative studies of these phenomena. English, Spanish and Portuguese articles were searched in Pubmed and Scopus databases. Only peer-reviewed journals in which qualitative approaches were used were included. Quality was assessed using the CASP qualitative version checklist. The metasynthesis technique proposed by Noblit and Hare was used to analyse the data.

RESULTS

Twenty-nine studies were included in the analysis. Most studies used phenomenological approaches that were conducted in Australia and the United States of America, with international internships being the most popular learning method. The data revealed one central theme, "From learning opportunity to conscious multidimensional change," and six subthemes. The transcultural nursing learning experience is not a simple or linear process. Instead, it appears to be a complex process formed by the interaction between a) self-awareness, b) reflective thinking, c) Cultural Encounters, d) cultural skills, e) Cultural Desire, and f) Cultural Knowledge.

CONCLUSIONS

Transcultural nursing learning is a multifaceted process that arises from specific learning opportunities. This process is still to evolving. Therefore, specific educational strategies should be implemented to encourage attitudinal change and promote reflective thinking.

The effect of intercultural sensitivity and ethnocentrism on health tourism awareness level in nurses: Analysis with machine learning approach

PURPOSE

In this study, the effects of intercultural sensitivity and ethnocentrism on health tourism awareness levels in nurses were examined.

DESIGN AND METHODS

This quantitative cross-sectional study was conducted in Turkey between November 2022 and March 2023. Intercultural sensitivity scale, ethnocentrism scale, and health tourism awareness scale were used to collect the data. R programming language 4.1.3, G*Power 3.1 and SPSS-22 program were used in the analysis of the study.

RESULTS

This study was conducted with 386 nurses. Intercultural sensitivity has a positive and significant effect on health tourism awareness levels (β = 0.141; t(384) = 2.784, p = 0.006). Ethnocentrism has a positive and significant effect on health tourism awareness levels (β = 0.184; t(384) = 3.659, p = 0.001). Random Forest regression was found to be the best performing algorithm among the machine learning algorithms for predicting the Health Tourism Awareness variable. Looking at the contributions of the variables to the model, according to the SHAP value (Shapley Additive Explanations), it was seen that the most important variable that should be in the model to predict the health tourism awareness variable is the ethnocentrism variable.

CONCLUSION

It was determined that as the level of intercultural sensitivity and ethnocentrism of nurses increased, their awareness of health tourism increased. Longitudinal studies on health tourism awareness in nurses are recommended.

Nursing Cultural Competence in Israel: Does Practice Make It Better?

Because of globalization, immigration, and mass exodus from countries due to political conflicts, there is an ever-changing mix of people with diverse cultural backgrounds who require institutions to provide continuing education to ensure that effective services are provided to everyone. Part of the transcultural challenges involves religion, socioeconomic differences and languages, and ethnic backgrounds that differ. The objective of this study was to examine whether a transcultural training program for undergraduate nursing students in Israel could enhance students' cultural competence. In this study, 319 senior undergraduate nursing students were asked to complete the Transcultural Health Care Screening Questionnaire as a measure of their cultural competence. The students' cultural competence was satisfactory but less than it had been in previous years. The authors suggest that cultural competence needs to be considered as a contextual, developmental, and experiential process that requires ongoing attention and curricular revisions.

Beyond challenges and enrichment: a qualitative account of cross-cultural experiences of nursing patients with an ethnic minority background in Norway

BACKGROUND

Substantial mass migrations to the Scandinavian countries have made them heterogeneous and multicultural societies. Migration has also influenced the workforce, especially the healthcare system that has had to accommodate a culturally diverse population. This qualitative study aimed to explore nurses' experiences in caring for patients with an ethnic minority background.

METHODS

Focus group interviews with a total of 21 nurses were conducted. Thematic analysis was performed on the transcribed and translated interviews.

RESULTS

The findings of this study revealed three major themes: various experiences concerning language barriers and the use of interpreters, the impact of religious and cultural values, and caring for patients with an ethnic minority background is professionally interesting but demanding.

CONCLUSIONS

Caring for culturally diverse patients offers both challenges and opportunities to enhance cultural competence and cultural sensitivity among nurses. Various culturally divergent needs of patients such as family visits, food preferences, expression of pain, and gender sensitivity are interlinked and depend on effective communication during encounters with nurses and the healthcare system at large.

The effect of moral intelligence on cultural sensitivity in nurses

PURPOSE

This study was conducted to determine the relationship between the levels of moral intelligence and intercultural sensitivity in nurses.

METHODS

The cross-sectional study was conduct with 200 nurses working in a research and training hospital. The data were collected using the intercultural sensitivity scale and the scale for the measurement of moral intelligence in the provision of health services.

RESULTS

The mean total intercultural sensitivity score of the nurses was determined to be 89.34 ± 10.01, while their moral intelligence score was found 201.22 ± 21.99. There was a positive relationship between the nurses' mean total scores scales (p < 0.000).

PRACTICAL IMPLICATIONS

The nurses' intercultural sensitivity and moral intelligence were at a moderate level. As the nurses' levels of moral intelligence increased, their intercultural sensitivity levels increased.

Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011–2021

Aim

Training for the development of cultural competence is often not part of the professional training of nurses within the European Economic Area. Demographic changes in society and the cultural diversity of patients require nurses and other medical staff to provide the highest quality healthcare to patients from different cultural backgrounds. Therefore, nurses must acquire the necessary cultural knowledge, skills, and attitudes as part of their training and professional development to provide culturally competent care to achieve this objective.

Objective

This review aims to summarize existing methods of developing cultural competence in nurses working in clinical practice.

Design

A scoping review of the literature.

Method

The following databases were used: PubMed, ScienceDirect, ERIH Plus, and Web of Science using keywords; study dates were from 2011 to 2021.

Results

The analysis included six studies that met the selection criteria. The studies were categorized as face-to-face, simulations, and online education learning methods.

Conclusion

Educational training for cultural competence is necessary for today’s nursing. The training content should include real examples from practice, additional time for self-study using modules, and an assessment of personal attitudes toward cultural differences.

Cultural Competence of Mental Health Nurses in Israel

Israel's diverse culture presents challenges to the nation's health care system; lack of culturally appropriate care adversely affects overall quality of care. Therefore, cultural competence needs strengthening, especially among mental health nurses, for whom communication is the essence of treatment. The current study aimed to examine and evaluate the degree of cultural competence of mental health nurses in Israel. We sought to determine whether demographic variables, such as age, sex, and other characteristics, have effects on cultural competence. This study used a structured self-report questionnaire to survey 107 Israeli mental health nurses about their perceptions of their own cultural competence. Most participants attributed great importance to sociocultural aspects of patient care (mean score = 4, SD = 0.628) and were knowledgeable, but a majority (mean score = 3, SD = 0.83) reported difficulties implementing their knowledge during treatment. Cultural knowledge and awareness correlated with personal characteristics, such as sex and country of origin. There were gaps between cultural knowledge and the ability to apply existing knowledge in practice. A need exists not only for ongoing training in and maintenance of cultural knowledge, but also for tools to implement culturally appropriate care. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Looking through racism in the nurse-patient relationship from the lens of culturally congruent care: A scoping review

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.

Navigating the care between two distinct cultures: a qualitative study of the experiences of Arabic-speaking immigrants in Norwegian hospitals

Background

During the past decades, there has been an increase in the number of immigrants to European and Scandinavian countries. This has challenged the health-care systems, which cater to the needs of patients despite their cultural and linguistic barriers, in these countries. Most studies on this topic have focused on the perspectives of health-care providers in delivering their service. The purpose of this qualitative study was to explore how hospitalized Arabic-speaking patients experienced their interaction with the Norwegian health-care system.

Methods

In-depth interviews with 20 participants and researcher’s participant observation were conducted to explore the idiosyncratic details and ascribed meanings that foreign-born patients attach to their everyday experience of the Norwegian health-care system. Thematic analysis was performed on the transcribed and translated versions of the in-depth interviews.

Results

The findings of this study indicated three interrelated core themes. Firstly, there exist challenges in understanding and being understood because of linguistic and cultural differences of newly migrated patients. Secondly, some patients missed the holistic and direct care available in their home countries. Finally, patients were satisfied with the Norwegian health-care system because of its compassion, care, and respect toward them as well as advanced health-care equipment.

Conclusion

Arabic-speaking patients in Norwegian hospitals experienced long waiting times and linguistic problems. Hence, a better and specialized interpreter service may resolve problems emanating from communication within the system and the subsequent delays in treatment. Compassionate care and the feeling of respect and love is the core strength of the Norwegian system as perceived by the patients.

The determination of intercultural sensitivity and ethnocentrism levels among nurses and nursing students: A border of city, Turkey

AIM

The current study is a descriptive-comparative study and aims to determine intercultural sensitivity and ethnocentrism levels among nurses and nursing students.

METHOD

The study was conducted with 207 nurses working at a State Hospital and 211 nursing students studying at a University between November 30, 2019, and January 20, 2020. The data were collected using a descriptive characteristics form, the Intercultural Sensitivity Scale, and the Ethnocentrism Scale.

FINDINGS

It was found that both nurses and nursing students (73.4% and 60.7%, respectively) struggled to communicate with foreign patients and experienced problems with cultural differences (49.8% and 22.7%, respectively). A statistically significant negative correlation was found for the nurses and nursing students in terms of their intercultural sensitivity and ethnocentrism scores (p < .05).

PRACTICAL IMPLICATION

Nurses and student nurses should interact with people from different cultures to improve refugee health care.

Cultural Competence of Turkish Nurses and Nursing Students: An Integrative Literature Review

INTRODUCTION

Turkish population is characterized by its great cultural diversity, thus, Turkish nurses and nursing students often interact with patients of different cultural backgrounds from theirs. Cultural competence is needed to provide qualified contemporary nursing care. This study aimed to explore the literature on the cultural competence of Turkish nurses and nursing students.

METHODOLOGY

The Whittemore and Knafl review methodology was used to extract, summarize, and synthesize data of 15 primary research articles published between January 2011 and January 2021. The search was done in the Turkish Academic Network and Information Center-ULAKBIM (PubMed, TRDizin, DergiPark).

RESULTS

Three themes were identified: cultural competence, cultural-related problems, and importance of training on transcultural nursing.

DISCUSSION

Appropriate educational courses on transcultural nursing should be implemented in Turkish nursing schools as well as in continuing education programs for Turkish nurses.

A valid and reliable scale to assess cultural sensibility in nursing

BACKGROUND

Cultural sensibility is an important concept linked to the achievement of cultural competence. Health professionals must first improve their cultural sensibility to become culturally competent and to be able to offer competent care to culturally diverse populations. Aim To develop and psychometrically test the Cultural Sensibility Scale for Nursing (CUSNUR), a cultural sensibility scale that can be used in nursing for the achievement of competencies needed to care for culturally diverse populations.

DESIGN AND METHODS

The cross-sectional survey was conducted over two stages. The first stage involved the cross-cultural and discipline-specific adaptation of an existing scale addressing this concept in the field of law using the reverse translation method. Second, validation of the scale was carried out from October 2016-June 2017 by studying the psychometric properties of the questionnaire through an analysis of content acceptability and reliability and through exploratory factor analysis (EFA).

RESULTS

The questionnaire was designed to be clear, easy to understand, and of adequate length, and experts involved in content validation agreed that the scale meets these criteria. A total of 253 nursing students participated in the validation stage. Four factors were identified from the EFA: (1) patient and health professional behaviours, (2) self-assessments, (3) self-awareness, and (4) cultural influence. Two items were excluded. Factorial saturation is adequate for all factors (>0.30). The Cronbach alpha was measured as 0.75.

CONCLUSIONS

This study presents the first version of the CUSNUR and demonstrates that the scale is valid and reliable.

The effects of ethnocentrism and some features on intercultural sensitivity in nursing students: A comparative descriptive study

BACKGROUND

Nurses should provide culturally sensitive care by being aware of the cultural characteristics, values and beliefs of the individuals for whom they are responsible. Nursing education must provide a foundation for the development of intercultural sensitivity.

AIM

The purpose of this study was to investigate the effects of ethnocentric attitudes and some characteristics of nursing students on their intercultural sensitivities.

METHODS

A comparative descriptive design was used to collect data from nursing students in two universities located in the west and the east of Turkey (N = 535; students from the east: n = 202; students from west: n = 333) Data were collected using the socio-demographic characteristics form, the Intercultural Sensitivity Scale (ISS) and the Ethnocentrism Scale.

RESULTS

When both students from east and west in Turkey were compared in terms of ISS total scores, a statistically significant difference was found between the students in terms of pervious place of residence, taking the intercultural nursing course, acquaintance with people of other cultures, having experience abroad and speaking another language (p < .05). When both students from east and west were compared in terms of the ethnocentrism scale total scores, a statistically significant difference was found between the students in terms of the gender, the year of the education, previous place of residence, taking the intercultural nursing course, acquaintance with people of other cultures, having experience abroad and having friends from different countries (p < .05). According to the linear regression analysis, the intercultural sensitivity of students was found to be significantly affected by ethnocentrism.

CONCLUSIONS

Intercultural nursing courses and concepts such as intercultural sensitivity and ethnocentrism should be given a more comprehensive place in the curriculum to increase intercultural sensitivities and reduce ethnocentrism.

Determinants of transcultural self-efficacy among nurses in China: A cross-sectional study

In this cross-sectional study, we explored the current status and the correlates of self-perceived transcultural self-efficacy among nurses working in a tertiary hospital in Hangzhou, China. A total of 336 nurses (age range, 24-50 years) completed the Chinese version of the Transcultural Self-Efficacy Tool. The majority of respondents were female (94.64%), and 67.26% were government employees. Between group differences were assessed using the rank sum test. Most nurses had a below-moderate level of self-perceived transcultural self-efficacy in all subscales (Cognitive [67.69%]; Practical [71.65%], Affective [66.75%]). Age, professional title, employment type, and income level had a significant influence on all three subscale scores of the survey instrument. Our findings highlight the need for inclusion of transcultural nursing in the continuing education curricula for nurses. Nursing managers should target continuing education based on the demographic characteristics of nurses. Hospital managers should consider minimizing the pay disparity between government-employed and temporary nurses. These initiatives can help improve the quality of nursing care in a cross-cultural milieu.

Examining the correlation between intercultural sensitivity and individualized care perception of nursing students

BACKGROUND

Intercultural sensitivity is accepting the existence of cultural differences and similarities between individuals without attributing a value to them. In order to provide individualized nursing care, it is required to train nurses who can respond to cultural needs of society, have cultural knowledge and skills regarding society and show a high intercultural sensitivity.

PURPOSE

The purpose of this study is to examine the correlation between intercultural sensitivity and individualized care perception of nursing students, who will become a member of professional health discipline.

METHOD

The population of this study consisted of nursing students receiving education in a state university in Ağrı. The sample of the study consisted of 2nd, 3rd, and 4th year students who agreed to participate in the study and were not absent during the data collection process. In the study, the "Student Information Form", "Intercultural Sensitivity Scale" and "Individualized Care Scale" were used. The study was completed with 90 individuals. Statistical analyses were performed in the SPSS program using arithmetic mean, standard deviation, and correlation analysis.

RESULTS

Nursing students' Intercultural Sensitivity Scale total mean score was 89.10 ± 10.42 and their Individualized Care Scale mean score was 3.97 ± 0.59. It was determined that there was a weak, positive and statistically significant correlation between total mean score of Intercultural Sensitivity Scale and total mean score of Individualized Care Perception Scale among the nursing students (r = 0.274, p = 0.009).

CONCLUSION

It was determined that the correlation between nursing students' intercultural sensitivity and individualized care perception was weak, positive and statistically significant. It was found that as nursing students' intercultural sensitivity level increased, their individualized care perception also increased.

Impact of nurses' compassion competence and transcultural self-efficacy on their global health nursing competency

AIM

To develop a GHNC scale and verify the effects of nurses' compassion competence (CC) and transcultural self-efficacy (TSE) on GHNC.

BACKGROUND

Global health nursing competency (GHNC) is essential for professional nursing care for multicultural populations.

METHODS

Using a cross-sectional design, data were collected from 318 nurses of recruited through convenience sampling. Factor analysis and multiple regressions were performed to measure GHNC and determine its influential factors, respectively.

RESULTS

The GHNC scale was developed with 15 items in four domains: perception of global society, cultural attitude, nursing practice, and communication skill. The communication factor of CC and cognitive factor of TSE significantly affected GHNC.

CONCLUSIONS

The GHNC scale has sufficient validity and reliability for use in nursing practice and research. It can be used to identify the current position of GHNC and develop programs to improve GHNC by enhancing nurses' CC and TSE.

Determining the effect of an intercultural nursing course on empathic skill and intercultural sensitivity levels: An intervention study

BACKGROUND

Providing culturally sensitive healthcare services requires to command on content and concepts. Moreover, it is essential to train nurses who are sensitive toward cultural values and beliefs and who can provide holistic and individual nursing care in an increasingly diverse population.

OBJECTIVE

This study determined the effect of the Intercultural Nursing Course on the empathic skill and intercultural sensitivity levels of nursing students in Turkey.

DESIGN

This study was an interventional study that adopted a pretest-posttest design with a control group.

PARTICIPANTS

The participants of the study were 165 nursing students from a school of health; these students were completing their fourth year of studies and in the spring term of the 2017-2018 academic year. However, the sample group comprised 113 students who agreed to participate in the study and completely filled out the administered forms. The intervention group consisted of 84 students admitted to Intercultural Nursing Course, whereas the control group consisted of 29 students who were not admitted to Intercultural Nursing Course.

METHODS

Intercultural Nursing Course, one of the elective courses in the fourth grade of the nursing program, was a 14-week course that was conducted through two contact hours per week. Data from both the groups were collected at the beginning and at the end of the course by the researchers using the "Introductory Information Form," the "Empathic Skill Scale", and the "Intercultural Sensitivity Scale". Data were analyzed through descriptive tests, t-test, the Mann-Whitney U test, and the Wilcoxon signed-rank test using statistical package software. In addition, the required approval was procured from the ethics committee of the relevant university and School of Health before the study was conducted.

RESULTS

No significant differences prevailed between the intervention and control groups in terms of total intragroup and intergroup Empathic Skill Scale and Intercultural Sensitivity Scale scores. However, a significant difference (Z = -4.000; p = 0.000) between the pretest and posttest scores was observed in the interaction confidence subdimension of the Intercultural Sensitivity Scale in the intervention group.

CONCLUSION

Although Intercultural Nursing Course did not lead to a significant change in students' empathic skills and cultural sensitivity levels, it enhanced their cultural sensitivity and self-confidence in intercultural communication and ensured maintenance of their empathic skills. Intercultural Nursing Course can thus valuably contribute to the understanding of cultural structure and values of society and to the development of techniques that can provide nursing care accordingly.

An Investigation of the Relationship Between Intercultural Sensitivity and Religious Orientation Among Nurses

This study aimed to investigate the relationship between intercultural sensitivity and religious orientation among nurses. This study utilized a cross-sectional model. It was conducted in a public hospital in a city located in the eastern part of Turkey between July and September 2018. The participants were 105 nurses who volunteered to participate in the study. Data were collected using the Socio-Demographic Characteristics Form, the Intercultural Sensitivity Scale, and the Religious Orientation Scale. The Intercultural Sensitivity Scale mean score of the participating nurses was found 82.55 ± 9.82, and the total mean score for the Religious Orientation Scale was 53.34 ± 7.56. A significant, positive relationship was found between the Intercultural Sensitivity Scale and the Religious Orientation Scale mean scores (p < .01). It is recommended that the study should be conducted with the participation of nurses from different cultures and religion, in larger groups and in a comparative manner.

Determination of Intercultural Sensitivity Among Nurses

This descriptive study was carried out between July 2017 and August 2017 in an Obstetrics/Gynecology and Children Hospital affiliated to Gaziantep provincial directorate of health. The study population consisted of 363 nurses working in the aforementioned Obstetrics/Gynecology and Children Hospital, and the non-probability sampling method was implemented to reach them. Of the nurses included in the study population, 183 who volunteered to participate in the study comprised the sample of the study. The data were collected from the nurses who filled in the data collection forms given by the researchers using the paper pencil technique. To collect the study data, the Personal Information Form questioning the participants' socio-demographic characteristics, and the Intercultural Sensitivity Scale (ISS) were used. The mean scores the participants obtained from the Intercultural Sensitivity Scale and its subscales are as follows: 24.18 ± 3.87 for the Interaction Engagement subscale, 20.68 ± 4.41 for the Respect for Cultural Differences subscale, 17.10 ± 3.27 for the Interaction Confidence subscale, 10.27 ± 2.81 for the Interaction Enjoyment subscale, 10.64 ± 2.06 for the Interaction Attentiveness subscale and 82.62 ± 12.83 for the overall Intercultural Sensitivity Scale. In conclusion, the cultural sensitivity levels of the nurses in this study were above average.

Self-Reported Cultural Competence of Nurses Providing Nursing Care in Slovakia

PURPOSE

The goals of this study were to determine and evaluate the perception of cultural competence of nurses in the Slovak healthcare system, identify factors that influence their perception, and ascertain opportunities to improve nurses' cultural competence.

DESIGN

Cross-sectional nonexperimental study.

METHODS

Nurses from Slovakia were surveyed in this cross-sectional study using the standardized Cultural Competency Assessment (CCA) questionnaire. Statistical analysis was conducted using SPSS version 22 (IBM Corp., Armonk, NY, USA).

RESULTS

In total, 267 nurses responded. Only 28% perceived themselves as very culturally competent to care for people from other cultures. Over 68% received no diversity training. Age (p < .011) and prior diversity training (p < .006) were significantly associated with culturally competent behavior (CCB). A significant relationship (r = 0.17; p < .015) was also confirmed between the self-reported CCA and CCB.

CONCLUSIONS

Culturally competent care is a professional imperative. The ability to deliver high-quality, culturally congruent care may be enhanced by cultural diversity education and training. Further research is needed to identify other influences on cultural competency and the impact on patient care and outcomes.

CLINICAL RELEVANCE

There is a need for nurses to enhance their knowledge and skills related to cultural competency, awareness, sensitivity, and behaviors. Education and training contribute to nurses' ability to provide high-quality, culturally competent nursing care to patients from different cultures, and may possibly contribute to decreased health disparities.

Intercultural Sensitivity Levels and Cultural Difference Perceptions of Physicians and Nurses

Aim

This study was conducted to determine the level of intercultural sensitivity of the physicians and nurses.

Method

This research was a descriptive study. The sample group of the study were physicians (n=70) and nurses (n=87) working in the Public Hospital. 64.3% of physicians and 71.3% of nurses participated in the study. Data were collected between May, June and July 2017. Data of the study were collected by a questionnaire including personal information and Intercultural Sensitivity Scale. The questionnaire also includes an open-ended question of “What are cultural difference elements you describe in patients to whom you administer treatment and provide care”. Descriptive statistics related to the variables were calculated and Parametric and non-parametric tests were performed.

Results

In the present study, Intercultural Sensitivity Scale mean scores were determined as 3.46±0.48 for the physicians and 3.48±0.47 for the nurses. There was no significant difference between the marital status of physicians and nurses and the total score of the scale (p>0.05). The interaction engagement scores of single physicians and nurses were higher than the married ones. Interaction enjoyment mean scores were higher in the participants speaking a foreign language than those not speaking a foreign language. There were significant difference between Intercultural Sensitivity Scale total scores and interaction engagement, respect for cultural differences and interaction confidence subscales of physicians and nurses who have previous interaction with individuals from different cultures. Mean scores of the participants not receiving the training on cultural sensitivity were higher in the subscales of interaction engagement and interaction attentiveness (p<0.05).

Conclusion

It is recommended for physicians and nurses to try to increase their cultural sensitivity by knowing more people from different cultures. It is also recommended to develop language competence of the institutions in which they work and make plans to provide opportunities for physicians and nurses to gain experience abroad and cultural sensitivity education.

Investigating intercultural effectiveness of paediatric nurses in a Turkish hospital

BACKGROUND

Cultural competence, an important part of patient-centred care, has been on the nursing agenda for many years.

AIM

The aim of this study was to measure the intercultural effectiveness level of paediatric nurses, and to explore relationships between the level of intercultural effectiveness and some sociodemographic variables in paediatric nurses.

METHOD

The study was conducted at İzmir Tepecik Training and Research Hospital's children's clinics in Turkey. A convenience sample of 98 paediatric registered nurses practising at the hospital was evaluated. To collect the study data, a sociodemographic characteristics questionnaire, a Cultural Approach in Nursing Care form and the Intercultural Effectiveness Scale (IES) were used.

RESULTS

The participating paediatric nurses' intercultural effectiveness levels were moderate, the problem they experienced most was the language problem and although many of them had not received adequate training in cultural care, based on their experiences, they regarded themselves as culturally competent.

CONCLUSION

Cultural competence is vital in multi-ethnic and multicultural societies. Cultural competence training should be provided to nurses during nurse education, or in-service training during their professional life.

Transcultural Nursing Care in Turkey

AIM

For quality and adequate nursing care, nurses should evaluate the cultural factors that patients have, respect these factors, and consider their impact on the patient's health. This review aimed to examine studies conducted in the field of transcultural nursing in Turkey.

METHOD

Studies published between 2000 and 2018 were searched from the electronic databases of ScienceDirect, Web of Science, Academic Search Complete, PubMed, Scopus, and Google Academic using the keywords care, culture, nursing, transcultural, transcultural nursing, and Turkey.

RESULTS

As a result of the search, 150 studies were obtained, and 31 studies that fit the inclusion criteria were evaluated. These studies attempted to determine the factors that cover different dimensions of transcultural nursing, nursing education and training process, clinical and hospital applications, and several scales and guides and have been adapted and used in the Turkish population.

CONCLUSION

Studies conducted in the field of transcultural nursing in Turkey have gained momentum recently and have a more basic descriptive level.

Patient Education Issues and Strategies Associated With Immunotherapy

OBJECTIVE

To provide education strategies to health care providers caring for patients receiving immunotherapy and who are managing the various potential adverse events related to these treatments.

DATA SOURCES

Peer-reviewed literature.

CONCLUSION

Delivering patient education on immunotherapy based on a thorough educational needs assessment and identification of learning barriers may contribute to effective patient outcomes and patient safety.

IMPLICATIONS FOR NURSING PRACTICE

It is a critical role of the nurse to educate and empower patients and caregivers with the ability to identify early signs of impending toxicities related to immunotherapy regimens. With continuous learning and clinical experience, oncology nurses are at the forefront for providing high-quality immunotherapy education to patients and caregivers.

The Relationship Between Cultural Sensitivity and Assertiveness in Nursing Students from Turkey

Background: As foreigners live in and visit Turkey for various reasons, it is essential to provide culturally appropriate health care. Purpose: This study was conducted to determine the relationship between cultural sensitivity and assertiveness in university nursing students. Method: This descriptive, cross-sectional study was conducted at two universities in the cities of Kilis and Elazığ, Turkey. The study sample consisted of 444 nursing students. Data collection tools included a questionnaire about participant sociodemographic characteristics, Chen and Starosta’s Intercultural Sensitivity Scale, and the Rathus Assertiveness Scale. Results: The mean age of participants was 21.09 years. Most students (71.6%) were female and 34.7% of the students stayed at the hostel. Of the students, 44.4%, 27.5%, and 28.2% attended were the second-, third-, and fourth-year students, respectively. Participants were asked about problems related to caring for patients who speak different languages. The mean score for the Intercultural Sensitivity Scale was 89.42 ± 13.55 and the total score for all students for the Assertiveness Scale was 112.64 ± 15.61. We identified a positive relationship between total scores for the Intercultural Sensitivity Scale and the Assertiveness Scale ( p < .001). There was relationship between cultural sensitivity and gender and want to work overseas; assertiveness and year of nursing education and want to work overseas. Conclusions: Nursing students at both schools had a moderate level of cultural sensitivity and assertiveness. It has been determined that as assertiveness level of the students increased, intercultural sensitivity of them also increased. Implications for Practice: Consequently, it is concluded that training as assertive and self-confident individuals during the nursing education of students has a contribution to making patient-specific and culture-sensitive care.