Predictors for Transcultural Self-efficacy of Nursing Students: Application of Ecological Model

Abstract

Objective: This research aimed to explore the significant factors for transcultural self-efficacy applying the Bronfenbrenner's ecological framework. Objectives were to identify the degrees of three domains; cognitive, practical and affective of transcultural self-efficacy, to find the significant differences between demographic factors and transcultural self-efficacy, to examine the relationship among variables and to explore the predictors for the transcultural self-efficacy of nursing students according to the levels of the ecological model. Methods: This was a cross-sectional, quantitative correlational design with secondary data analysis using hierarchical regression models.Results: Demographic factors; geographic location, age, gender and relationship with multicultural groups were significantly associated with transcultural self-efficacy. Geographic location, cultural sensitivity, interpersonal communication skills, and emotional regulation were the predictors for transcultural self-efficacy. Conclusion:Based on the findings, macro and microsystem, and ontogenic factors emphasize the needs of developing knowledge, skills and most importantly attitudes towards the social justice, interacting with every people with no bias on their race, religion, social status controlling their self-emotions and being empathy in nursing students.

Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study

“…Nurses who had higher motivation to work amidst cultural diversity demonstrated higher perceptions of transcultural self-efficacy. These findings are supported by the study of Asurakkody (2019), in which cultural sensitivity, interpersonal communication, and cultural motivation positively and significantly predicted TSE [29].…”

“…This finding is supported by the study of Herrero-Hahn et al (2019) in which male nurses demonstrated a higher transcultural self-efficacy score than females [25]. However, it is opposite to the study of Asurakkody (2019), in which female nurses demonstrated a higher transcultural self-efficacy score than males [29]. The discrepancy may be because the vast majority (93.1%) of the participants in their study were females.…”

“…The adapted scale consists of 7 items measured with responses ranging from strongly disagree to strongly disagree. Asurakkody (2019) reported Cronbach's alpha of 0.75 for IPCS [29]. Cultural motivation was measured by the cultural motivation scale (CMS) adapted from 5 items subscale of the cultural intelligence scale.…”

Determinants of transcultural self‐efficacy among nurses in China: A cross‐sectional study

“…These findings differ from those of previous studies. Another study conducted in a hospital in China demonstrated a moderate level of transcultural self-efficacy among nurses (Li et al, 2016), while in another study, nursing students in Sri Lanka showed a high level of transcultural self-efficacy (Asurakkody, 2019). Jeffreys (2010) speculated that nurses who show moderate transcultural self-efficacy have the most appropriate level of confidence and that nurses who are sufficiently confident and diligent about the practical aspects of culturally appropriate clinical care are most likely to provide quality transcultural care to patients.…”

“…Nurses aged 31-40 years likely had the highest self-perceived transcultural selfefficacy as they had received the most training and continuing education, and some of them were clinical instructors. In Sri Lanka, nursing students aged 21-24 years were significantly more confident in their ability to provide transcultural care than nursing students aged 25-28 years(Asurakkody, 2019), which may reflect the transcultural nursing education received by the younger nursing students at university. Chinese universities do not provide transcultural nursing education; therefore, young nurses with less work experience have the lowest self-perceived transcultural self-efficacy.…”