• 대한통합의학회지
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• 제11권2호
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• pp.197-206
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• 2023

Purpose : Establishing transcultural self-efficacy is crucial to providing quality nursing care in various clinical settings and adapting to changing roles in different situations. The purpose of this study is to explore the degree of professional identity, satisfaction with clinical practice, and transcultural self-efficacy, as well as the factors influencing transcultural self-efficacy among nursing students, and to provide basic data to increase transcultural self-efficacy. Methods : The study utilized questionnaires that include general characteristics, transcultural self-efficacy, professional identity, and satisfaction of clinical practice for nursing students. This research involved 178 nursing students in G city. The data collected from September 12, 2022 to September 22, 2022. The study was analyzed using the SPSS 23.0 program. The correlation among professional identity, satisfaction of clinical practice, and transcultural self-efficacy was analyzed by Pearson's correlation coefficients, and it was analyzed using multiple regression to figure out factors influencing transcultural self-efficacy. Results : The transcultural self-efficacy score was above the middle level and differed according to the transcultural self-efficacy was showed significantly positive correlation with academic grade (F=6.57, p<.001), having foreign friends (t=-2.34, p=.015), interpersonal relations (F=5.74, p=.001). Transcultural self-efficacy was a significant positive correlation with professional identity (r=.59, p<.001), satisfaction of clinical practice (r=.68, p<.001). As a result of regression analysis, it was confirmed that satisfaction of clinical practice (ß=.42, p<.001) and professional identity (ß=.31, p<.001) were factors that influence nursing students' transcultural self-efficacy ; this model could explain 60 %. Conclusion : Satisfaction with clinical practice and professional identity are the main factors influencing transcultural self-efficacy among nursing students. Nursing students are encouraged to develop transcultural self-efficacy by focusing on improving their satisfaction with clinical practice and professional identity. Further research is required to determine the various factors affecting transcultural self-efficacy among nursing students.

• 한국간호교육학회지
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• 제24권2호
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• pp.181-189
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• 2018

Purpose: This study presents the current status of transcultural nursing education in nursing baccalaureate programs. Methods: The nursing curricula from 185 out of 194 nursing colleges that received accreditation were collected and analyzed. Results: 109 (58.9%) nursing colleges offered 117 transcultural nursing-related courses. The courses were offered as elective (68.4%) as well as major (78.6%) courses. All courses were offered as a theoretical delivery class without any field experiences. The courses were offered mainly for sophomore (41.9%) and freshman students (33.3%), and most of them (79.5%) were two-credit courses. Instead of the term "transcultural nursing," "multicultural nursing" is mostly used in the title of courses. An inconsistency between the title of courses and their content was found. After analyzing the title of courses based on four nursing meta-paradigms, courses related to the environment were most common (41.9%). Conclusion: Transcultural nursing education has developed during the last decade. However, teaching methods and course content have not developed enough. Thus, a greater effort is needed to increase awareness of the importance of transcultural nursing education and to develop courses for it.

• 대한통합의학회지
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• 제11권3호
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• pp.69-78
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• 2023

Purpose : Establishing competency in person-centered care is crucial for providing high-quality nursing care in diverse clinical settings and adapting to changing roles in different situations. This study aimed to explore the level of transcultural self-efficacy, cultural empathy, and person-centered care competency among nursing students, as well as identify the factors influencing their person-centered care competency. The findings will serve as fundamental data to enhance person-centered care competency. Methods : A questionnaire consisting of items on general characteristics, person-centered care competency, transcultural self-efficacy, and cultural empathy was administered to 175 nursing students in G city. Data were collected from March 5, 2023, to March 20, 2023. The collected data were analyzed using the SPSS 23.0 program. Pearson's correlation coefficients were used to examine the correlation among transcultural self-efficacy, cultural empathy, and person-centered care competency. Multiple regression analysis was employed to determine the factors influencing person-centered care competency. Results : The person-centered care competency scores were above the average level and varied according to department satisfaction (F=13.79, p<.001), subjective well-being (t=3.34, p=.015), and interpersonal relations (F=5.74, p=.001). Person-centered care competency exhibited a significant positive correlation with cultural empathy (r=.51, p<.001) and transcultural self-efficacy (r=.49, p<.001). Regression analysis confirmed that cultural empathy (β=.39, p<.001) and transcultural self-efficacy (β=.22, p<.001) were influential factors for nursing students' person-centered care competency, with the model explaining 37 % of the variance. Conclusion : Cultural empathy and transcultural self-efficacy are significant factors influencing the person-centered care competency of nursing students. It is crucial to encourage nursing students to develop person-centered care competency by fostering cultural empathy and transcultural self-efficacy. Further research is needed to identify additional factors affecting person-centered care competency among nursing students. Additionally, the development of education programs aimed at enhancing person-centered care competency is necessary.

• 한국간호교육학회지
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• 제19권4호
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• pp.580-593
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• 2013

Purpose: This study was conducted to develop and implement an educational program for cultural competence in nursing for nursing students, and to evaluate its effects on transcultural self-efficacy, intercultural communication competence, and state anxiety. Methods: A nonequivalent control group pretest-posttest design was used with an experimental group (n=22) and a control group (n=27). Outcome variables were measured by transcultural self-efficacy, intercultural communication competence, and state anxiety before and after the program. The experimental group participated in an educational course for cultural competence in nursing for 14 weeks while the control group did not participate in any course. Chi-square test, Fisher's exact probability test, t-test, MANCOVA, and ANCOVA were performed to analyze the data. Results: The experimental group showed significantly higher posttest scores in the transcultural self-efficacy score (F=19.76, p<.001, partial ${\eta}^2=.34$, observed power .99) and the intercultural communication competence score (F=17.56, p<.001, partial ${\eta}^2=.32$, observed power .98) than that of the control group. The experimental group showed a significantly lower state anxiety score (F=5.30, p=.027, partial ${\eta}^2=.12$, observed power .61) than that of the control group. Conclusions: This educational program was effective on nursing students' cultural competence. Therefore, it is suggested that this program be used for other nursing students. It is also necessary to evaluate its effects after a longer period.

• International Journal of Advanced Culture Technology
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• 제6권2호
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• pp.86-99
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• 2018

This study examined the relationship between the demographic profiles of 260 staff nurses in the SPC Health Care Ministry Hospitals and their Transcultural Self-Efficacy (TSE) level on the Cognitive, Practical and Affective dimensions. To obtain the result, among the nine (9) demographic profile items, three (3) common positive predictors were considered, namely, 1) Educational attainment level; 2) Age; and 3) Willingness to work abroad in all three dimensions. While in the Practical and Affective dimensions, the number of years employed were a common negative predictor and in the Affective dimension, Gender of participants was added as the positive predictor. Therefore, there are some significant demographic characteristics of respondents influence to the transcultural self-efficacy. Further, based on the results of this diagnostic study, the researcher designed the One (1) year Cultural Competence Training Program for staff nurses. For future research, the researcher recommended to conduct a further study that will evaluate the effectiveness of the educational intervention by approaching a longitudinal study form administering the test and retest of TSET.

• 대한간호학회지
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• 제43권1호
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• pp.102-113
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• 2013

Purpose: This study was done to investigate the level of transcultural self-efficacy (TSE) and related factors and educational needs for cultural competence in nursing (CCN) of Korean hospital nurses. Methods: A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Results: Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. Conclusion: The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.

• 한국학교보건학회지
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• 제32권1호
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• pp.59-66
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• 2019

Purpose: The aim of this study was to investigate the factors affecting the cultural competency of elementary school nurses. Methods: Data were collected from a convenience sample of 109 school nurses who were recruited from elementary schools across three large cities in South Korea. The daata were analyzed with independent t-tests, a one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: School nurses who had experience caring for multicultural students showed a significant difference in the cultural competency (t=8.75, p=.004). Factors affecting their cultural competency were awareness of multicultural families (${\beta}=.17$, p=.006) and transcultural self-efficacy (${\beta}=.69$, p<.001), which explained 58.6% of the total variance. Conclusion: The findings suggest that it is necessary to provide more training and educational programs for school nurses to improve their awareness of multiculcural families, including interventions to enhance transcultural self-efficacy, in order to enhance their cultural competence and to help them provide tailored care for multicultural students with diverse cultural backgrounds.

• 대한간호학회지
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• 제46권2호
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• pp.293-304
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• 2016

Purpose: This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSE-scale) for nurses. Methods: Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity. Results: The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach's alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability. Conclusion: This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

• 동서간호학연구지
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• 제26권2호
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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.

• Child Health Nursing Research
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• 제17권4호
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• pp.222-229
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• 2011

Purpose: This study was conducted to determine the predictors of cultural sensitivity for nursing students in Korea. Methods: The participants in this study were 332 nursing students. Data collection was conducted through the use of questionnaires which were constructed to include a Cultural Sensitivity Scale, Knowledge of Culture, Interpersonal Reaction Index, and Self-efficacy Scale. Results: Results showed that cultural sensitivity of nursing students was middle range. Knowledge level of culture was very low. There was a significant positive correlation between cultural sensitivity and knowledge of culture, empathy, and self-efficacy. The significant factors influencing cultural sensitivity of nursing students were empathy, self-efficacy, experience of an overseas trip and awareness of cultural education. These four factors explained 23.8% of the variance in cultural sensitivity of nursing students. Conclusion: These results indicate that cultural sensitivity is an important link with empathy and self-efficacy in nursing students. For nursing students to enhance cultural sensitivity, a transcultural nursing curriculum needs to develop for appropriate and effective services in cross-cultural situations of the multicultural families in Korea.