종합병원 간호사의 자기효능감, 문화 간 의사소통 능력이 문화적 역량에 미치는 영향
Factors Affecting the Cultural Competence of General Hospital Nurses - Self-Efficacy and Intercultural Communication Skill
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Purpose: This is a descriptive survey research paper that examined the relationship between the cultural competence of nurses and the factors of self-efficacy and intercultural communication skills at a general hospital. The study further investigated the effects of the above factors on their cultural competence, to provide basic data for plans designed to improve the same. Methods: The subjects included 200 nurses who had experience in taking care of multicultural patients at general hospitals with 100 beds or more in C City, K Province. Data were collected between May 20 to July 20, 2019. The collected data were analyzed on the Jamovi 0.9.6.4 statistical program using descriptive statistics, t-test, ANOVA Turkey test, Pearson’s correlation coefficient, and hierarchical analysis. Results: Hierarchical analysis was performed to identify the factors influencing the subjects' cultural competence. The analysis of the results showed that intercultural communication skills (β=.62, p<.001) had the biggest influence on their cultural competence, followed by educational background (β=.15, p=.001) and experience with multicultural nursing education (β=-.10, p=.031) in that order. The regression analysis of cultural competence was statistically significant (F=36.1, p<.001), and it had an explanatory power of 55%. Conclusion: The development of educational programs for their higher cultural competence should be accompanied by policy and financial support from medical institutions and the Korean Nurses Association.
Abstract
Purpose: This is a descriptive survey research paper that examined the relationship between the cultural competence of nurses and the factors of self-efficacy and intercultural communication skills at a general hospital. The study further investigated the effects of the above factors on their cultural competence, to provide basic data for plans designed to improve the same. Methods: The subjects included 200 nurses who had experience in taking care of multicultural patients at general hospitals with 100 beds or more in C City, K Province. Data were collected between May 20 to July 20, 2019. The collected data were analyzed on the Jamovi 0.9.6.4 statistical program using descriptive statistics, t-test, ANOVA Turkey test, Pearson’s correlation coefficient, and hierarchical analysis. Results: Hierarchical analysis was performed to identify the factors influencing the subjects' cultural competence. The analysis of the results showed that intercultural communication skills (β=.62, p<.001) had the biggest influence on their cultural competence, followed by educational background (β=.15, p=.001) and experience with multicultural nursing education (β=-.10, p=.031) in that order. The regression analysis of cultural competence was statistically significant (F=36.1, p<.001), and it had an explanatory power of 55%. Conclusion: The development of educational programs for their higher cultural competence should be accompanied by policy and financial support from medical institutions and the Korean Nurses Association.
참고문헌 (31)
- 고미숙, "외국인 환자 입원병동 간호사의 문화적 역량, 자기효능감, 직무 스트레스 간의 상관관계", 임상간호연구, 22(1), pp.68~77 (2016), 병원간호사회
- 김나경, "간호사의 문화간호 역량수준 중요성 및 교육요구", 석사, pp.2015
- 김선미, "간호사의 스트레스 영향 요인: 외국인환자와의 관계를 중심으로", 대한보건연구, 43(2), pp.11~19 (2017), 사단법인 대한보건협회[DOI]
- 김은영, "중소병원 간호사의 문화적 간호행위의 영향 요인", 예술인문사회 융합 멀티미디어 논문지, 8(8), pp.77~88 (2018), 사단법인 인문사회과학기술융합학회[DOI]
- 박동영, "간호 대학생의 자아존중감, 대인관계, 문화간 의사소통능력이 문화적 역량에 미치는 영향", 한국콘텐츠학회 논문지, 14(11), pp.337~346 (2014), 한국콘텐츠학회[DOI]
- 박명숙, "다문화 산모 간호를 위한 문화적 역량증진 프로그램의 효과: 사례기반 소그룹 학습방법 적용", Journal of Korean Academy of Nursing, 43(5), pp.626~635 (2013), 한국간호과학회
- 오상석, "병원 근로자들의 최종 학력이 직무 만족에 미치는 영향: 직급의 조절효과", 한국산학기술학회논문지, 19(6), pp.559~566 (2018), 한국산학기술학회[DOI]
- 오원옥, "보건의료 및 복지 전공 대학생의 다문화 지식, 공감, 문화적 민감성에 관한 연구", 한국학교보건학회지, 23(2), pp.192~199 (2010), 한국학교보건학회
- 유수연, "문화 간 의사소통의 이해" (2008), 한국문화사
- 이두원, "A Comparative Study of Intercultural Communicative Competence of Korean Students as Sojourners and American Students as Hosts in American Universities", 커뮤니케이션학 연구, 19(4), pp.65~84 (2011), 한국커뮤니케이션학회
- 이은미, "간호대학생의 다문화 인식, 문화적 민감성이 문화 간 의사소통능력에 미치는 영향", 한국산학기술학회논문지, 18(4), pp.459~468 (2017), 한국산학기술학회[DOI]
- 이지영, "간호사의 다문화인식, 문화적 민감성 및 문화적역량과의 관계", 석사, pp.2017
- 이현경, "간호사의 의사소통 능력과 문화적 역량", 석사, pp.2015
- 정애순, "간호사의 건강증진행위와 자기효능감의 관계연구", 석사, 간호행정, pp.2007
- 채덕희, "종합병원 간호사의 문화적 역량수준과 영향요인", 간호행정학회지, 18(1), pp.76~86 (2012), 간호행정학회
- 최소연, "원조전문직의 문화적 역량 선행요인에 관한 연구 -사회복지사, 교사, 간호사, 사회복지공무원을 중심으로-", 한국사회복지학, 64(2), pp.5~29 (2012), 한국사회복지학회[DOI]
- 최윤경, "간호사의 문화역량, 문화간 의사소통역량, 병원의 문화역량지지가 외국인환자 간호 임상수행능력에 미치는 영향", 보건사회연구, 38(4), pp.518~543 (2018), 한국보건사회연구원[DOI]
- "통계청" (2017)[URL]
- 한석영, "간호대학생의 문화적 역량 수준과 영향요인", 학습자중심교과교육연구, 16(4), pp.73~86 (2016), 학습자중심교과교육학회
- Bandura, A., "Self efficacy : Toward a unifying theory of behavioral change", Psychological Review, 84(2), pp.191~215 (1997)
- Bond, M. L., "Assessment of professional nursing students knowledge and attitudes about patients of diverse cultures", Journal of professional Nursing, 17(6), pp.305~312 (2001)
- Deborah, A. D., "Cultural competence trianing for clinical staff : Measuring the effect of a one-hour class on cultural competence", Journal of Transcultural Nursing, 24(2), pp.204~213 (2013)
- Cohen, J., "A power primer", Psychological Bulletin, 112(1), pp.155~159 (1992)
- Foronda, C. L., "A concept analysis of cultural sensitivity", Journal of Transcultural Nursing, 19(3), pp.207~212 (2008)
- Happ, M. B., "Effect of a multi-level intervention on nurse-patient communication in the intensive care unit : Result of the SPEACS trial, heart & lung", The Journal of Acute and Critical Care, 43(2), pp.89~98 (2014)
- (2021)[URL]
- Judith, A. M. N., "The relationship between multicultural awareness and intercultural communication ability of nursing students", master, pp.2017
- Lihua, L., "Cultural self-efficacy of graduating baccalaureate nursing students in a state funded university in the silicon valley", Journal of Nursing Scholarship, 36(2), pp.161~166 (2008)
- Purnell, L. D., "Transcultural Health care: a culturally competence approach" (2013), F. A. Davis Company
- Salanova, M., "Linkinransformational leadership to nurses’ extra‐role performance : The mediating role of selfefficacy and work engagement", Journal of Advanced Nursing, 67(10), pp.2256~2266 (2011)
- Shere, M., "The selfefficacy scale Construction and Validation", Psychological Report, 51, pp.663~671 (1982)