It was checked whether the themes work with the coded extracts. doi:10.1371/journal.pone.0254643, Editor: Paola Gremigni, University of Bologna, ITALY, Received: November 13, 2020; Accepted: June 30, 2021; Published: July 22, 2021. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. Through such communication, it also becomes possible to exchange cultural dimensions and worldviews (Betancourt & Daniel, 2015). The level of perceived transcultural self-efficacy was moderate among nurses. Before actual data collection, the data collection tools were pretested on 25 nurses working at Agaro General Hospital to measure the internal consistency of the tools, to estimate data collection time, and to make modifications as needed. In our todays world, globalization has resulted in a new way to approach clients considering their cultural background. However, it is opposite to the study of Asurakkody (2019), in which female nurses demonstrated a higher transcultural self-efficacy score than males [29]. It is also inconsistent with the study of Li et al. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. Please visit www.rasmussen.edu/degrees for a list of programs offered. 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. Thats where transcultural nursing comes in. The records of the research path were kept throughout the study. 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Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. Longitudinal study is encouraged to determine cause and effect relationships. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view of health, illness, care, beliefs and values [3, 5, 13]. In this article, the first of two parts, transcultural nursing is explained in terms of its assumptions, benefits and limitations and the emerging literature in this area of mental healthcare practice is highlighted. Nurses who had higher communication ability with people had greater transcultural self-efficacy. Funding: The authors received no specific funding for this work. Linear regression assumptions were checked before data analysis. Ethiopian birr;ICS, 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. Determine whether the following statement is true or false regarding the evolution of nursing to the point where the theory of transcultural nursing was introduced: Nurses were initially brought in to assist medical personnel in an administrative capacity. Compromising cultural beliefs and studies with the general state of provision of health care, Respecting for the sociocultural diversity of women, newborn babies and their families [. The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. CSS consists of 3 items that ask to know about patients cultures, adapting treatments for patients, and considering culture when making recommendations. Its Cronbachs alpha was 0.75 [29]. Nurses actions, desires, and needs to learn about and engage with culture-based care measured using 5 items on a Likert scale with the value ranging from 525. Another criticism is that paying particular attention to the patient of a particular culture, and focusing on that side can cause limitations in care. The model developed in 1988 was first published in 1990. One unit increase in cultural motivation results in 0.635 unit increase in transcultural self-efficacy ( = .635, p < .001). One unit increase in intercultural communication results in 1.163 units increases in transcultural self-efficacy ( = 1.163, p < .001). transcultural nursing is to provide "culturally congruent, sensiti ve and competent nursing care" (Leininger, 1995, p4). It adopts a multi-factorial approach affecting health and care such as environmental conditions, ethnography, language, gender, class, racism, social structuring, belief, politics, economics, kinship, technology, culture and philosophy. Transcultural nursing is a comparative study of cultures to understand similarities (culture universal) and difference (culture-specific) across human groups (Leininger, 1991). Would you like email updates of new search results? 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. 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. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. 2023 Rasmussen College, LLC. It is again consistent with the finding from the study of Li et al. Since nurses lie at the front line of health care providers, they have the opportunity to stand out as the ones who can understand and are sensitive to the cultures of patients by helping patients with their particular lifeways and in their environmental context [9,19]. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. Andrews MM; Culturally adequate nursing care. Epub 2020 May 21. Abebe Abera Tesema, In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. 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. 2020 Nov 30;9(11):e17324. In-depth interview;IPCS, The finding of the study indicates that intercultural communication is significantly associated with the transcultural self-efficacy of nurses, i.e. These findings are supported by the study of Asurakkody (2019), in which cultural sensitivity, interpersonal communication, and cultural motivation positively and significantly predicted TSE [29]. Leininger describes transcultural nursing as a branch of nursing or nursing school based on comparative research and analysis of different cultures which provides cultural universalism and cultural independence in nursing care and focuses on comparative studies and analyzing differences in cultures around the world in a respectful manner in view nurses, and M.Sc. 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. nurses. An official website of the United States government. Culture Set of values, beliefs and traditions, that are held by a specific group of people and handed down from generation to generation. The theory consistently approaches culturally based care by requiring the nurse to use cultural knowledge as well as specific skills when deciding nursing interventions and practices. The finding of the present study indicates that being male increases transcultural self-efficacy. eCollection 2022. 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. A major limitation of transcultural nursing models is their lack of consideration of the relationship between power and knowledge, and the analysis of prejudice and discrimination (Mulholland, 1995). Federal government websites often end in .gov or .mil. Jess is a Content Specialist at Collegis Education. This requires nurses to recognize and appreciate cultural differences in healthcare values, beliefs, and customs. Descriptive statistics for each subscale of transcultural self-efficacy and the total TSE scale score of nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). Data relevant to each code were collected together. The use of nursing theories and models in nursing researches offers unparalleled contribution to the health care system through the practices of the nurse as a professional. Front Public Health. Standard error;TNT, This is consistent with the social cognitive theory, which proposes successful mastery experiences and vicarious experience increase self-efficacy [32]. This site needs JavaScript to work properly. for only $13.00 $11.05/page. Nurses communication effectiveness between people measured using 7 items on a 5-point Likert scale with the value ranging from 735. Rasmussen University is not regulated by the Texas Workforce Commission. She researches and writes articles on behalf of Rasmussen University to help empower students to achieve their career dreams through higher 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." 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. competence of registered nurses (RNs) through a transcultural nursing education program. Interpersonal communication scale;JMC, Additionally, in-depth interview was conducted among 10 nurses. The IDI guiding questions were checked by experts. In addition, it has been pointed out that concerns about transcultural care in the field of health will only lead to formation of specialization in transcultural care that could increase responsibilities for nurses, which in turn will put a burden on them [2]. 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. The final sample size was 244 after 10% non-response was added. One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, 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. The aims of transcultural nursing are to provide sensitive and effective nursing care to meet the cultural needs of individuals, families and groups, to integrate transcultural concepts, theories and practices into nursing education, research and clinical applications, to improve transcultural nursing knowledge, and to incorporate this knowledge into nursing practice. Make sure your answer has only 5 digits. Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. This theory focuses on exploring different and universal cultures and providing comparative care. In the multivariable linear regression model, statistical significance was declared at p < .05. This model is a tool developed to assess cultural values and their effects on health and disease behavior [33] (Figure 4.8.2). Accordingly, sex, years of nursing experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with the transcultural self-efficacy perception. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. 8600 Rockville Pike Leininger's transcultural nursing theory guided the project. Multivariable linear regression results showing factors associated with transcultural self-efficacy among nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A Longitudinal Study. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). Therefore, having good communication ability is crucial to give care with confidence (Participant 5). One hundred one (42.8%) of the respondents were orthodox in religion. 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. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. You can learn more about the efforts being put into place and the statistics that support them by visiting the AACNs fact sheet on enhancing diversity in the workforce. Unauthorized use of these marks is strictly prohibited. The total score of CMS is between 5 and 25. The cultural needs of mental health clients can be met by transcultural nursing. This is a moderate level of transcultural self-efficacy perception. Orque is a leading figure in developing a cultural model for nursing with the conceptual framework of the ethnic system. 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). Successfully implementing the tenets of transcultural nursing can result in overcoming barriers to communication that may otherwise stand in the way of providing patients with quality care. Clipboard, Search History, and several other advanced features are temporarily unavailable. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. This study was conducted at Jimma Medical Center (JMC). However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. Nurses must consider these concepts in order to deliver culturally congruent healthcare. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. Permission was obtained from JMC where the study was carried out. Globally, health care is becoming more culturally and ethnically diverse over the last 20 years [15]. This includes taking into account patients cultural needs [11]. The internal consistency was tested using a reliability scale.

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