limitations of transcultural nursing theory limitations of transcultural nursing theory

This was a descriptive study. Transcultural nursing ethics: A framework and model for transcultural l ethical analysis . Nurses communication effectiveness between people measured using 7 items on a 5-point Likert scale with the value ranging from 735. Transferability was assured by describing the behavior and experiences of the participants with their context so that the behavior and experiences become meaningful to an outsider. Ulrey and Amason (2001) reported Cronbachs alpha of 0.83 for ICS [27]. Cultural self-efficacy scale;CSS, Mean scores and standard deviations were computed to determine the level of transcultural self-efficacy of nurses. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). This self-efficacy may be affected by different factors, either positively or negatively. The CSES consists of three subscales. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. But this means much more than hiring qualified interpreters. Fill out the form to receive information about: There are some errors in the form. 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. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. You could be on your way to contributing to the new faces of nursing in no time. Culture Set of values, beliefs and traditions, that are held by a specific group of people and handed down from generation to generation. 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. Finally, the collected data were checked for completeness. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. 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). A 26-year-old female participant also said, I imagine it to be medium because there are different cultures and different ways of thinking. Spector RE; Cultural difference in health and disease. The total score of CMS is between 5 and 25. Strange M, Nilsson C, Zdravkovic S, Mangrio E. JMIR Res Protoc. Nurses confidence when providing care for patients from different cultural backgrounds measured using 25 items on a 5-point Likert scale with the value ranging from 25125. The IPCS was used to measure interpersonal communication. First, the list of all nurses was taken from the matron office of JMC with their corresponding wards or departments. Cultural sensitivity scale;ETB, Therefore, this study result shows that respondents perceived themselves as having moderate transcultural self-efficacy in working with patients from different cultural backgrounds [Table 2]. The Cronbachs alpha was 0.97 when it was developed [28] and Herrero Hahn et al. It also requires the specialization of health personnel in order to provide qualified, culturally specific care. This requires nurses to recognize and appreciate cultural differences in healthcare values, beliefs, and customs. The questionnaire was adapted from related studies and was used for data collection [2427]. The initial calculated sample size was 384. They described cultural beliefs, health practices, poverty, fear, frustration, shock/surprise, and sympathy. It has outpatient and inpatient services, maternal and child health services, referral and follow-up services, physiotherapy and rehabilitative services, intensive care, and recovery services. Pacquiao DF; Cultural competence in ethical decision making. 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. The ability to recognize and embrace cultural diversity is of utmost importance to all health care providers, particularly to nurses since they come into very intimate contact with health care seekers of different cultures. This theory focuses on exploring different and universal cultures and providing comparative care. Ethiopian birr;ICS, One-day training was given for data collection facilitators regarding the objective of the study, data collection tools and procedures, how to approach respondents, and how to keep confidentiality. Vitale E, Lupo R, Calabr A, Ilari F, Lezzi A, Zacchino S, Vergori S, Chetta G, Latina S, Benedetto A, Lezzi P, Conte L. Acta Biomed. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. The International Nurses Association (ICN) invited the nurses from the World Health Organization (WHO) member countries to work on adaptable models to their communities at the 1989 Seoul Conference. 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]. Dynamics of diversity: becoming better nurses through diversity awareness. 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. The qualitative finding supported this in that a 32-year-old male participant said;as nurses are more and more culturally sensitive, they tend to have higher confidence in giving care to patients coming from different cultures (Participant 6). Quantitative sample size was calculated using a formula for a single population proportion considering confidence interval of 95% (Z = 1.96), margin of error 5% (d = 0.05), and population proportion of 50% (p = 0.5) since there is no study on transcultural self-efficacy of nurses or predictor of transcultural self-efficacy in Ethiopia. 11.14.2022, Kalie Debelak | There is also the need for research funds to support continue study of caring practices (George, 2010a, p. 423). Citation: Berhanu RD, Tesema AA, Deme MB, Kanfe SG (2021) Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study. The cultural needs of mental health clients can be met by transcultural nursing. The theory is guided by powerful concepts and propositions that are applicable in different healthcare settings. Bethesda, MD 20894, Web Policies Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale. Epub 2020 May 21. 2005 Nov-Dec;30(6):380-8. doi: 10.1097/00005721-200511000-00006. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. 10.31.2022, Patrick Flavin | Foronda and Belknap (2012) conducted a qualitative study investigating the experience of American nursing students who studied abroad in a low-income country. A key theme is preparing current and future nurses at all levels to understand and address health . Beyond the realms of communication, there are a number of other areas where nurses will need to attain specific levels of cultural competency to optimize care for all patients. Finally, causality could not be established because the study was cross-sectional. Background Transcultural self-efficacy is a nurse's perception of his or her own ability to accomplish activities effectively for culturally diverse clients. 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. Both bivariate and multivariable linear regression analyses were carried out to identify factors associated with transcultural self-efficacy. One hundred one (42.8%) of the respondents were orthodox in religion. The authors would like to thank all the nurses who were volunteered to participate in this study. It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. It helps nurses to become culture sensitive and respond in accordance with the needs of patient as per their cultural values and beliefs. The discrepancy might be because they selected study participants using convenience sampling and the vast majority of their sample were females. The mean TSE scores for the knowledge of cultural concepts and specific nursing skills were 3.35 (SD = 0.78) and 3.14 (SD = 0.88) respectively. Participants were willing and who had greater than 2 years of experience were selected for in-depth interviews. Individualized intercultural care is a nurses responsibility as both a human and a professional. The conceptualization of the cultural competence model in nursing has emerged after 1989. Thus, this study aims to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Pretest was conducted on 25 (10%) nurses at Agaro General Hospital. 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 It can be used in primary, secondary and tertiary protection stages [56] (Figure 4.8.3). 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. Kim-Godwin YS; Clarke PN & Barton L.; Providing culturally adequate public care model. Then, simple random sampling using lottery methods was employed to select the nurses from the hospital. Unauthorized use of these marks is strictly prohibited. Variance inflation factor. The mean age of the respondents was 27.53 years (SD = 3.13 years), majority 177(75.0%) of them were in the age group of 2529 years. 8600 Rockville Pike Thus . An awareness and comprehension of a group's practices is helpful prior to patient treatment to better establish communication and trust. Transcultural nursing theory;TSE, Rasmussen University is accredited by the Higher Learning Commission and is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education. The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. Funding: The authors received no specific funding for this work. This website uses cookies to ensure you get the best experience. Culture develops over generations and is therefore difficult to fully penetrate as an outsider, which is why it is important for nurses to learn about cultural care. This page titled 4.10: Criticisms of Transcultural Nursing is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. By selecting "Submit," I authorize Rasmussen University to contact me by email, phone or text message at the number provided. This will result in continued efforts to recruit a graduating nursing workforce that more closely mirrors the diverse patient population. It is again consistent with the finding from the study of Li et al. sharing sensitive information, make sure youre on a federal Effective communication not only means understanding spoken languages, but also paying attention to body language and other cues, such as voice, tone and volume. With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. You can expect nursing programs to direct their efforts toward attracting and retaining students from underrepresented groups in nursing. However, researchers identified that working with culturally diverse patients can be challenging due to differences in ideas, beliefs, thoughts, norms, customs, and traditions. Please visit www.rasmussen.edu/degrees for a list of programs offered. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. Providing culturally sensitive care is an essential component of patient-centered care in healthcare because it helps to ensure . The study showed that transcultural self-efficacy varies with sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. 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). It is considered a cognitive specialty within nursing, which first originated by combining the "culture" construct of anthropology with the "care" construct of nursing. This finding was corroborated by the qualitative finding as a 25-year-old female participant said, my confidence in delivering care to patients of different cultures is increased as I stay longer in caring practice (Participant 4). Mesfin Beharu Deme, There are also national concerns about health disparities since the cultural diversity of the population is increasing. The program you have selected is not available in your ZIP code. Campinha-Bacote J; Cultural competence in providing health care services: Culturally adequate care model. It is also true that the number of people who identify as belonging to two or more races will triplefrom 7.5 million to 26.7 millionby 2060. Permission was obtained from JMC where the study was carried out. degree in nursing. government site. 2022 Nov 14;10:1025508. doi: 10.3389/fpubh.2022.1025508. An official website of the United States government. 2022 Jul 22;10:904158. doi: 10.3389/fpubh.2022.904158. The hospital had 628 nurses and midwives currently. Four B.Sc. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. This study was carried out to assess perceived transcultural self-efficacy and its associated factors among nurses. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. Abebe Abera Tesema, This is a moderate level of transcultural self-efficacy perception. 2009 Jan-Feb;23(1):3-12; quiz 13-4. doi: 10.1097/01.HNP.0000343203.26216.c9. The final sample size was 244 after 10% non-response was added. This theory, unlike other theories which focus on people, health, nursing and environment, The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. The Culture Care Diversity and Universality theory developed by Leininger in 1960, the first nurse who made the first work in this field and received the title of anthropologist, is the first theory developed in the field of transcultural nursing and still used worldwide. 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. Participants who were genuinely willing to take part and prepared to offer data freely were involved in the study. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. This includes taking into account patients cultural needs [11]. The foundations of transcultural nursing were laid in the mid-1950s. Normality assumption was checked by Kolmogorov-Smirnov test, which was insignificant. Leininger's transcultural nursing theory guided the project. In-depth interview;IPCS, This article discusses changes that are important to transcultural nursing. A total of 236 nurses participated in the study making the response rate 96.7%. The discrepancy may be due to the difference in the socio-cultural characteristics of the participants. Among these, 553 were diploma nurses, B.Sc. (2019) in which male nurses demonstrated a higher transcultural self-efficacy score than females [25]. The growth of minority populations in tandem with growing healthcare disparities across the nation reflect the importance of recruiting and retaining a diverse healthcare workforce. Nurses must consider these concepts in order to deliver culturally congruent healthcare. The model developed in 1988 was first published in 1990. MCN Am J Matern Child Nurs. Accordingly, each text was read again and again carefully and then codes were generated by two data coders. Federal government websites often end in .gov or .mil. The total scale score is between 25 and 125 in all subscales.