Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

A Study on the Cultural Competence of Community Health Practitioners

일 지역 보건진료원의 문화적 역량

  • Lee, Eun-Jee (Chonbuk National University Hospital, College of Nursing, Yonsei University) ;
  • Kim, Yune Kyong (Department of Nursing, Masan University, College of Nursing, Yonsei University) ;
  • Lee, Hyeonkyeong (College of Nursing, Yonsei University)
  • 이은지 (전북대학교병원, 연세대학교 간호대학) ;
  • 김윤경 (마산대학교 간호학과, 연세대학교 간호대학) ;
  • 이현경 (연세대학교 간호대학)
  • Received : 2012.04.02
  • Accepted : 2012.06.20
  • Published : 2012.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to describe the cultural competence among community health practitioners (CHPs). Methods: A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program. Results: Most participants reported a moderate level of cultural competence (M=3.0,SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence. Conclusion: The findings support the need for future education and training to enhance CHPs' cultural competence.

Keywords

References

  1. Ahn, Y. H. (2008). Health status and health behavior of immigrant women married to Koreans. Journal of Korean Academy of Public Health Nursing, 22 (1), 18-26.
  2. Berlin, A., Nilsson, G., & Tornkvist, L. (2010). Cultural competence among swedish child health nurses after specific training: A randomized trial. Nursing and Health Sciences, 12 (3), 381-391. https://doi.org/10.1111/j.1442-2018.2010.00542.x
  3. Brathwaite, A. C., & Majumdar, B. (2005). Evaluation of a cultural competence educational programme. Journal of Advanced Nursing, 53 (4), 470-479.
  4. Caffrey, R. A., Neander, W., Markle, D., & Stewart, B. (2005). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. Journal of Nursing Education, 44 (5), 234-240.
  5. Campinha-Bacote, J. (1999). A model and instrument for addressing cultural competence in health care. Journal of Nursing Education, 38 (5), 203-207.
  6. Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13 (3), 181-184. https://doi.org/10.1177/10459602013003003
  7. Castro, A., & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. American Academy of Nurse Practitioners, 21 (5), 278-286. https://doi.org/10.1111/j.1745-7599.2009.00406.x
  8. Chang, B. H. (2004). The actual status of health & welfare service of community health practitioners. Unpublished master's thesis, Yonsei University, Seoul.
  9. Choi, H. J. (2011). Exploratory study on experience in multiculture and cultural competence of service providers in multicultural settings. Mental Health & Social Work, 37, 405-439.
  10. Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Callister, L. C., Hatter-Pollara, M., Lauderdale, J., et al. (2009). Standards of practice for culturally competent nursing care: A request for comments. Journal of Transcultural Nursing, 20 (3), 257-269. https://doi.org/10.1177/1043659609334678
  11. Inglis, A., Rolls, C., & Kristy, S. (2000). The impact on attitudes towards cultural difference of participation in a health focused study abroad program. Contemporary Nurse, 9 (3-4), 246-255. https://doi.org/10.5172/conu.2000.9.3-4.246
  12. Jeong, G. H., Koh, H. J., Kim, K. S., Kim, S. H., Kim, J. H., Park, H. S., et al. (2009). A survey on health management of during pregnancy, childbirth, and the postpartum of immigrant women in a multi-cultural family. Korean Journal of Women Health Nursing, 15 (4), 261-269. https://doi.org/10.4069/kjwhn.2009.15.4.261
  13. Joint Commission on Accreditation of Healthcare Organizations. (2011). Comprehensive accreditation manual for hospitals. Illinois: Joint Commission Resources.
  14. Kardong-Edgren, S. (2007). Cultural competence of baccalaureate nursing faculty. Journal of Nursing Education, 46 (8), 360-366.
  15. Kim, H. R. (2009). Maternal health and nutritional status of marriage- based women immigrants in Korea and policy directions. Health and Welfare Policy Forum, 50-64.
  16. Kim, H. R. (2010). Health status of marriage-based immigrants in Korea and policy directions. Health and Welfare Policy Forum, 46-57.
  17. Ko, I. S., Lee, T. W., Lee, K. J., Cho, W. J., Kim, J. S., & Song, E. K. (2005). Roles of primary health practitioner and activities to increase the job performance. Journal of Korean Nursing Administration Academic Society, 11 (4), 361-369.
  18. Koh, C. K., & Koh, S. K. (2009). Married female migrants' experiences of health care services. Journal of Korean Academic Society of Nursing Education, 15 (1), 89-99. https://doi.org/10.5977/JKASNE.2009.15.1.089
  19. Leininger, M. (2002). Cultural care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of transcultural nursing, 13 (3), 189-192. https://doi.org/10.1177/10459602013003005
  20. Majumdar, B., Browne, G., Roberts, J., & Carpio, B. (2004). Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. Journal of Nursing Scholarship, 36 (2), 161-166. https://doi.org/10.1111/j.1547-5069.2004.04029.x
  21. McElmurry, B. J., McCreary, L. L., Park, C. G., Ramos, L., Martinez, E., Parikh, R., et al. (2009). Implementation, outcomes, and lessons learned from a collaborative primary health care program to improve diabetes care among urban Latino populations. Health Promotion Practice, 10 (2), 293-302. https://doi.org/10.1177/1524839907306406
  22. Ministry of Health & Welfare. (2010). 2010 Yearbook of health and welfare statistics (11-1351000-000048-10). Seoul: Author.
  23. Ministry of Public Administration and Security. (2011, May 24). Status of foreign residents in 2011. Retrieved May 13, 201 2, from http://www.mopas.go.kr/gpms/view/jsp/down load/userBulletinDownload.jsp?userBtBean.bbsSeq=103 9051&userBtBean.ctxCd=1258&userBtBean.orderNo=2
  24. Park, J. S. (2011). Study on cultural competence of nurses working in general hospital. Unpublished master's thesis, Keimyung University, Daegu.
  25. Registered Nurses' Association of Ontario. (2007, April 19). Em bracing cultural diversity in health care: Developing cultu ral competence. Retrieved December 5, 2011, from http:/ /www.rnao.org/Storage/29/2336_BPG_Embracing_Cult ural_Diversity.pdf
  26. Sanner, S., Baldwin, D., Cannella, K., Charles, J., & Parker, L. (2010). The impact of cultural diversity forum on students' openness to diversity. Journal of Cultural Diversity, 17 (2), 56-61.
  27. Sargent, S. E. (2005). Cultural competence among nursing students and faculty. Nursing Education Today, 25 (3), 214-221. https://doi.org/10.1016/j.nedt.2004.12.005
  28. Schim, S., Doorenbos, A., & Borse, N. (2005). Cultural competence among ontario and michigan healthcare providers. Journal of Nursing Scholarship, 37 (4), 354-360. https://doi.org/10.1111/j.1547-5069.2005.00061.x
  29. Schim, S., Doorenbos, A., Miller, J., & Benkert, R. (2003). Development of a cultural competence assessment instrument. Journal of Nursing Measurement, 11 (1), 29-40. https://doi.org/10.1891/jnum.11.1.29.52062
  30. United Nations Population Fund. (2011, December 14). Sociocultural influences on the reproductive health of migrant women. Retrieved Febrary 12, 2012, from http://www.unfpa.org/webdav/site/global/shared/documents/publi cations/2011/Migrant_Vietnam_.pdf