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

Abstract

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.

Improving Cultural Competence and Self-Efficacy Among Postgraduate Nursing Students: Results of an Online Cultural Care Training Program

“…Cultural self-efficacy is the ability of health care providers to design, implement, and evaluate cultural care for culturally diverse clients (Hartman, 2017). Acquisition of cultural competence and self-efficacy plays a significant role in nurses' perception of the clients' values and characteristics reduces cultural gap, eliminates health care disparities, promotes clients satisfaction, and improves health outcomes (Tong et al, 2021).…”

Nurses' experiences of providing transcultural nursing care to minority patients in Yunnan province: A descriptive qualitative study

“…However, nurses commonly report feeling ill prepared (Halabi & De Beer, 2018; Markey et al, 2018) and experience difficulties when adapting to culturally diverse caring practices (Markey et al, 2020). In China, nurses also report low confidence in providing transcultural nursing care (Tong et al, 2021) and have identified that there is room for improvement in their cultural competence (Cai et al, 2021). According to Prosen (2015), the professional imperative of delivering culturally congruous care can be accomplished only by achieving cultural competence through education, training, and experience.…”

“…However, nurses commonly report feeling ill prepared (Halabi & De Beer, 2018;Markey et al, 2018) and experience difficulties when adapting to culturally diverse caring practices (Markey et al, 2020). In China, nurses also report low confidence in providing transcultural nursing care (Tong et al, 2021) and have identified that there is room for improvement in their cultural competence (Cai et al, 2021).…”