A Study on Factors Affecting Cultural Competency of General Hospital Nurses

Abstract

Purpose: As Korea has been rapidly transformed to be a multicultural society, it becomes essential for nurses to develop cultural competency. The purpose of this descriptive study was to assess the cultural competency level of general hospital nurses and to examine its contributing factors adopting ecological model. Method: A convenience sample of 327 nurses from six general hospitals in Seoul metropolitan area was recruited between November 14 to 28, 2011. Cultural competency was measured using the Korean version of the Caffrey Cultural Competence in Healthcare Scale (CCCHS) and Cultural Competence Assessment(CCA). Hierarchical multiple regression analysis was performed to assess the influence of intrapersonal, cultural-experience, and organizational factors on cultural competency. Results: Mean cultural competency in this study was 2.57(±0.43). Cultural competency was associated with job position (p=.044) at the intrapersonal level. At the cultural experience level, foreign language classes experience (p=.005), fluency in a foreign language (p=.000), experience of working with foreign health care professionals (p=.000) were associated cultural competency. At the organizational level, training program (p=.000), job description (p=.002), health education materials (p=.016), insufficient job control (p=.000), and interpersonal conflicts (p=.011) showed significant difference. Foreign language class experience, foreign language fluency, experience of working with foreign health care professionals, and job control were the most consistent predictors of cultural competence and explained 20.4% of the total variance in the proposed ecological model. Conclusions: The findings suggest that to enhance cultural competency in general hospital nurses, cultural experience and organizational factors need to be more fully considered than intrapersonal factors.

Reliability and Validity of a Korean Version of the Cultural Awareness Scale (K-CAS)

“…The level of cultural competence and related factors has been assessed among college students [6,7], social workers [8], nurses [9,10] and people working at various community centers devoted to the immigrant community [11,12].…”

“…The majority of instruments used in South Korea are translated versions of the scales originally developed within the United States. Commonly used translated instruments include Cuevas' Cultural Awareness Scale [13], the Cultural Competence Self Assessment Questionnaire (CCSAQ) [14] and the Caffrey Cultural Competence in Healthcare Scale (CCCHS) [9,15]. However, the equivalence of the factor structures between the original and translated versions have not been evaluated [7,9,11].…”

Cultural Competence and Factors Influencing Cultural Competence in Nursing Students

“…(Chae et al, 2012;Kim, 2013;Park, 2011), 지역사회 방문간호사와 보건진료원 (Lee, Kim, & Lee, 2012;Yang, Kwon, & Lee, 2012)을 대상으로 한 문화적 역량에 관한 연구를 시도하며 상 호작용 증진을 위한 노력을 기울이고 있다. 그러나 간호대학 생을 대상으로는 문화적 역량과 유사개념인 다문화 수용성 (Kim, 2010) 연구와 간호대학생의 문화적 민감성 (Oh, 2011;Park et al, 2011), 문화적 인식 (Kim & Yu, 2012 (Table 3).…”

“…이러한 맥락으로 대상자의 고유문화에 적합한 간호를 제공하도록 하기 위한 다 문화간호의 중요성이 더욱 강조되고 있다 (Leininger, 2008). (Chae, Park, Kang, & Lee, 2012;Kim, 2013;Park, 2011;Yang, Kwon, & Lee, 2012).…”

Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning

“…의료인을 대상으로 한 연구는 간호사 를 포함한 전문직을 위한 문화적 역량 척도개발 (Choi), 종합병원 간 호사의 문화적 역량 실태조사 (Park, 2011), 종합병원 간호사의 문화 적 역량에 미치는 영향요인에 대한 연구 (Chae, Park, Kang, & Lee, 2012) 등이 있지만 저조한 수준이다. 따라서, 간호사의 문화적 역량 을 강화하고, 충분한 역량을 갖춘 전문가를 양성하기 위해 전문적 이고 체계화된 교육 프로그램의 개발이 필요하다 (Jin, Kim, Sung, Hwang, & Jung, 2010 …”