limitations of transcultural nursing theory

2022 Oct 26;93(5):e2022306. The face of the average American has rapidly changed over the years, and it will continue to do so as our nation progresses. 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. The CSES consists of three subscales. It is also inconsistent with the study of Li et al. Data were analyzed using IBM SPSS Statistics Version 26. One of the cornerstones of transcultural nursing is being aware of cultural trends while respecting the preferences of each individual patient. 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. Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). Thats where transcultural nursing comes in. I personally have use and will continue to use Madeleine Leininger theory. More than half 132 (55.9%) of them were female and 138(58.5%) of them were Oromo. What has the literature taught us about culturally competent care of women and children. Leininger M; Cultural care theory and ethnocentric research method. Legal. One unit increase in cultural motivation results in 0.635 unit increase in transcultural self-efficacy ( = .635, p < .001). Nursing literature describes how nurses, patients, and their relatives can enhance communication to guarantee the correct diagnosis. (2016), in which there was no significant gender difference in transcultural self-efficacy perception of nurses [31]. The IDI guiding questions were checked by experts. 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). Orque is a leading figure in developing a cultural model for nursing with the conceptual framework of the ethnic system. Regarding the length of experience, more than two-third 162(68.6%) of them had 24 years of experience [Table 1]. Purnell LD. The finding of the present study indicates that being male increases transcultural self-efficacy. The study evaluated how nurses perceive their self-efficacy toward patients from different cultures. Recent qualitative studies have shown that communication problems were the major reasons nurses were not able to provide culturally competent nursing care (Boi, 2000, Cioffi, 2003). Transcultural nursing employs the concepts of ethnicity, race, and culture in order to understand individuals' perceptions and behaviors. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. One hundred one (42.8%) of the respondents were orthodox in religion. For example, nurses must be culturally competent to recognizeor ask the questions necessary to help them discoverwhen folk medicine use may impact patient treatment. Qualitative data were collected by the principal investigators. Accordingly, nurses should possess the cultural knowledge required to deliver effective and satisfactory care that is congruent with the culture of the patient [1114]. Leininger M; Evaluation of culture care for appropriate and adequate practices. 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. 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. The need for transcultural nursing will continue to be an important aspect in healthcare. 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 broad scope, and wide readership a perfect fit for your research every time. eCollection 2022. The interviews were conducted face to face in the well-ventilated rooms after both interviewers and interviewees sat at 2 meters distance wearing face mask. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. Quality care can be improved significantly when nurses provide patient-centered care that considers the cultural background of the patients. Cultural motivation scale;CSES, 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. doi: 10.2196/17324. Culture Set of values, beliefs and traditions, that are held by a specific group of people and handed down from generation to generation. Transcultural nursing theory;TSE, This includes taking into account patients cultural needs [11]. You can expect nursing programs to direct their efforts toward attracting and retaining students from underrepresented groups in nursing. Accordingly, each text was read again and again carefully and then codes were generated by two data coders. A low level is a mean score between 1 and 2.33, a moderate level is a mean score between 2.34 and 3.67, and a high level is a mean score between 3.68 and 5 [23]. Providing culturally sensitive care is an essential component of patient-centered care in healthcare because it helps to ensure . Make sure your answer has: There is an error in phone number. A structured self-administered questionnaire was used to collect data for this study. Backward elimination was used for selecting variables in the final model. This expands your motivation and lets you to the way to handle such diversity. Nurs Forum. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence The initial calculated sample size was 384. CI, One unit increase in interpersonal communication results in 2.061 units increases in transcultural self-efficacy ( = 2.061, p < .001). An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientational definitions. Federal government websites often end in .gov or .mil. Department of Nursing, College of Health Sciences, Mettu University, Mettu, Oromia Region, Ethiopia, Affiliation: We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. Therefore, nurses must be prepared to recognize clients desires that are derived from their culture and to develop skills that will help facilitate their achievement [10]. Given the presence of some 3000 cultures around the world, it is impossible for healthcare professionals to have knowledge of all cultures. Data Availability: All the data underlying this study are provided in the Supporting information file. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. This theory, unlike other theories which focus on people, health, nursing and environment, Cultural competency among Lithuanian nurses and preparedness to work with intercultural immigrants: A quantitative study protocol. You could be on your way to contributing to the new faces of nursing in no time. This can help avoid dangerous patient outcomes, such as drug toxicity when certain medicines are used in conjunction with herbal remedies. When you find the way, your confidence is increased (Participant 3) [Table 3]. 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. Cultural self-efficacy scale;CSS, This difference might be due to differences in socio-cultural characteristics and study settings. With all of this in mind, we will likely see a rise in cultural competence education for nurses and other healthcare professionals. The IPCS was used to measure interpersonal communication. and transmitted securely. Ethiopian birr;ICS, Confidence interval;CMS, Spector RE; Cultural difference in health and disease. & Amp; Paulanka BJ; Ppur model for cultural competence. The use of transcultural nursing models, classification systems and guidelines is becoming widespread. Qualitative data were collected based on specified criteria throughout the interviews. The questions had two parts: socio-demographic characteristics related questions and questions regarding transcultural self-efficacy. Abebe Abera Tesema, doi: 10.23750/abm.v93i5.13593. 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]. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. Four B.Sc. 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. Rasmussen University may not prepare students for all positions featured within this content. For new nursing graduates looking to enter the field, it can be helpful to be proactive in learning more about cultural competence in healthcare, whether by signing up for a relevant class or volunteering in culturally diverse healthcare settings. Make sure your answer has: There is an error in ZIP code. Second, the study is limited to JMC; therefore, the generalization of its findings may not be for other hospitals and health centers. 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. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. Permission was obtained from JMC where the study was carried out. Transcultural self-efficacy is a nurses perception of his or her own ability to accomplish activities effectively for culturally diverse clients. Its Cronbachs alpha was 0.75 [29]. Unauthorized use of these marks is strictly prohibited. 2023 Rasmussen College, LLC. Leininger MM; The differences in cultural care and the theory of universality. In this study, the participants revealed thoughts of constant comparisons, emotional journeys, and learning. Competing interests: The authors declare that they have no competing interests. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. 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. Standard error;TNT, The study population for this study was all nurses working at JMC who fulfilled eligibility criteria. In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular . This finding is also consistent with the social cognitive theory which suggests individuals with greater mastery tend to have higher self-efficacy [35]. The nurses. With similar changes in our nursing workforce, you can expect new nursing graduates to be armed with an abundant knowledge base of cultural competency and diversity in healthcare. There is no obligation to enroll.This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Additional nursing research is needed to promote transcultural nursing. The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. 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The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. 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 total scale score is between 25 and 125 in all subscales. 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. CSS consists of 3 items that ask to know about patients cultures, adapting treatments for patients, and considering culture when making recommendations. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. The records of the research path were kept throughout the study. Diversity awareness, according to the National Student Nurses Association (NSNA), refers to a conscious and ongoing process in which we identify similarities and differences within and between varying cultural groups. 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.