limitations of transcultural nursing theory
Accordingly, being male increases transcultural self-efficacy by 2.034 times than female ( = 2.034, p = .045). Learn more about the benefits of earning a BSN on an accelerated educational track orif youve already reached RN statusmaking the jump from RN to BSN to enhance your healthcare repertoire. Diversity has increased in many countries due to wars, discrimination, political strife, and worldwide socioeconomic conditions. This page titled 4.10: Criticisms of Transcultural Nursing is shared under a CC BY 3.0 license and was authored, remixed, and/or curated by Vasfiye Bayram De?er (IntechOpen) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. However, it is opposite to the study of Asurakkody (2019), in which female nurses demonstrated a higher transcultural self-efficacy score than males [29]. 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). Then codes were grouped through constant comparison of concepts, like with like, into four major themes. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. 2009 Jan-Mar;44(1):11-8. doi: 10.1111/j.1744-6198.2009.00122.x. It was administered in English. Copyright: 2021 Berhanu et al. Rasmussen University is accredited by the Higher Learning Commission and is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education. This was refined by Madeleine Leininger in 1975, who founded the Transcultural Nursing Society. Leininger M; Evaluation of culture care for appropriate and adequate practices. Therefore, having good communication ability is crucial to give care with confidence (Participant 5). In nursing, Peplau first mentioned in 1950 that the cultures were an important variable affecting mental health. An observational study. for only $13.00 $11.05/page. Rasmussen University does not guarantee, approve, control, or specifically endorse the information or products available on websites linked to, and is not endorsed by website owners, authors and/or organizations referenced. More than half 132 (55.9%) of them were female and 138(58.5%) of them were Oromo. Simple random sampling technique was used to recruit participants in the quantitative part of the study. This piece of ad content was created by Rasmussen University to support its educational programs. The records of the research path were kept throughout the study. The total scale score is between 5 and 25. 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. This includes taking into account patients cultural needs [11]. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. It is also inconsistent with the study of Li et al. The history of culture is as old as the history of human beings but it was during the time of Madeline Leininger that culture became the central concept in the transcultural nursing theory (TNT) and evidence-based area of study. 03/08/2017. In this article, the first of two parts, transcultural nursing is explained in terms of its assumptions, benefits and limitations and the emerging literature in this area of mental healthcare practice is highlighted. The goal of the theory is to develop a body of knowledge to establish nursing care that is sometimes culture-specific and sometimes culture-universal. It is a nurses confidence in delivering care to patients coming from different cultural backgrounds or it indicates nurses degree of confidence to provide both culture-general and culture-specific care [3,4]. Permission was obtained from JMC where the study was carried out. Qualitative data were collected by the principal investigators. 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. (2019) in Columbia in which the mean score was 2.58 [25]. (2016), in which nurses who have worked for 15 years or longer had significantly greater TSE scores when compared with other nurses [31]. Nearly half 115(48.7%) of them had monthly income which falls in the range of 4,001.006,000.00 ETB. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. This finding is higher when compared with the finding from the study conducted by Herrero-Hahn et al. Multivariable linear regression results showing factors associated with transcultural self-efficacy among nurses working at JMC, Oromia Region, Ethiopia, May to June 2020 (n = 236). This expands your motivation and lets you to the way to handle such diversity. Nurse researchers are encouraged to conduct further study including nurses working at public health centers. The https:// ensures that you are connecting to the 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]. Continuous monitoring was made by the principal investigators during data collection. Cultural competence models developed by nurse researchers can be transferred not only to nursing but also to other disciplines. The mean TSE scores for the knowledge of cultural concepts and specific nursing skills were 3.35 (SD = 0.78) and 3.14 (SD = 0.88) respectively. Field notes were taken and a tape recorder was used to record the interviews lasting 2025 minutes. The IPCS was used to measure interpersonal communication. The results showed that all the variables had VIF less than 5 (Minimum VIF = 1.238 and Maximum VIF = 3.580). The authors would like to thank all the nurses who were volunteered to participate in this study. The result showed the data were approximately normally distributed. Backward elimination was used for selecting variables in the final model. Discover a faster, simpler path to publishing in a high-quality journal. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. The finding of the present study indicates that being male increases transcultural self-efficacy. This is corroborated by the qualitative finding as one 28-year-old male participant said, Patients come from different places, like southern region, Gambela, and Sudan. This study employed a cross-sectional study design with a mixed method of data collection. Funding: The authors received no specific funding for this work. The Precision Health and Everyday Democracy (PHED) Project: Protocol for a Transdisciplinary Collaboration on Health Equity and the Role of Health in Society. This calls for the need to offer transcultural nursing training for nurses. More info, By Jess Scherman Numerous studies indicate that health disparities continue to demonstrate evidence for health care providers to pay attention to cultural diversity [1618]. Rasmussen University is not regulated by the Texas Workforce Commission. Intercultural communication scale;IDI, As mentioned previously, the central concepts in transcultural nursing were culture, nursing, and environment. Although transcultural nursing has an important role in the holistic approach, it is criticized at some points and is also mentioned in opposing views. Nurs Forum. Rasmussen University is accredited by the Higher Learning Commission, an institutional accreditation agency recognized by the U.S. Department of Education. The overall mean score of TSE was divided by 25 (the total number of items) giving the value ranging from 1 to 5. Conversely, a lack of diversity awareness can result in providing culturally incongruent nursing care, which adversely impacts patient outcomes and can even jeopardize patient safety in certain cases. Given the presence of some 3000 cultures around the world, it is impossible for healthcare professionals to have knowledge of all cultures. Nurses who were more culturally sensitive had higher confidence among clients of different cultural backgrounds. The scale is measured on a 5-point Likert scale with responses ranging from strongly disagree to strongly agree. (PDF) Cultural care in nursing: A critical analysis - ResearchGate 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). Variance inflation factor. Culture develops over generations and is therefore difficult to fully penetrate as an outsider, which is why it is important for nurses to learn about cultural care. Literature reveals that culture is central to the human condition, and nurses who are transculturally confident in understandings of health and disease held by patients are needed for todays multicultural population. Full article: Mental health professionals' perspectives regarding how 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. Transcultural nursing: its importance in nursing practice A constructivist grounded theory lens was applied to better appreciate how participants discussed their lived experiences and perspectives (Charmaz, Citation 2017a, Citation 2017b). Despite the desire to create multicultural societies in the world in which there are liberal immigrant policies, it cannot be argued that there is an accepted standard in health care, in terms of the socioeconomic status, ethnic characteristics, sexual behavior and lifestyle preferences. One year increase in years of nursing experience results in 2.096 units increases in transcultural self-efficacy ( = 2.096, p = .001). A nursing theory turns out to be a group of significant related concepts and relationships the purpose of which is to guide practice and promote the delivery of care. Transcultural nursing is defined as a learned subfield or branch of nursing that focuses upon the comparative study and analysis of cultures concerning nursing and health-illness caring practices, beliefs, and values to provide meaningful and efficacious nursing care services to their cultural values and health-illness context. 2 MULTICULTURAL AND TRANSCULTURAL NURSING THEORY Introduction Patient-centered care is an evidence-based approach that focuses on the needs, preferences, and values of patients, which guarantees quality, safe and optimal healthcare to patients (Engle et al., 2019). The study used both quantitative and qualitative methods of data collection and this maximizes the reliability of the data. So what does this call for transcultural competency mean for practicing nurses? The initial calculated sample size was 384. It was checked whether the themes work with the coded extracts. This necessitates an environment of cultural sharing among patients and healthcare professionals, which in turn maximizes health outcomes for all involved. Becoming more aware of the other peoples cultures and exploring their problems as well as understanding the patients opinion, Describing therapeutic relationship relevant to the patients cultural beliefs and consensus values, Applying the sensitive care model to culturally different groups, Making the patient feel safe in the culturally sensitive care. Competing interests: The authors declare that they have no competing interests. The authors also would like to thank Jimma University health science institute and Jimma medical center for all their help. 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. 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.
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