limitations of transcultural nursing theory

Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. Qualitative data were collected based on specified criteria throughout the interviews. This is corroborated by the qualitative finding as one 28-year-old male participant said, Patients come from different places, like southern region, Gambela, and Sudan. Descriptive statistics were performed to determine the mean and standard deviation of transcultural self-efficacy. The https:// ensures that you are connecting to the The nurses. degree in nursing. Since the total number of nurses in JMC is 518, which is less than 10,000; and also since the ratio of initial sample size calculated to the total number of nurses in JMC (N) is greater than 0.05, correction formula was used and the minimum sample size required became 221. Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. This will result in continued efforts to recruit a graduating nursing workforce that more closely mirrors the diverse patient population. Orque is a leading figure in developing a cultural model for nursing with the conceptual framework of the ethnic system. In this article, the first of two parts, transcultural nursing is explained in terms of its assumptions, benefits and limitations and the emerging literature in this area of mental healthcare practice is highlighted. This is consistent with the social cognitive theory, which proposes successful mastery experiences and vicarious experience increase self-efficacy [32]. The history of culture is as old as the history of human beings but it was during the time of Madeline Leininger that culture became the central concept in the transcultural nursing theory (TNT) and evidence-based area of study. Providing culturally sensitive care is an essential component of patient-centered care in healthcare because it helps to ensure . Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. Talk with an admissions advisor today. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. This expands your motivation and lets you to the way to handle such diversity. Rasmussen University is accredited by the Higher Learning Commission and is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education. This is the basis of transcultural nursing. A structured self-administered questionnaire was used to collect data for this study. This calls for the need to offer transcultural nursing training for nurses. Assuming a holistic approach to care instead of biophysical approach, Showing efforts to reach rapidly increasing cultural beliefs and activities that are unique to distinct groups and individuals. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. The foundations of transcultural nursing were laid in the mid-1950s. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the study. Ratings on all items are made on a 1 to 5 scale standing for the words very little confidence for a score of 1, little confidence for a score of 2, neutral or noncommittal confidence for a score of 3, moderate confidence for a score of 4 and high confidence for a score of 5. Background Transcultural self-efficacy is a nurse's perception of his or her own ability to accomplish activities effectively for culturally diverse clients. Then data were analyzed using descriptive statistics such as mean scores and standard deviations followed by inferential statistics. The use of nursing theories and models in nursing researches offers unparalleled contribution to the health care system through the practices of the nurse as a professional. The lowest mean score was observed in the knowledge of cultural patterns, which was 2.71 (SD = 0.61). Rasmussen University is not enrolling students in your state at this time. It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). The principal investigators (RDB and MBD) conducted the interviews in Afaan Oromo and Amharic. This model is a tool developed to assess cultural values and their effects on health and disease behavior [33] (Figure 4.8.2). Bjarnason D, Mick J, Thompson JA, Cloyd E. Nurs Clin North Am. Campinha-Bacote J; Cultural competence in providing health care services: Culturally adequate care model. A low level is a mean score between 1 and 2.33, a moderate level is a mean score between 2.34 and 3.67, and a high level is a mean score between 3.68 and 5 [23]. This page titled 4.8: Transcultural Nursing Care Models is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view Department of Health Informatics, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia. nurses, and M.Sc. One hundred one (42.8%) of the respondents were orthodox in religion. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. Qualitative data were collected by the principal investigators. CSS consists of 3 items that ask to know about patients cultures, adapting treatments for patients, and considering culture when making recommendations. Whilst g lobalisation was a pparent some time b efore the appearance of . With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. Nurses who were not found during the data collection period due to annual leave, maternal leave, or some other social problems were excluded. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. Bethesda, MD 20894, Web Policies The ICS consists of five questions that ask nurses to think about how they feel when communicating with patients from different cultural backgrounds from their own and rate their ability to understand feelings, communicate, resolve misunderstandings, comprehend points of view, and empathize with patients. The authors would like to thank all the nurses who were volunteered to participate in this study. Culture Set of values, beliefs and traditions, that are held by a specific group of people and handed down from generation to generation. It adopts a multi-factorial approach affecting health and care such as environmental conditions, ethnography, language, gender, class, racism, social structuring, belief, politics, economics, kinship, technology, culture and philosophy. The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. Bivariate analysis revealed that age, sex, level of education, monthly income, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy at p < .25. While there has been an increased awareness of the importance of cultural care and collecting cultural data in recent years in Turkey, no models or guides have been developed in Turkey [55]. Andrews MM; Culturally adequate nursing care. The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. Nurses communication effectiveness between people measured using 7 items on a 5-point Likert scale with the value ranging from 735. The questionnaire was adapted from related studies and was used for data collection [2427]. Simple random sampling technique was used to recruit participants in the quantitative part of the study. Even if nurses are educated in Ethiopia with the curriculum adapted from the international curriculum, they provide care for patients unique in culture from those of patients where transcultural self-efficacy is well studied. Operating on the belief that quality healthcare can only occur within the patients cultural context and that embracing diversity among healthcare professionals will promote multicultural workplace harmony and minimize workplace conflict, it has been posed that the nursing workforce should renew its focus on diversity awareness. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. Credibility was assured through long-lasting engagement with IDI participants and by investing sufficient time to become familiar with the setting and context, to test for misinformation, to build trust, and to get to know the data to get rich. 2005 Nov-Dec;30(6):380-8. doi: 10.1097/00005721-200511000-00006. The other finding of this study was the identification of factors that are significantly associated with the transcultural self-efficacy perceptions of nurses. The scale is measured on a 5-point Likert scale with responses ranging from strongly disagree to strongly agree. This article discusses changes that are important to transcultural nursing. PLOS ONE promises fair, rigorous peer review, Quantitative results were integrated with qualitative results. 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Transferability was assured by describing the behavior and experiences of the participants with their context so that the behavior and experiences become meaningful to an outsider. Developing communicative and scientific language skills. This study was conducted at Jimma Medical Center (JMC). Abebe Abera Tesema, An official website of the United States government. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. Conversely, a lack of diversity awareness can result in providing culturally incongruent nursing care, which adversely impacts patient outcomes and can even jeopardize patient safety in certain cases. The interviews were conducted face to face in the well-ventilated rooms after both interviewers and interviewees sat at 2 meters distance wearing face mask. The Cronbachs alpha was 0.97 when it was developed [28] and Herrero Hahn et al. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. Pacquiao DF; Cultural competence in ethical decision making. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. So what does this call for transcultural competency mean for practicing nurses? Before actual data collection, the data collection tools were pretested on 25 nurses working at Agaro General Hospital to measure the internal consistency of the tools, to estimate data collection time, and to make modifications as needed. Please select another program or contact an Admissions Advisor (877.530.9600) for help. The studies conducted in Turkey show that the nurses need to have classification lists and guidelines to be used in care, and thus a more systematic care will be provided in less time for individual patients and more data will be collected. This study employed a cross-sectional study design with a mixed method of data collection. The growth of minority populations in tandem with growing healthcare disparities across the nation reflect the importance of recruiting and retaining a diverse healthcare workforce. This finding was corroborated by the finding from the qualitative study as one 28-year-old male participant said, I am willing and motivated to serve these people. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. A constructivist grounded theory lens was applied to better appreciate how participants discussed their lived experiences and perspectives (Charmaz, Citation 2017a, Citation 2017b). The discrepancy may be because the vast majority (93.1%) of the participants in their study were females. This site needs JavaScript to work properly. Despite the desire to create multicultural societies in the world in which there are liberal immigrant policies, it cannot be argued that there is an accepted standard in health care, in terms of the socioeconomic status, ethnic characteristics, sexual behavior and lifestyle preferences. PMC Its Cronbachs alpha was 0.75 [29]. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. This page titled 4.10: Criticisms of Transcultural Nursing is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. Data Availability: All the data underlying this study are provided in the Supporting information file. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). doi: 10.2196/17324. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. Holist Nurs Pract. Out of these, 518 nurses were currently working at JMC while 35 attending education. Permission was obtained from JMC where the study was carried out. Jimma medical center;M, Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care Therefore, this study result shows that respondents perceived themselves as having moderate transcultural self-efficacy in working with patients from different cultural backgrounds [Table 2]. How to Become an Aesthetic Nurse: A New Look at This Nursing Niche, Pros and Cons of Being a Travel Nurse: Expert Insight for New Nurses, Vascular Access Nursing: The Sticking Points You Should Know, Can Nurses Have Tattoos? Then, simple random sampling using lottery methods was employed to select the nurses from the hospital. Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. (2012), in which intercultural communication was positively associated with cultural self-efficacy [33,34]. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. Citation: Berhanu RD, Tesema AA, Deme MB, Kanfe SG (2021) Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study. 10.24.2022. For additional information about Licensing and State Authorization, and State Contact Information for Student Complaints, please see those sections of our catalog. Data were analyzed using IBM SPSS Statistics Version 26. nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. Additionally, in-depth interview was conducted among 10 nurses. An observational study. You can learn more about the efforts being put into place and the statistics that support them by visiting the AACNs fact sheet on enhancing diversity in the workforce. This finding was corroborated by the qualitative finding as a 25-year-old female participant said, my confidence in delivering care to patients of different cultures is increased as I stay longer in caring practice (Participant 4). The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. The questionnaire had six parts: (i) socio-demographic questionnaire, (ii) cultural self-efficacy scale (CSES), (iii) intercultural communication scale (ICS), (iv) cultural sensitivity scale (CSS), (v) interpersonal communication scale (IPCS) and (vi) cultural motivation scale (CMS). Unauthorized use of these marks is strictly prohibited. It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. Cultural competency among Lithuanian nurses and preparedness to work with intercultural immigrants: A quantitative study protocol. Pursing a Bachelors degree in Nursing could hold the key to your achieving the educational cornerstones of becoming the culturally competent nurse that healthcare facilities are looking for. Leininger MM; The differences in cultural care and the theory of universality. 2023 Rasmussen College, LLC. This requires nurses to recognize and appreciate cultural differences in healthcare values, beliefs, and customs. Longitudinal study is encouraged to determine cause and effect relationships. Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. (2019) in Columbia in which the mean score was 2.58 [25]. One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). Transcultural nursing is defined as a substantive area of nursing focused on cultural care values, beliefs and practices of individuals or groups of similar or different cultures. The mean TSE score was 2.89 (SD = 0.59) out of the total possible scores ranging from 1 to 5 which indicates a moderate level of transcultural self-efficacy. The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). All participants were provided written informed consent to participate in the study. Front Public Health. These include having a base knowledge of propensity of certain diseases among various cultures; holidays and prohibited foods and beverages of specific religious groups; psychological and biological variations among varying cultures; and a cultures relationship to the environment, which can impact receptivity to healthcare interventions. Sex, work experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. The study results showed that sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. Journal of Transcultural Nursing Impact Factor: 1.869 5-Year Impact Factor: 2.322 JOURNAL HOMEPAGE SUBMIT PAPER Restricted access Research article First published online June 29, 2016 Overview of the Theory of Culture Care with the Ethnonursing Research Method Madeleine Leininger, PhD, LHD, DS, CTN, RN, FAAN View all authors and affiliations If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. As the need for a more direct relationship with patients presented itself, nurses filled . The final sample size was 244 after 10% non-response was added. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. 11.14.2022, Kalie Debelak | A total of 236 nurses participated in the study making the response rate 96.7%. Nurses who had higher motivation to work amidst cultural diversity demonstrated higher perceptions of transcultural self-efficacy. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. This theory focuses on exploring different and universal cultures and providing comparative care.

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