A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design and Sample
2.2. Measurements
2.2.1. Demographic Data Questionnaire
2.2.2. Nurses’ Multicultural Caring Competence Scale (NMCCS)
2.3. Data Analysis
2.4. Ethical Considerations
3. Results
3.1. Demographic Characteristics of the Participants
3.2. The Distribution of the Cultural Competence
3.3. Association between Participants’ Demographics and Variables and Cultural Competence Score
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | n | % | Mean (SD) |
---|---|---|---|
Gender | |||
Female | 81 | (94.2) | |
Male | 5 | (5.8) | |
Age | 43.48 (5.54) | ||
Marital status | |||
Unmarried | 29 | (33.7) | |
Married | 57 | (66.3) | |
Education level | |||
Bachelor’s degree | 61 | (70.9) | |
Master’s degree | 25 | (29.1) | |
Clinical Ladder System | |||
≥N3 | 60 | (69.8) | |
≤N2 | 26 | (30.2) | |
seniority | 20.62 (5.92) | ||
Years of experience as a NPs | 8.62 (5.99) | ||
Service division | |||
Internal medicine | 26 | (30.2) | |
Surgery | 37 | (43) | |
Obstetrics & Gynecology | 9 | (10.5) | |
Intensive care unit | 14 | (16.3) | |
Attended courses related to cultural diversity | |||
no | 82 | (95.3) | |
Yes | 4 | (4.7) | |
Experience of studying abroad | |||
Yes | 8 | (9.3) | |
no | 78 | (90.7) |
Items | M | SD |
---|---|---|
Cultural awareness | 4.41 | 0.42 |
A person’s beliefs or behaviors are influenced by its cultural background | 4.47 | 0.50 |
People from different cultural backgrounds tend to differ in their values | 4.50 | 0.56 |
Most people’s health/disease beliefs or behaviors are influenced by cultural background | 4.48 | 0.52 |
Cultural knowledge | 3.42 | 0.62 |
I can tell the specific health problems between different ethnic groups | 3.55 | 0.83 |
I can collect knowledge and information about health/disease of different cultures | 3.44 | 0.71 |
I can explain the possible cultural relevance of the client’s beliefs or behavior of the health/disease | 3.57 | 0.71 |
I can compare the health/disease beliefs of different cultural background clients | 3.47 | 0.74 |
I can understand the care needs of different cultural background cases | 3.45 | 0.80 |
Cultural sensitivity | 4.32 | 0.45 |
I respect the differences between the different ethnic cultures | 4.43 | 0.56 |
I am keen to advatages in the health care methods of my clients and appreciate them | 4.36 | 0.52 |
Cultural skill | 3.42 | 0.57 |
I can use communication skills in clients of different cultural backgrounds | 3.67 | 0.67 |
I can understand the nonverbal expressions of different cultural background cases | 3.53 | 0.79 |
When performing nursing activities, I can meet the needs of different cultural background clients | 3.52 | 0.66 |
I can explain the impact of culture on client’s health/disease beliefs or behavior | 3.45 | 0.77 |
Before performing the nursing activities, I will collect the cultural background information related to the clients | 3.52 | 0.66 |
Overall cultural competence | 3.75 | 0.41 |
Variables | M | SD | 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. |
---|---|---|---|---|---|---|---|---|---|---|
1. Age | 43.48 | 5.54 | 1 | |||||||
2. seniority | 20.62 | 5.92 | 0.89 ** | 1 | ||||||
3. Years of experience as a NPs | 8.62 | 5.99 | 0.44 ** | 0.50 ** | 1 | |||||
4. Cultural awareness | 4.41 | 0.42 | 0.09 | 0.09 | 0.02 | 1 | ||||
5. Cultural knowledge | 3.42 | 0.62 | 0.08 | 0.10 | 0.19 | 0.14 | 1 | |||
6. Cultural sensitivity | 4.32 | 0.45 | −0.03 | −0.01 | 0.12 | 0.52 ** | 0.23 * | 1 | ||
7. Cultural skills | 3.42 | 0.57 | 0.08 | 0.14 | 0.24 * | 0.06 | 0.78 ** | 0.14 | 1 | |
8. Overall Cultural competence | 3.75 | 0.41 | 0.10 | 0.14 | 0.23 * | 0.40 ** | 0.89 ** | 0.41 ** | 0.89 ** | 1 |
Variables | Cultural Awareness | Cultural Knowledge | Cultural Sensitivity | Cultural Skills | Overall Cultural Competence | |||||
---|---|---|---|---|---|---|---|---|---|---|
Mean | ±SD | Mean | ±SD | Mean | ±SD | Mean | ±SD | Mean | ±SD | |
Gender a | ||||||||||
Male | 4.37 | 0.37 | 3.42 | 0.33 | 4.60 | 0.43 | 3.45 | 0.38 | 3.78 | 0.25 |
Female | 4.42 | 0.42 | 3.44 | 0.63 | 4.31 | 0.45 | 3.42 | 0.59 | 3.75 | 0.42 |
t | −0.25 | −0.00 | 1.36 | 0.11 | 0.15 | |||||
p value | 0.79 | 0.99 | 0.17 | 0.90 | 0.88 | |||||
Marital status a | ||||||||||
Unmarried | 4.43 | 0.44 | 3.35 | 0.72 | 4.41 | 0.43 | 3.40 | 0.64 | 3.73 | 0.49 |
Married | 4.43 | 0.41 | 3.46 | 0.56 | 4.28 | 0.46 | 3.43 | 0.54 | 3.77 | 0.36 |
t | −0.53 | −0.73 | 1.22 | −0.26 | −0.40 | |||||
p value | 0.59 | 0.46 | 0.22 | 0.78 | 0.69 | |||||
Education level a | ||||||||||
Bachelor’s degree | 4.39 | 0.39 | 3.38 | 0.52 | 4.27 | 0.43 | 3.38 | 0.54 | 3.72 | 0.34 |
Master’s degree | 4.46 | 0.48 | 3.54 | 0.81 | 4.45 | 0.49 | 3.52 | 0.65 | 3.85 | 0.53 |
t (p) value | −0.64 | −0.90 | −1.61 | −1.01 | −1.35 | |||||
p value | 0.52 | 0.37 | 0.10 | 0.31 | 0.18 | |||||
Clinical Ladder System a | ||||||||||
≥N3 | 4.48 | 0.44 | 3.40 | 0.63 | 4.39 | 0.46 | 3.37 | 0.60 | 3.75 | 0.42 |
≤N2 | 4.26 | 0.34 | 3.48 | 0.60 | 4.17 | 0.41 | 3.53 | 0.50 | 3.76 | 0.38 |
t (p) value | −2.43 | 0.52 | −2.03 | 1.16 | 0.72 | |||||
p value | 0.01 | 0.60 | 0.04 | 0.24 | 0.94 | |||||
Attended courses related to cultural diversity a | ||||||||||
No | 4.41 | 0.42 | 3.41 | 0.60 | 4.32 | 0.45 | 3.42 | 0.57 | 3.75 | 0.40 |
Yes | 4.42 | 0.42 | 3.59 | 0.95 | 4.33 | 0.60 | 3.47 | 0.66 | 3.82 | 0.64 |
t (p) value | −0.04 | −0.54 | −0.01 | −0.18 | −0.33 | |||||
p value | 0.96 | 0.58 | 0.98 | 0.85 | 0.73 | |||||
experience of studying abroad a | ||||||||||
No | 4.39 | 0.42 | 3.41 | 0.62 | 4.31 | 0.46 | 3.41 | 0.57 | 3.74 | 0.40 |
Yes | 4.60 | 0.43 | 3.50 | 0.65 | 4.45 | 0.43 | 3.54 | 0.67 | 3.88 | 0.49 |
t (p) value | −1.32 | −0.34 | −0.83 | −0.61 | −0.89 | |||||
p value | 0.18 | 0.73 | 0.40 | 0.54 | 0.37 | |||||
Service division b | ||||||||||
Internal medicine | 4.41 | 0.46 | 3.52 | 0.60 | 4.33 | 0.40 | 3.55 | 0.58 | 3.83 | 0.40 |
Surgery | 4.38 | 0.39 | 3.33 | 0.65 | 4.30 | 0.52 | 3.30 | 0.60 | 3.67 | 0.42 |
Obstetrics & Gynecology | 4.52 | 0.50 | 3.54 | 0.64 | 4.37 | 0.48 | 3.54 | 0.43 | 3.85 | 0.36 |
Critical care units | 4.44 | 0.41 | 3.41 | 0.56 | 4.35 | 0.38 | 3.41 | 0.57 | 3.76 | 0.42 |
F (p) value | 0.29 | 0.56 | 0.07 | 1.04 | 0.95 | |||||
p value | 0.83 | 0.64 | 0.97 | 0.37 | 0.42 |
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Liu, T.-T.; Chen, M.-Y.; Chang, Y.-M.; Lin, M.-H. A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors. Healthcare 2022, 10, 678. https://doi.org/10.3390/healthcare10040678
Liu T-T, Chen M-Y, Chang Y-M, Lin M-H. A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors. Healthcare. 2022; 10(4):678. https://doi.org/10.3390/healthcare10040678
Chicago/Turabian StyleLiu, Tsui-Ting, Miao-Yen Chen, Yu-Mei Chang, and Mei-Hsiang Lin. 2022. "A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors" Healthcare 10, no. 4: 678. https://doi.org/10.3390/healthcare10040678