Factors Influencing Cultural Competency among Nursing Students

간호대학생의 문화적 역량에 대한 영향 요인

  • Received : 2015.09.03
  • Accepted : 2015.10.20
  • Published : 2015.10.31

Abstract

The purpose of this study was to examine the factors affecting cultural competency among nursing students in Korea. This study was a cross-sectional survey design. Participants were 188 undergraduate nursing students in E university, Gyeonggi province. Data collection was conducted through the use of self-administration questionnaires of self-efficacy, empathy, confidence of cultural nursing, and cultural competency from 2nd November to 13th December in 2013. The data were analyzed descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression analysis using SPSS 18.0 software. The average age of the participants was 20.97 (SD=2.0) years and the average score of foreign language skill and confidence of cultural nursing was 4.98 (SD=1.72) and 4.66 (SD=1.89), respectively. Mean self-efficacy score was 79.32 (range: 59-102), mean empathy score was 107.56 (range: 61-141), and mean cultural competency score was 122.17 (range: 69-201). Statistically significant positive relationships were found between cultural competency and confidence of cultural nursing (r=.403, p<.001), and between cultural competency and self-efficacy (r=.227, p<.001). Twenty-four percent of cultural competency was explained by confidence of cultural nursing, residence experience in foreign country, and self-efficacy. Based on these results, it can be suggested that diversity of teaching methods and cultural education programs need to improve cultural competency.

본 연구의 목적은 한국의 간호대학생의 문화적 역량에 미치는 영향 요인을 파악하기 위한 횡단적 조사연구이다. 경기도에 위치한 E 대학 간호대학생 188명을 대상으로 자기효능감, 공감능력, 문화간호 자신감, 문화적 역량에 대한 자가보고 질문지를 사용하여 2013년 11월 2일부터 12월 13일까지 자료를 수집하였다. 수집된 자료는 SPSS 18.0을 이용하여 기술통계, t 검정, 일원분산분석, 상관분석, 다중선형회귀분석을 하였다. 연구대상자의 평균 연령은 20.97세(SD=2.00)이었고 외국어 능력과 문화간호 자신감의 평균 점수는 각각 4.98점(SD=1.72)과 4.66점(SD=1.89)이었다. 자기효능감의 평균 점수는 79.32점(범위 59-102)이었고, 공감능력의 평균 점수는 107.56점(범위 61-141)이었으며, 문화적 역량의 평균 점수는 122.17점(범위 69-201)이었다. 문화적 역량과 문화간호 자신감(r=.403, p<.001), 자기효능감(r=.227, p<.001) 간에는 유의한 정적 상관관계가 있었다. 간호대학생의 문화적 역량에 유의하게 영향을 미치는 요인은 문화간호 자신감, 외국거주경험, 자기효능감이었고 총분산의 24%를 설명하고 있었다. 이러한 결과를 토대로 간호대학생의 문화적 역량을 향상시키기 위한 다문화교육 프로그램과 다양한 교수방법이 필요하다.

Keywords

References

  1. Askarian, M., Memish, Z. A., Khan, A. A. (2007). Knowledge, practice, and attitude among Irianian nurses, midwives and students regarding standard isolation precautions, Infect Control Hospital Epidemiology, 28(2), 241-244. https://doi.org/10.1086/510868
  2. Bandura, A. (1977). Self-efficacy: The exercise of control, New York, NY: Freeman.
  3. Caffrey, R. A., Neander, W., Markle, D., Stewart, B. (2005). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience, Journal of Nursing Education, 44(5), 234-240.
  4. Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care, Journal of Transcultural Nursing, 13(3), 181-184. https://doi.org/10.1177/10459602013003003
  5. Campinha-Bacote, J. (2007). Becoming culturally competent in ethnic psychopharmacology, Journal of Psychosocial Nursing and Mental Health Services, 45(9), 27-33.
  6. Chae, D. H., Park, Y. H., Kang, K. H., Lee, T. H. (2012). A study on factors affecting cultural competency of general hospital nurses, Journal of Korean Academy of Nursing Administration, 18(1), 76-86. (in Korean). https://doi.org/10.11111/jkana.2012.18.1.76
  7. Cho, M., Ki, K., Chun, S. (2012). The knowledge and self-confidence to perform cardiopulmonary resuscitation of hemodialysis nurses in private clinics, Journal of the Korean Data Analysis Society, 14(5B), 2595-2610. (in Korean).
  8. Chung, M. S. (2014). Relations on self-esteem, empathy and interpersonal relationship for reinforcing competence in communication of nursing students, Journal of Korean Academic Society of Nursing Education, 20(2), 332-340. (in Korean). https://doi.org/10.5977/jkasne.2014.20.2.332
  9. Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for multidimensional approach, Journal of Personality and Social Psychology, 44, 113-126. https://doi.org/10.1037/0022-3514.44.1.113
  10. Dawson, L., Lighthouse, S. (2010). Assessment of self-efficacy for cultural competence in prescribing, The Journal of Nurse Practitioners, 6, 44-48. https://doi.org/10.1016/j.nurpra.2009.02.012
  11. Faul, F., Erdfelder, E., Lang, A. G., Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences, Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  12. Hughes, K. H., Hood, L. J. (2007). Teaching methods and an outcome tool for measuring cultural sensitivity in undergraduate nursing students, Journal of Transcultural Nursing, 18, 57-62. https://doi.org/10.1177/1043659606294196
  13. Jeffreys, M. R., Dogan, E. (2012). Evaluating the influence of cultural competence education on students' transcultural self-efficacy perceptions, Journal of Transcultural Nursing, 23(2), 188-197. https://doi.org/10.1177/1043659611423836
  14. Ji, E. J. (2014). Influence of nursing professionalism, empathic ability on communication ability in senior nursing student, Journal of the Korean Data Analysis Society, 16(3B), 1685-1697. (in Korean).
  15. Kim, K. M. (2010). The factors influencing multicultural receptive behavior on immigrant wives of international marriage, Korean Journal of Woman Psychology, 15, 259-283. (in Korean). https://doi.org/10.18205/kpa.2010.15.2.005
  16. Kim, S. H. (2013). Transcultural self-efficacy and educational needs for cultural competence in nursing of Korean nurses, Journal of Korean Academy of Nursing, 43(1), 102-113. (in Korean). https://doi.org/10.4040/jkan.2013.43.1.102
  17. Kim, D. H., Kim, S. E. (2013). Cultural competence and factors influencing cultural competence in nursing students, Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(3), 159-168. (in Korean). https://doi.org/10.12934/jkpmhn.2013.22.3.159
  18. Kim, H. K., Min, H. Y. (2011). A study on related variables of job involvement of visiting supervisors for multicultural families, Journal of Family Relations, 16, 143-158. (in Korean).
  19. Kim, E., Sung, J. (2014). A study on cultural sensitivity, empathy and self-efficacy in undergraduate health and social welfare students, Journal of the Korean Data Analysis Society, 16(5B), 2769-2779. (in Korean).
  20. Kim, K. S., Yu, M. (2012). The influencing factors associated cultural awareness of immigrants for marriage, foreign workers in Korean nursing students, Korean Journal of Adult Nursing, 24, 531-539. (in Korean). https://doi.org/10.7475/kjan.2012.24.5.531
  21. Koskinen, L., Campbell, B., Aarts, C., Chassé, F., Hemingway, A., Juhansoo, T., Mitchell, M. P., Marquis, L., Critchley, K. A., Nordstrom, P. M. (2009). Enhancing cultural competence: Trans-Atlantic experiences of European and Canadian nursing students, International Journal of Nursing Practice, 15(6), 502-509. https://doi.org/10.1111/j.1440-172X.2009.01776.x
  22. Lee, E. J., Kim, Y. K., Lee, H. K. (2012). A study on the cultural competence of community health practitioners, Journal of Korean Academy of Community Health Nursing, 23(2), 178-188. (in Korean).
  23. Long, T. B. (2012). Overview of teaching strategies for cultural competence in nursing students, Journal of Cultural Diversity, 20, 325-333.
  24. Min, S. H., Lee, M. Y. (2009). A exploratory study about the cultural competence of university students: Focused on the cultural awareness, Journal of Adolescent Welfare, 11(1), 183-206. (in Korean).
  25. Ministry of Public Administration and Security (2015). Statistics on Foreign Residents by Local Governments in 2015, Retrieved August 5, 2015, from http://www.mogaha.go.kr/frt/bbs/type001/commonSelectBoardArticle.do?bbsId =BBSMSTR_000000000014&nttId=46327
  26. Oh, W. O. (2011). Factors influencing cultural sensitivity among nursing students, Journal of Korean Academy of Child Health Nursing, 17(4), 222-229. (in Korean). https://doi.org/10.4094/jkachn.2011.17.4.222
  27. Oh, W. O., Jung, W. S., Kang, H. G., Kim, E. H., Suk, M. H. (2010). Cultural knowledge, empathy and cultural sensitivity of university students majoring in health and welfare, Journal of the Korean Society of School Health, 23, 192-199. (in Korean).
  28. Park, Y. R. (2007). Knowledge, attitude and self-confidence of student nurses regarding nosocomial infection control, Journal of Korean Academy of Fundamentals of Nursing, 14(4), 429-436. (in Korean).
  29. Park, S. H., Lee, J. H., Kim, E. J. (2011). Effects of the multicultural program on the promotion of cultural sensitivity in college students, Korean Journal of Youth Studies, 18(6), 123-145. (in Korean).
  30. Peek, E. H., Park, C. S. (2013). Effects of a multicultural education program on the cultural competence, empathy and self-efficacy of nursing students, Journal of Korean Academy of Nursing, 43(5), 690-696. (in Korean). https://doi.org/10.4040/jkan.2013.43.5.690
  31. Salanova, M., Lorente, L., Chambel, M. J., Martinez, I. M. (2011). Linking transformational leadership to nurses' extra-role performance: The mediating role of self-efficacy and work engagement, Journal of Advanced Nursing, 67(10), 2256-2266. https://doi.org/10.1111/j.1365-2648.2011.05652.x
  32. Schim, S., Doorenbos, A., Miller, J., Benkert, R. (2003). Development of a cultural competence assessment instrument, Journal of Nursing Measurement, 11(1), 29-40. https://doi.org/10.1891/jnum.11.1.29.52062
  33. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., Rogers, R. W. (1982). The self-efficacy scale: Construction and validation, Psychological Reports, 51, 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  34. Sugiura, K. (2003). Survey-based analysis of cultural competence in nursing and its predictors: Comparison between nurses who were Japan overseas cooperation volunteers and nurses working at municipal hospitals, Japan Academy of Nursing Science, 23(3), 22-36.
  35. Yang, S. E. (2015). The study on relationship between empathy, ego resilience, and clinical competence of the nursing students, Journal of the Korean Data Analysis Society, 17(3B), 1699-1710. (in Korean).
  36. Yang, S. Y., Lim, H. N., Lee, J. H. (2013). The study on relationship between cultural competency and empathy of nursing students, Journal of Korean Academic Society of Nursing Education, 19(2), 183-193. (in Korean). https://doi.org/10.5977/jkasne.2013.19.2.183
  37. Yang, J., Park, K., Kim, M., Yang, Y. O. (2012). Factors influencing the confidence on performance of core fundamental nursing skills among nursing students, Journal of the Korean Data Analysis Society, 14(5B), 2611-2622. (in Korean).