limitations of transcultural nursing theory

This theory focuses on exploring different and universal cultures and providing comparative care. HHS Vulnerability Disclosure, Help Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Collinearity assumption was checked to see the correlation between independent variables by using the variance inflation factor (VIF). Out of these, 518 nurses were currently working at JMC while 35 attending education. 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. 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. This article discusses changes that are important to transcultural nursing. 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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. Finally, causality could not be established because the study was cross-sectional. Ones self-efficacy perceptions can have an important role in how one deals with challenging situations [1]. Legal. 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. Wells M; Beyond cultural competence: a model for individual and institutional cultural development [, Giger JN. (2019) in which male nurses demonstrated a higher transcultural self-efficacy score than females [25]. Nurses who had higher communication ability with people had greater transcultural self-efficacy. For example, nurses must be culturally competent to recognizeor ask the questions necessary to help them discoverwhen folk medicine use may impact patient treatment. Continuous monitoring was made by the principal investigators during data collection. 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. The questionnaire was adapted from related studies and was used for data collection [2427]. It is emphasized that the patient may feel special, needing protection or patronized. Data relevant to each code were collected together. It continues to be consistent in requiring the same approach for all nurses when providing cultural based care. There is also the need for research funds to support continue study of caring practices (George, 2010a, p. 423). The studies conducted in Turkey show that the nurses need to have classification lists and guidelines to be used in care, and thus a more systematic care will be provided in less time for individual patients and more data will be collected. This self-efficacy may be affected by different factors, either positively or negatively. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. official website and that any information you provide is encrypted 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. However, it is noted that nurses may be ethnocentric with cultural knowledge, understanding, awareness, education, cultural competence and lack of faith [58]. The IDIs were conducted in the silent and comfortable room (home, workplace) after time and place were decided by the interviewees. Nurses are required to understand the cultural care beliefs, values, and lifeways of patients and then they need to immerse themselves in the culture of all patients to deliver care that is parallel to what the patient believes suitable according to his or her cultural expectations [79]. 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 were more culturally sensitive had higher confidence among clients of different cultural backgrounds. Knowledge, awareness, and acceptance of other cultures measured using 3 items on a Likert scale with the value ranging from 315. Data were analyzed using IBM SPSS Statistics Version 26. 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. Bjarnason D, Mick J, Thompson JA, Cloyd E. Nurs Clin North Am. However, it is lower when compared to the study conducted by Birnbaum (2012) in which the mean score was 3.41 [30]. 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). The qualitative finding from a 30-year-old female participant supported this, ability to communicate among patients having different cultures influences confidence for caring (Participant 7). We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Two hundred thirty-six (236) of the 244 invited participants completed the questionnaires making the response rate 96.7%. The results of the present study also indicate that longer experience predicted higher transcultural self-efficacy. In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. This is a moderate level of transcultural self-efficacy perception. The overall mean score of TSE was divided by 25 (the total number of items) giving the value ranging from 1 to 5. broad scope, and wide readership a perfect fit for your research every time. Therefore, the finding from this study is useful to provide evidence-based nursing care to culturally and ethnically diverse clients. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. 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. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. (2016), in which there was no significant gender difference in transcultural self-efficacy perception of nurses [31]. Nurses communication effectiveness when caring for patients from different cultural backgrounds measured using 5 items on a 5-point Likert scale with the value ranging from 525. Burchum JLR; Cultural competence: Evolutionary dimension. This study was conducted at Jimma Medical Center (JMC). In-depth interview;IPCS, Kirsten Slyter | 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). This self-efficacy may be affected by different factors, either positively or negatively. PLOS ONE promises fair, rigorous peer review, The program you have selected requires a nursing license. The https:// ensures that you are connecting to the Asurakkody (2019) reported Cronbachs alpha of 0.75 for IPCS [29]. Providing culturally sensitive care is an essential component of patient-centered care in healthcare because it helps to ensure . Fill out the form to receive information about: There are some errors in the form. on government site. In Episode 2 of "Living With Feeling", historian of nursing Sarah Chaney meets some care robots and discusses with experts what these machines are for, and what they can offer. 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). Being able to change the idea of believing that individuals own race is superior to others. There are also national concerns about health disparities since the cultural diversity of the population is increasing. 2009 Dec;44(4):495-503. doi: 10.1016/j.cnur.2009.07.009. 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The population comprised of 650 undergraduate students attending the nursing schools of three universities. In the case of launching nationalist initiatives in intercultural care, it has been stated that stereotyped images may emerge, and that particular attention may be paid to certain cultural individuals in the caring process. The site is secure. It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. 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). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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. The study was reviewed and approved by Jimma Universitys Ethical Institutional Review Board. The level of perceived transcultural self-efficacy was moderate among nurses. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. 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