Leininger M; Evaluation of culture care for appropriate and adequate practices. Interviews were transcribed verbatim into plain text, translated into English, and then imported directly into ATLAS.ti. patient care and well-being through a culturally competent nursing education would later be coined as the "Transcultural Theory of Nursing" (Sitzman & Eichelberger, 2004, p. 93). Robera Demissie Berhanu, 2023 Rasmussen College, LLC. The nurses. nurses were recruited from Agaro General Hospital for facilitating quantitative data collection. The scale consists of Likert-type questions with responses ranging from strongly disagree to strongly agree. This is the basis of transcultural nursing. But it is not by separating them by race, ethnicity, tradition, value, and belief that you care therefore, since I am motivated to deliver care in diversity, my perception of confidence in such condition is very good (Participant 1). Intercultural communication scale;IDI, 03/08/2017. One unit increase in cultural motivation results in 0.635 unit increase in transcultural self-efficacy ( = .635, p < .001). The finding of this study highlights that it is advantageous if nurses struggle to improve their cultural understanding and knowledge of transcultural nursing theories. Ray, M. (1994). PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. Credibility was assured through long-lasting engagement with IDI participants and by investing sufficient time to become familiar with the setting and context, to test for misinformation, to build trust, and to get to know the data to get rich. The level of perceived transcultural self-efficacy was moderate among nurses. The qualitative finding supported this in that one female participant said, when I communicate very well, I can solve the problems quickly. Nurses who were not found during the data collection period due to annual leave, maternal leave, or some other social problems were excluded. Leininger M; Cultural care theory and ethnocentric research method. The population comprised of 650 undergraduate students attending the nursing schools of three universities. Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. Geographically, it is located in Jimma town which is found at 352km from Addis Ababa, the Capital city of Ethiopia. Please correct the errors and submit again. It is argued that extraordinary endeavors in cultural sensitivity can result in the classification of cultures, thereby leading to stereotyped behaviors in certain cultures, races and religions. Sex, work experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. Make sure your answer has: There is an error in ZIP code. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. The finding indicates the mean score of transcultural self-efficacy perceptions to be 2.89. Simple random sampling technique was used to recruit participants in the quantitative part of the study. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Talk with an admissions advisor today. 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. Standard error;TNT, Qualitative data were coded and analyzed thematically. Data relevant to each code were collected together. 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. 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 need for transcultural nursing will continue to be an important aspect in healthcare. This article discusses changes that are important to transcultural nursing. The American population is currently more diverse than it has ever been, and it is predicted that the country will become even more racially and ethnically diverse in the coming years, according to the U.S. Census Bureau. Finally, causality could not be established because the study was cross-sectional. Purposive sampling technique was used to recruit participants for in-depth interviews. Bookshelf 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. Dependability and confirmability were assured through transparently describing the research steps taken from the start of a research proposal to the development and reporting of the findings. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. Sarah probes the potential and the limitations of care robots - and looks at historical ideas from earlier eras about emotional qualities, including fortitude and . One-day training was given for data collection facilitators regarding the objective of the study, data collection tools and procedures, how to approach respondents, and how to keep confidentiality. The total score of CMS is between 5 and 25. Make sure your answer has only 5 digits. Jess is a Content Specialist at Collegis Education. In the nursing context, RegisteredNursing.org defines transcultural nursing as a "nursing specialty which focuses on global cultures and comparative cultural caring, health, and nursing phenomena" with the aim of providing "culturally congruent nursing care." Table 1: Narayanasamys ACCESS model (1998). When you find the way, your confidence is increased (Participant 3) [Table 3]. Ethnonursing This self-efficacy may be affected by different factors, either positively or negatively. 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]. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. 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. 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. It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). Diversity awareness, according to the National Student Nurses Association (NSNA), refers to a conscious and ongoing process in which we identify similarities and differences within and between varying cultural groups. degree in nursing. Transcultural self-efficacy is a nurses perception of his or her own ability to accomplish activities effectively for culturally diverse clients. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. 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. It is also true that the number of people who identify as belonging to two or more races will triplefrom 7.5 million to 26.7 millionby 2060. All the independent variables with p < .25 in the bivariate linear regression analysis were entered into the multivariable linear regression analysis to identify factors associated with transcultural self-efficacy. The findings of the present study also indicate that cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. Transcultural nursing is an essential aspect of healthcare today. Transcultural self-efficacy (TSE) is defined as the perception or expectation of a nurse regarding his or her own ability to accomplish activities effectively in the conditions characterized by cultural diversity [2]. official website and that any information you provide is encrypted The in-depth interview results also supported many of these findings. Funding: The authors received no specific funding for this work. Leininger's theory is simple and easy to understand, and this implies it can be applied even on the first contact. nurses. Gidgup MJR, Kickett M, Jacques A, Weselman T, Hill KD, Coombes J, Ivers R, Bowser N, Palacios V, Hill AM. Additional nursing research is needed to promote transcultural nursing. The theory is guided by powerful concepts and propositions that are applicable in different healthcare settings. The https:// ensures that you are connecting to the 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. 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]. Legal. Department of Health Informatics, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia. Copyright: 2021 Berhanu et al. Spector RE; Cultural care: guidelines for inheritance, assessment and health traditions [. Rasmussen University may not prepare students for all positions featured within this content. Qualitative data were collected by the principal investigators. Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). sharing sensitive information, make sure youre on a federal This model is a tool developed to assess cultural values and their effects on health and disease behavior [33] (Figure 4.8.2). Fill out the form to receive information about: There are some errors in the form. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. As a comprehensive text for master's and bachelor's level nursing students, it features case studies, care plans, initial role playing exercises, and implications of TCN concepts when planning, implementing and evaluating client care.T CN Theory, Models, and Assessment Guide Discussed: Leininger's Expand lghttp.48653.nexcesscdn.net 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. Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. It has outpatient and inpatient services, maternal and child health services, referral and follow-up services, physiotherapy and rehabilitative services, intensive care, and recovery services. It is considered a cognitive specialty within nursing, which first originated by combining the culture construct of anthropology with the care construct of nursing. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. You can expect nursing programs to direct their efforts toward attracting and retaining students from underrepresented groups in nursing. Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientational definitions. It is emphasized that the patient may feel special, needing protection or patronized. Clipboard, Search History, and several other advanced features are temporarily unavailable. The internal consistency was tested using a reliability scale. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular . This study was conducted at Jimma Medical Center (JMC). The goal of the theory is to develop a body of knowledge to establish nursing care that is sometimes culture-specific and sometimes culture-universal. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). Our experts can deliver a Madeleine Leininger's Theory of Transcultural Nursing essay. The study was reviewed and approved by Jimma Universitys Ethical Institutional Review Board. The Cronbachs alpha was 0.97 when it was developed [28] and Herrero Hahn et al. Join us as we explore the definition of transcultural nursing, the need for increased cultural competency in U.S. healthcare and the impact these will have on the future of nursing in our country. They described cultural beliefs, health practices, poverty, fear, frustration, shock/surprise, and sympathy. Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. With the population growing more diverse, its becoming more and more common for healthcare providers to treat patients whose cultural backgrounds differ from their own. 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. A nursing theory turns out to be a group of significant related concepts and relationships the purpose of which is to guide practice and promote the delivery of care. 4.10: Criticisms of Transcultural Nursing. 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. 2 MULTICULTURAL AND TRANSCULTURAL NURSING THEORY Introduction Patient-centered care is an evidence-based approach that focuses on the needs, preferences, and values of patients, which guarantees quality, safe and optimal healthcare to patients (Engle et al., 2019). We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Mean scores and standard deviations were computed to determine the level of transcultural self-efficacy of nurses. Transcultural health: attitudes, perceptions, knowledge of Italian nurses. The result showed the data were approximately normally distributed. (2017) reported Cronbachs alpha of 0.978 [3]. Shuma Gosha Kanfe, Affiliation: Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. The overall mean score of TSE was divided by 25 (the total number of items) giving the value ranging from 1 to 5. These models focus on the relationship of nursing to concepts and theories related to life, health, disease and society, facilitate organizing their thoughts, and provide a common language among professional members. 8600 Rockville Pike The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. 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. The finding of this study encourages nursing curriculum makers in Ethiopia to incorporate transcultural nursing education into the present curriculum and it calls for the need to offer transcultural nursing training for nurses. This website uses cookies to ensure you get the best experience. More than half 132 (55.9%) of them were female and 138(58.5%) of them were Oromo. { "4.01:_Introduction" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.02:_Cultural_Factors_Affecting_Health_and_Disease" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.03:_Health_Culture" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.04:_Transcultural_Healthcare" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.05:_Understanding_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.06:_The_Significance_of_Cultural_Competence" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.07:_The_History_of_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.08:_Transcultural_Nursing_Care_Models" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.09:_Transcultural_Nursing_Education" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "4.10:_Criticisms_of_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()" }, { "00:_Front_Matter" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "01:_Introductory_Chapter-_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "02:_Choosing_Your_Philosophical_Slat" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "03:_Effective_Communication_in_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "04:_Transcultural_Nursing" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "05:_How_to_Solve_Conflicts_between_Nurses_and_Patients-_Examination_from_Japanese_Culture" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "zz:_Back_Matter" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()" }, [ "article:topic", "license:ccby", "showtoc:no", "autonumheader:yes2", "authorname:nulutasdemir", "licenseversion:30", "author@Vasfiye Bayram De?er", "source@https://www.intechopen.com/chapters/61494" ], https://med.libretexts.org/@app/auth/3/login?returnto=https%3A%2F%2Fmed.libretexts.org%2FBookshelves%2FNursing%2FNursing_(Ulutasdemir)%2F04%253A_Transcultural_Nursing%2F4.08%253A_Transcultural_Nursing_Care_Models, \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}}}\) \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{#1}}} \)\(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\), 4.7: The History of Transcultural Nursing, Giger and Davidhizars Trans-cultural Assessment Model, Nurses Competence to Provide Trans-cultural Care, source@https://www.intechopen.com/chapters/61494, status page at https://status.libretexts.org, Culturally focusing on the patients life style, beliefs and practices related to health, Awareness of the variety of verbal and nonverbal reactions. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: Having the ability to understand complex cultural dimensions. The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. The records of the research path were kept throughout the study. Another 27-year-old male participant also said, for example patients come from different regions speaking different languages and having different cultures. Nurses confidence when providing care for patients from different cultural backgrounds measured using 25 items on a 5-point Likert scale with the value ranging from 25125. An official website of the United States government. Narayanasamy described the model in 1998 with the letters ACCESS (Assessment, Communication, Cultural negotiations and Compromise, Establishing respect, Sensitivity and Safety) to form the framework of cultural care practices [42] (Table 1). Kirsten Slyter |
11.07.2022, Jordan Jantz |
However, the study has several limitations. This calls for the need to offer transcultural nursing training for nurses. & Davidhizar RE; Transcultural nursing; Evaluation and intervention. With similar changes in our nursing workforce, you can expect new nursing graduates to be armed with an abundant knowledge base of cultural competency and diversity in healthcare. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. eCollection 2022. An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientatio Transcultural nursing employs the concepts of ethnicity, race, and culture in order to understand individuals' perceptions and behaviors. As the need for a more direct relationship with patients presented itself, nurses filled . Abebe Abera Tesema, 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. Quantitative results were integrated with qualitative results. This list was used as a sampling frame. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. Abbreviations: The initial calculated sample size was 384. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. Being able to deal with cultural differences in real terms and make interpretations, Being able to use appropriate cultural teaching techniques. The Transcultural Nursing Theory is therefore a powerful framework that guides nurses to implement appropriate processes that can maximize patient outcomes. Before In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. J Transcult Nurs. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. Among these, 553 were diploma nurses, B.Sc. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. For new nursing graduates looking to enter the field, it can be helpful to be proactive in learning more about cultural competence in healthcare, whether by signing up for a relevant class or volunteering in culturally diverse healthcare settings. This finding is also consistent with the social cognitive theory which suggests individuals with greater mastery tend to have higher self-efficacy [35]. Backward elimination was used for selecting variables in the final model. So what does this call for transcultural competency mean for practicing nurses? 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. eCollection 2022. Individualized intercultural care is a nurses responsibility as both a human and a professional. Rasmussen University is not regulated by the Texas Workforce Commission. The authors would like to thank all the nurses who were volunteered to participate in this study. The total number of in-depth interviews was determined by the level of data saturation and a minimum of eight in-depth interviews were conducted. Cultural sensitivity scale;ETB, Mean;SD, Whilst g lobalisation was a pparent some time b efore the appearance of . Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. This choice was made as a social constructivist approach would allow us to better understand how participants construed their lived realities. This finding is also consistent with the study of Herrero-Hahn et al. Participants who were genuinely willing to take part and prepared to offer data freely were involved in the study. Vitale E, Lupo R, Calabr A, Ilari F, Lezzi A, Zacchino S, Vergori S, Chetta G, Latina S, Benedetto A, Lezzi P, Conte L. Acta Biomed. Standard deviation;SE, A structured self-administered questionnaire was used to collect data for this study.