• Journal of the Korea Society of Computer and Information
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• v.24 no.5
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• pp.113-120
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• 2019

This study was conducted to identify the level of cultural empathy, self-esteem, and cultural competence and factors affecting cultural competence of nursing students. Participants were 157 nursing students who were 2nd, 3rd, and 4th grade in one university located at the Chungbuk provinces. Data collected using questionnaires which consisted of general characteristics, cultural empathy, self-esteem, and cultural competence. The mean score for cultural empathy was $3.63{\pm}.34$(scores ranged from 1 to 5), The mean score for self-esteem was $2.91{\pm}.42$(scores ranged from 1 to 4). The mean score for cultural competence was $3.31{\pm}.43$(scores ranged from 1 to 5). There were significant differences between cultural competence and age(t=-2.242, p=.027), grade(F=3.473, p=.033), and fluency of foreign language(F=5.053, p=.007). There were significant correlation between cultural competence and cultural empathy(r=.49, p<.001), and self-esteem(r=.33, p<.001)), and self-esteem and cultural empathy(r=.33, p<.001). Cultural empathy and self-esteem explained 29.4% of cultural competence and major predictor variable for cultural competence was cultural empathy. In this paper, we propose various multicultural education programs in curriculum and extra curriculum that can enhance cultural empathy and self-esteem to improve cultural competence of nursing students. Especially, continuous education of cultural knowledge among cultural competence will be done.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.23 no.2
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• pp.206-215
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• 2016

Purpose: The purpose of this study was to investigate the level of cultural competence, intercultural communicative competence, and multi-cultural job stress among healthcare workers and to explore factors that are related to their cultural competence. Methods: The study subjects were 142 healthcare workers at a general hospital. Data were collected using a questionnaire on cultural competence, intercultural communicative competence, and multi-cultural job stress. A t-test, ANOVA Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS. Results: Cultural competence was significantly related to the necessity of multi-cultural education, and intercultural communicative competence was significantly related to age, a vocational career, communication in foreign languages, and having multi-cultural neighbors. Moreover, multi-cultural job stress was significantly related to religion. In multiple regression results, cultural competence was found to be related to intercultural communicative competence and multi-cultural job stress. Conclusion: Healthcare workers who are set to care for multi-cultural patients should improve intercultural communicative competence and reduce multi-cultural job stress.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.25 no.2
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• pp.147-154
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• 2018

Purpose: The study examined the effects of self-efficacy and intercultural communicative competence on the cultural competence of allied health college students. Methods: The participants were 176 allied health college students. Data collection was conducted from June 12 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with the SPSS program. Results: The mean self-efficacy score was 3.52;, the mean intercultural communicative competence score was 3.24;, and the mean cultural competence score was 3.26. Cultural competence differed significantly by grade(p=.008), major(p<.001), overseas study exchange(p=.020), foreign language skill(p=.011), domestic multicultural friends (p=.002) and contact with people(p=.026) of general characteristics. Statistically significant positive relationships were observed between self-efficacy(r=.23), intercultural communicative competence(r=.58), and cultural competence. A total of 35.9% of cultural competence was explained by intercultural communicative competence and grade. Conclusion: These results can be used to develop cultural education programs to improve cultural competence, with consideration for intercultural communicative competence and grade levels.

• Women's Health Nursing
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• v.22 no.2
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• pp.86-95
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• 2016

Purpose: The aim of this study was to conduct a concept analysis of cultural nursing competence. Methods: Cultural nursing competence was analyzed using Rodgers' evolutionary concept development method. A literature search using the keywords "cultural nursing competence", "intercultural nursing competence", "cultural nursing", "cultural health nursing", and "cultural competence" was conducted in PubMed, CINAHL, ERIC, and RISS on material published before 2015. Database and bibliographic searches yielded 35 records. Results: Cultural nursing competence comprised cognitive, affective, and behavioral domains. The critical attributes of the concept were sensitivity, equality, and activity. The analysis identified the following dimensions: awareness, openness, and coherence. The consequences of cultural nursing competence were personal satisfaction and social justice. The definition contained competence on both an individual and social level. Conclusion: Cultural competency enhances quality of care by narrowing health disparities and increasing client satisfaction. The concept analysis of cultural nursing competence may offer an acceptable framework which can be used to develop psychometric tools of this concept and provide guidelines in nursing practice.

• Journal of East-West Nursing Research
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• v.21 no.1
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• pp.52-60
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• 2015

Purpose: This study investigated the relationship between cultural competence and empathy of nursing students who can provide appropriate health care to their patients in the future. Methods: All the participants (N=364) were nursing students and completed a survey of the Caffrey Cultural Competence in Health Scale (CCCHS), Cultural Competence Assessment (CCA), and Interpersonal Reactions Index (IRI). Results: The mean of cultural competence and empathy of participants were 2.8 and 3.7, respectively. The cultural competence score in male students was higher than the score of female students (p=.044). In addition, the cultural competence score of nursing students who had an experience with foreigners was higher than the score of students who had not (p=.017). However, the cultural competence score of nursing students who did not take a multicultural education was higher than the score of students who took it. The empathy score of female students was higher than the score of male students (p=.003). The empathy score of students who had a multicultural education was higher than the score of students who did not take it (p=.008). Conclusion: The findings suggest that nursing students need to enhance cultural competence and empathy.

• Journal of East-West Nursing Research
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• v.26 no.2
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• pp.157-166
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• 2020

Purpose: This study was conducted to identify the relationship between the transcultural self-efficacy (TSE) and cultural competence of nursing students. Methods: This study was a cross-sectional study. A total of 352 nursing students were recruited from two universities in Incheon and Gyeonggi. The data were analyzed using descriptive statistics, t-test, ANOVA with Scheffe's test, correlation coefficient, and hierarchical multiple regression analysis. Results: The mean score of TSE was 6.20 (out of 10). The mean score of cultural competence was 4.98 (out of 7). TSE was positively correlated with cultural competence (r=.47, p<.001). The practical domain (β=.18, p=.001) and affective domain (β=.35, p<.001) of TSE had a significant effect on cultural competence. TSE accounted for 22.3% of cultural competence. Conclusion: Educational programs for improving cultural competence should include contents to improve the affective and practical domains of TSH. It is also helpful for subjects with various cultural backgrounds to learn interview skills and nursing skills through practice to reinforce cultural competence.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.1
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• pp.48-62
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• 2013

Purpose: As Korean society has rapidly become multicultural in the last few decades, it is essential for nurses to become culturally competent to provide effective care for ethnically and culturally diverse populations. Considering the advantages of standardized instrument, there is a need to evaluate current cultural competence instruments to assess adaptability to Korean nurses. Methods: Using Macdowell's instrument evaluation guideline, a review and evaluation was done of the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals (IAPCC) and Cultural Competence Assessment (CCA), which were both developed based on cultural competence theoretical models and have been commonly used in nursing research. Two other Korean instruments were also evaluated. Results: The instruments reviewed have limitations in reliability and validity, as well as cultural background and development process, for measurement of cultural competence in Korean nurses. Conclusion: The results of this study indicate that it is necessary to discuss and agree on a definition of what cultural competence is and to develop instruments to measure cultural competence in Korean nurses.

• International Journal of Advanced Culture Technology
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• v.11 no.4
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• pp.255-262
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• 2023

The purpose of this study was to clarify the concept of LGBT cultural competence in nurses. This study used Walker and Avant's 8 steps of conceptual analysis. The specific steps are: (1) selecting the concept, (2) selecting the purpose of concept analysis, (3) identifying the scope of concept use, (4) identifying the determinant attributes of the concept, (5) presenting model cases, (6) additional cases of the concept (boundary cases, opposite cases, and related cases), (7) identifying antecedents and consequences, and (8) presenting empirical evidence. As a result, five attributes of nurses' LGBT cultural competence were identified in the final 12 articles: cultural experience and cultural acceptance, cultural knowledge, cultural attitude and awareness, and cultural skills. Antecedents included diversification of society, heteronormative healthcare environment, continuing education and training, intercultural understanding, and open-mindedness. Outcomes of cultural competence were identified as reducing LGBT health inequalities and providing quality care. In conclusion, this study contributes to providing a basis for improving the quality of nursing care by providing more culturally appropriate care to the target population through conceptual analysis and understanding of nurses' LGBT cultural competence. Furthermore, it is necessary to continue research on the development of tools to measure nurses' LGBT cultural competence and the development of nursing intervention programmes that can be applied in nursing practice.

• Child Health Nursing Research
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• v.25 no.2
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• pp.214-222
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• 2019

Purpose: This study examined the mediating and moderating effects of multicultural efficacy in the relationship between cultural empathy and cultural competence in child care teachers. Methods: A cross-sectional descriptive survey design was used. The participants were 277 child care teachers at private and public daycare centers in G and S districts of Seoul. The survey instruments included a cultural empathy questionnaire, a multicultural efficacy scale, and a cultural competence scale. Data were analyzed using the SPSS and AMOS programs. For data analysis, descriptive statistics, correlation, and mediating and moderating effect analyses were performed. Bootstrapping was implemented to verify the mediating effect of the model developed herein. Results: Positive correlations among cultural empathy, multicultural efficacy, and cultural competence were noted. Multicultural efficacy showed a significant mediating effect on the relationships between cultural empathy and cultural competence. However, there was no moderating effect. Conclusion: In order to enhance the cultural competence of child care teachers, it is necessary to develop a strategy that can promote their cultural empathy and multicultural efficacy. Furthermore, these results will ultimately enhance the role of child care teachers, thus contributing to the normal growth and development of multicultural children.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.36-45
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• 2015

Purpose: The purpose of this study was to identify the correlation coefficient cultural competence, health promotion behavior, and quality of life of married immigrant women in Korea. Methods: The participants included 88 married immigrant women who applied to educational programs for medical tour coordinators and agreed to participate in the study. Data were collected through self-report questionnaires that were constructed to include scales to measure cultural competence, health promotion behavior, and quality of life. Data were analyzed using ANOVA, Pearson correlation coefficients with SPSS/WIN 19.0. Results: Both cultural competence and health promotion behavior were different according to the husband's occupation. There was a positive correlation between cultural competence and quality of life, a positive correlation between health promotion behavior and quality of life, and a positive correlation between health promotion behavior and cultural competence. Conclusion: From a long-term point of view, various programs for married immigrant women should greatly strengthen their cultural competence and help them become genuine members of our society and live an independent life. Developing detailed and active programs for nursing intervention to constitute a healthy lifestyle and improve the quality of life is recommended.