limitations of transcultural nursing theoryjennifer ertman autopsy
Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. This self-efficacy may be affected by different factors, either positively or negatively. All Rights Reserved. Foronda and Belknap (2012) conducted a qualitative study investigating the experience of American nursing students who studied abroad in a low-income country. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. The principal investigators (RDB and MBD) conducted the interviews in Afaan Oromo and Amharic. Please select another program or contact an Admissions Advisor (877.530.9600) for help. 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. Additionally, in-depth interview was conducted among 10 nurses. 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. Transcultural self-efficacy is a nurses perception of his or her own ability to accomplish activities effectively for culturally diverse clients. 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. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. In this study, the participants revealed thoughts of constant comparisons, emotional journeys, and learning. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. The program you have selected is not available in your ZIP code. The fundamental assumptions of this theory are: a. Transcultural consciousness (awareness, seeking to understand, critical reflection) engenders an appreciation of both cultural diversity and the reality of sharing a common humanity. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. The CSES-Cultural Concepts scale consists of three items and assesses knowledge of cultural concepts (i.e., ability to distinguish inter- from intracultural diversity, ability to distinguish ethnocentrism from discrimination, ability to distinguish between ethnicity and culture). The CSES consists of three subscales. 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. doi: 10.2196/17324. 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). Confidence interval;CMS, 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. Background Transcultural self-efficacy is a nurse's perception of his or her own ability to accomplish activities effectively for culturally diverse clients. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. The study was reviewed and approved by Jimma Universitys Ethical Institutional Review Board. This study was conducted at Jimma Medical Center (JMC). Spector RE; Cultural care: guidelines for inheritance, assessment and health traditions [. Nurses who had at least 6-month work experience at JMC were included in the quantitative strand of the study. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. However, I individually have the confidence of medium type though there are some disagreements among some few things (Participant 1). It was administered in English. The interview findings were finalized into four major themes: transcultural self-efficacy perception, sociodemographic factors that influence transcultural self-efficacy, cultural factors influencing transcultural self-efficacy, and person-to-person communication skills. Knowledge, awareness, and acceptance of other cultures measured using 3 items on a Likert scale with the value ranging from 315. 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. The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). Ray, M. (1994). An observational study. 2020 Nov 30;9(11):e17324. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. However, researchers identified that working with culturally diverse patients can be challenging due to differences in ideas, beliefs, thoughts, norms, customs, and traditions. With a national ratio of 854 nurses per 100,000 people reported in 2008while also taking into account the severe nursing shortage weve experienced since thenit has become increasingly crucial to nurture a more diverse, culturally competent nursing workforce. All participants were provided written informed consent to participate in the study. sharing sensitive information, make sure youre on a federal Abebe Abera Tesema, 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]. If poorly managed, this can result in miscommunication, maladaptive behaviors, and interpersonal conflicts [15,2022]. This expands your motivation and lets you to the way to handle such diversity. All variables were entered into bivariate linear regression analysis and independent variables with p < .25 were considered candidates for multivariable linear regression analysis. The higher the value, the higher the confidence of nurses in providing care to patients of different cultural backgrounds. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. In fact, the U.S. is projected to become a majority-minority nation for the first time in the year 2043, which means that non-Hispanic whites will make up less than 50 percent of the population. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. Legal. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). 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. Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. It was checked whether the themes work with the coded extracts. Nurses who had greater than 2-years of work experience were included purposely in the qualitative strand of the study for they could provide detailed information. Nurs Forum. This self-efficacy may be affected by different factors, either positively or negatively. There are also national concerns about health disparities since the cultural diversity of the population is increasing. Transcultural health: attitudes, perceptions, knowledge of Italian nurses. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. This was a descriptive study. Sarah probes the potential and the limitations of care robots - and looks at historical ideas from earlier eras about emotional qualities, including fortitude and . 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]. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. Nurses must consider these concepts in order to deliver culturally congruent healthcare. Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. official website and that any information you provide is encrypted 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 ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. It is a nurses confidence in delivering care to patients coming from different cultural backgrounds or it indicates nurses degree of confidence to provide both culture-general and culture-specific care [3,4]. Leininger's theory helps to better define the expectations of the nurse-patient relationship because ultimately the nurse is the one who implements care { "4.01:_Introduction" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.
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