Cultural Competence and Psychological Empowerment Among Acute Care Nurses

Bauce, Karen; Kridli, Suha Al-Oballi; Fitzpatrick, Joyce J.

doi:10.9730/ojccnh.org/v4n2a3

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…In regard to correlation among study variables, there was no significant correlation between empowerment and cultural competence, which resembles the results reported by Bauce, Kridli, and Fitzpatrick [ 12 ]. Given that empowerment may be an important contributor to professional nursing practice and may influence the provision of culturally competent care [ 12 ], strategies to enhance nurses’ empowerment, which subsequently may strengthen culturally sensitive care, need to be developed. Instrument development to measure nurses’ empowerment in regard to their culturally competent care would also be helpful for further investigation.…”

Section: Discussionsupporting

confidence: 88%

“…Although a direct comparison of study results may be limited due to the shortage of studies on multicultural issues, the mean cultural competence scores among visiting nurses in this study were above the median level, which was higher than those among nurses in tertiary level university hospitals [ 25 ] and undergraduate nursing students in Korea [ 26 ] but were lower than those in undergraduate freshmen and faculty members in US nursing schools [ 27 ]. Considering that nurses’ cultural competence is reflected in their ability to provide qualified health care to clients with various cultural backgrounds [ 12 ], it was significant to find that levels of empowerment among visiting nurses in this study were above the median value. However, as compared to scores on the meaning and competence subscales of empowerment, those on the impact subscale of this measure were relatively low.…”

Section: Discussionmentioning

confidence: 86%

“…Further, when nurses provide competent care for patients with culturally diverse backgrounds, empowerment is an important attribute in their nursing practice that may influence the provision of culturally competent nursing care [ 12 ]. Empowerment may enhance nurses’ cognitive resources and improve their confidence through autonomy [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting the cultural competence of visiting nurses for rural multicultural family support in South Korea

Suk

2018

BMC Nurs

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BackgroundWith the recent growth of multicultural families in the Korean society, the importance of the role of qualified visiting nurses in the delivery of culturally sensitive health care has grown dramatically. As the primary health care provider for multicultural families enrolled in public community-based health care centers, the cultural competence of visiting nurses is an essential qualification for the provision of quality health care for multicultural families, especially in rural areas. Cultural competence of visiting nurses is based on their cultural awareness and empathetic attitude toward multicultural families. This study aimed to examine the levels of cultural competence, empowerment, and empathy in visiting nurses, and to verify the factors that affect the cultural competence of visiting nurses working with rural multicultural families in South Korea.MethodsEmploying a cross-sectional descriptive study design, data from 143 visiting nurses working in rural areas were obtained. Data collection took place between November 2011 and August 2012. The measurement tools included the modified Korean version of the Cultural Awareness Scale, the Text of Items Measuring Empowerment, and the Interpersonal Reactivity Index to measure the level of empathy of visiting nurses. Analyses included descriptive statistics, a t-test, an ANOVA, a Pearson correlation coefficient analysis, and a multiple linear regression analysis.ResultsThe cultural competence score of the visiting nurses was 3.07 on a 5-point Likert scale (SD = 0.30). The multiple regression analysis revealed that the cultural competence of visiting nurses was significantly influenced by experience of cultural education, empathy, and scores on the meaning subscale of the empowerment tool (R2 = 10.2%).ConclusionsInstitutional support to enhance visiting nurses’ empowerment by assuring the significance of their job and specific strategies to enhance their empathy would be helpful to improve the cultural competence of visiting nurses. Additionally, regular systematic education on culturally sensitive care would be helpful to enable visiting nurses to provide culturally sensitive care for multicultural families.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Factors affecting the cultural competence of visiting nurses for rural multicultural family support in South Korea

Suk

2018

BMC Nurs

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“…Cultural Knowledge. Bauce, Kridli, & Fitzpatrick (2014) mentioned that since nurses primarily deliver direct health care services, they are expected to have knowledge on various health beliefs and practices of their patients in planning and implementing culturally appropriate interventions.…”

Section: Cultural Competencementioning

confidence: 99%

Act Local but Think Global: Transcultural Nursing Competencies and Experiences of Foreign Students from Selected Higher Education Institutions in the Philippines

Malabat

Ruiz²

2019

isc

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Introduction: The need for transcultural nursing competencies amongst students offers an array of improvements in nursing education, hospitals, and communities around the globe. This research assessed the level of transcultural nursing competencies and experiences of foreign nursing students. Methods: Data were collected using a mixed methods design with a purposive sample of 104 respondents through a researcher-made tool which underwent exploratory factor analysis establishing its reliability and validity. Frequency distribution and percentage, weighted mean and standard deviation, Mann-Whitney U-test, Kruskal-Wallis H-test and Spearman rank were utilized for data analysis. Results: Significant differences were observed in the development of cultural knowledge among sex (p=0.027) and nationality (p=0.046) showing higher assessment among females and different nationalities have different level of knowledge; females have higher perceived assessment of cultural skills than males (p=0.038). Significant relationship were between general experiences in education and cultural awareness (p=0.003); classroom instruction and cultural skills (p=0.002); clinical instruction and clinical awareness (p=0.024) and cultural skills (p=0.003); cultural encounters (p=0.003) and cultural desire (p=0.021); clinical practice and cultural awareness (p=0.000); cultural skills (p=0.003); cultural encounters (p=0.000) and cultural desire (p=0.012). Respondents had adequate general experiences in nursing education (M=3.13); classroom (M=3.16); clinical instruction (M=3.13) and clinical practice (M=3.38). They acquired clinical experiences and adequate competence in cultural awareness (M=3.73); cultural knowledge (M=3.24); cultural skills (M=3.27); cultural encounters (M=3.16) and cultural desire (M=3.52). Respondents were knowledgeable of other cultures and they understood institutional difficulties discouraging cultural groups from obtaining healthcare services. They had skills in understanding the relationship between health and culture including cultural assessment tools used to evaluate patients and they possessed the willingness to learn from others. Discussion: Students’ theoretical and clinical experiences need strengthening and improvement by incorporating transcultural nursing in the curriculum.

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“…Most people in the LGBT community report culturally inadequate care or avoid visiting medical facilities for fear of receiving substandard care [8]. The fact that many providers do not know how to discuss sexual orientation or gender identity with their patients perpetuates invisibility of LGBT patients in clinical settings and contributes to the widespread lack of LGBT-inclusive cultural competency and clinical training for providers [9][10][11].…”

Section: Archivos De Medicina Issn 1698-9465mentioning

confidence: 99%

Cultural Congruent Care: A Reflection on Patient Outcome

Clarke¹

2017

J Healthc Commun

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The growing diverse multicultural population in the United States requires that healthcare workers develop cultural knowledge, awareness, and sensitivity to help diverse patient population receive quality health care. Personal belief has been identified as a significant contributor to professional care delivery and may influence the provision of culturally competent care. However, the relationship between cultural competence and the individual cognitive perception has been an uneasy one. This article explores the moral foundations of cultural competence and ultimately its impact on patient care outcome.

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Cultural Competence and Psychological Empowerment Among Acute Care Nurses

Cited by 6 publications

References 20 publications

Factors affecting the cultural competence of visiting nurses for rural multicultural family support in South Korea

Factors affecting the cultural competence of visiting nurses for rural multicultural family support in South Korea

Act Local but Think Global: Transcultural Nursing Competencies and Experiences of Foreign Students from Selected Higher Education Institutions in the Philippines

Cultural Congruent Care: A Reflection on Patient Outcome

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