본문 바로가기
KERD
논문KCI 등재

간호대학생 대상의 국제보건역량강화 프로그램 효과: 체계적 문헌고찰 및 메타분석

Effect of a Global Health Competency Program for Nursing Students: A Systematic Review and Meta-Analysis

김혜영|박서아
간호과학연구소 (Research Institute of Nursing Science)|2022.01|글로벌 건강과 간호 (Global Health and Nursing)|제12권 제1호|pp. 23-35|DOI 10.35144/ghn.2022.12.1.23

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

Cultural competencyNursingMeta-analysisStudentsGlobal health
주제분류간호학

초록

Purpose: This study aimed to evaluate the effects of global health competency education on cultural competence, empathy, and cultural acceptance among nursing students in Korea. Methods: A literature review was performed until July 2021 in domestic electronic databases, including KoreaMed, RISS, KISS, and Google Scholar. Nine references that met the inclusion and exclusion criteria were selected and Meta-analysis was performed using Cochrane’s risk of bias tool and the R version 3.5.2 (Meta-analysis with R) program. Results: The findings in this study indicate that effect size of global health competency education for cultural competence was Hedges'g=1.33 (95% confidence interval, 0.78~1.89) and the effect size of empathy was Hedges'g=0.82 (95% confidence interval, 0.07~1.57), as indicated by a large effect size. The effect size of cultural acceptance was Hedges'g=0.49 (95% confidence interval, 0.06~0.92), as indicated by a moderate effect size. The differences were statistically significant. In the meta-subgroup analyzed by approach intervention type, intervention time had a significant effect. The risk of publication bias is low. This study found that the global health competency education program for nursing students had an effect on cultural competence, empathy, and cultural acceptance. Conclusion: Various global health competency programs should be developed and implemented for nursing students to improve their multicultural health competencies.

Abstract

Purpose: This study aimed to evaluate the effects of global health competency education on cultural competence, empathy, and cultural acceptance among nursing students in Korea. Methods: A literature review was performed until July 2021 in domestic electronic databases, including KoreaMed, RISS, KISS, and Google Scholar. Nine references that met the inclusion and exclusion criteria were selected and Meta-analysis was performed using Cochrane’s risk of bias tool and the R version 3.5.2 (Meta-analysis with R) program. Results: The findings in this study indicate that effect size of global health competency education for cultural competence was Hedges'g=1.33 (95% confidence interval, 0.78~1.89) and the effect size of empathy was Hedges'g=0.82 (95% confidence interval, 0.07~1.57), as indicated by a large effect size. The effect size of cultural acceptance was Hedges'g=0.49 (95% confidence interval, 0.06~0.92), as indicated by a moderate effect size. The differences were statistically significant. In the meta-subgroup analyzed by approach intervention type, intervention time had a significant effect. The risk of publication bias is low. This study found that the global health competency education program for nursing students had an effect on cultural competence, empathy, and cultural acceptance. Conclusion: Various global health competency programs should be developed and implemented for nursing students to improve their multicultural health competencies.

참고문헌 (49)

  1. "1991 Principles for evaluation of development assistance" (2004)[URL]
  2. Lynda Wilson, "Identifying Global Health Competencies to Prepare 21st Century Global Health Professionals: Report from the Global Health Competency Subcommittee of the Consortium of Universities for Global Health", Journal of Law, Medicine & Ethics, 42(S2), pp.26~31 (2014), Cambridge University Press (CUP)[DOI]
  3. Kristen Jogerst, "Identifying interprofessional global health competencies for 21st-century health professionals", Annals of Global Health, 81(2), pp.239~247 (2015), Ubiquity Press, Ltd[DOI]
  4. Tracey Long, "Influence of International Service-Learning on Nursing Student Self-Efficacy Toward Cultural Competence", Journal of Nursing Education, 53(8), pp.474~478 (2014), SLACK, Inc[DOI]
  5. "Position statement: cultural and linguistic competence" (2013)[URL]
  6. Jeffrey CL, "Empathy and competence", Medical Journal of Australia, 188(7), pp.414~416 (2008)
  7. Joseph R. Betancourt, "Cultural Competence And Health Care Disparities: Key Perspectives And Trends", Health Affairs, 24(2), pp.499~505 (2005), Health Affairs (Project Hope)[DOI]
  8. Ramona Benkert, "Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners", Research in Nursing & Health, 34(4), pp.327~341 (2011), Wiley[DOI]
  9. McCoy JA, "Is empathy a fundamental substrate for cultural competency", 92nd Annual clinical congress (2006)
  10. 민성혜, "대학생의 문화적 역량에 관한 탐색적 연구 - 문화적 인식을 중심으로", 청소년복지연구, 11(1), pp.183~206 (2009), 한국청소년복지학회
  11. 김선희, "간호대학생을 위한 문화간호역량 교육 프로그램의 개발 및 효과", 한국간호교육학회지, 19(4), pp.580~593 (2013), 한국간호교육학회[DOI]
  12. Paul K. Drain, "Global Health in Medical Education: A Call for More Training and Opportunities", Academic Medicine, 82(3), pp.226~230 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  13. Bozorgmehr K, "The 'global health' education framework : a conceptual guide for monitoring, evaluation and practice", Globalization and Health, 7(1), pp.1~12 (2011)
  14. Alicia J. Curtin, "Development and Evaluation of an International Service Learning Program for Nursing Students", Public Health Nursing, 30(6), pp.548~556 (2013), Wiley[DOI]
  15. Michelle Lynn Edmonds, "The Lived Experience of Nursing Students Who Study Abroad: A Qualitative Inquiry", Journal of Studies in International Education, 14(5), pp.545~568 (2010), SAGE Publications[DOI]
  16. Heidi C. Ruddock, "Developing cultural sensitivity: nursing students? experiences of a study abroad programme", Journal of Advanced Nursing, 59(4), pp.361~369 (2007), Wiley[DOI]
  17. Marianne R. Jeffreys, "Evaluating the Influence of Cultural Competence Education on Students’ Transcultural Self-Efficacy Perceptions", Journal of Transcultural Nursing, 23(2), pp.188~197 (2011), SAGE Publications[DOI]
  18. 이창금, "융복합 다문화 간호교육 프로그램이 간호대학생의 문화적 역량과 공감능력에 미치는 효과", 디지털융복합연구, 13(12), pp.337~346 (2015), 한국디지털정책학회[DOI]
  19. 황혜영, "간호대학생의 다문화이해 교과목이 공감능력과 다문화태도에 미치는 효과", 한국산학기술학회논문지, 16(1), pp.106~115 (2015), 한국산학기술학회[DOI]
  20. 픽은희, "다문화 교육프로그램이 간호대학생의 문화적 역량, 공감 능력, 자기효능감에 미치는 효과", Journal of Korean Academy of Nursing, 43(5), pp.690~696 (2013), 한국간호과학회
  21. 정향인, "다문화 간호 교육 프로그램이 간호대학생의 문화적 역량에 미치는 효과", 간호행정학회지, 23(4), pp.406~415 (2017), 간호행정학회
  22. 채명정, "다문화 교과 프로그램이 간호대학생의 다문화 수용성 및 역량에 미치는 효과", 한국간호교육학회지, 21(3), pp.373~381 (2015), 한국간호교육학회[DOI]
  23. 김진선, "간호대학생을 위한 국제보건 리더십 프로그램의 효과", Journal of The Korean Data Analysis Society, 19(3), pp.1637~1654 (2017), 한국자료분석학회[DOI]
  24. 강경숙, "팀 기반 학습에서 다문화간호 교육이 간호대학생의 문화적 역량, 공감능력 및 교육요구도에 미치는 효과", 예술인문사회 융합 멀티미디어 논문지, 7(9), pp.925~934 (2017), 사단법인 인문사회과학기술융합학회[DOI]
  25. 박숙경, "다문화 간호교육 프로그램이 간호대학생의 다문화 수용성에 미치는 효과", Journal of The Korean Data Analysis Society, 20(5), pp.2695~2710 (2018), 한국자료분석학회[DOI]
  26. 라진숙, "간호대학생을 위한 다문화간호교육프로그램이 다문화 태도, 다문화 역량 및 다문화간호 자신감에 미치는 효과", 학습자중심교과교육연구, 20(14), pp.23~38 (2020), 학습자중심교과교육학회[DOI]
  27. David Moher, "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement", PLoS Medicine, 6(7), pp.e1000097~ (2009), Public Library of Science (PLoS)[DOI]
  28. Kim SY, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention", National Evidence-based Healthcare Collaborating Agency, ~ (2011)
  29. Betsy Jane Becker, "Synthesizing standardized mean-change measures", British Journal of Mathematical and Statistical Psychology, 41(2), pp.257~278 (1988), Wiley[DOI]
  30. Scott B. Morris, "Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs", Psychological Methods, 7(1), pp.105~125 (2002), American Psychological Association (APA)[DOI]
  31. Yael Netz, "Physical Activity and Psychological Well-Being in Advanced Age: A Meta-Analysis of Intervention Studies", Psychology and Aging, 20(2), pp.272~284 (2005), American Psychological Association (APA)[DOI]
  32. "Cochrane handbook for systematic reviews of interventions version 5.1.0" (2011)[URL]
  33. Rosalie A. Caffrey, "Improving the Cultural Competence of Nursing Students: Results of Integrating Cultural Content in the Curriculum and an International Immersion Experience", Journal of Nursing Education, 44(5), pp.234~240 (2005), SLACK, Inc[DOI]
  34. 김연순, "액션러닝 기반의 다문화 간호교육이 문화적 역량 증진에 미치는 효과", 한국산학기술학회논문지, 15(11), pp.6527~6535 (2014), 한국산학기술학회[DOI]
  35. Han SY, "Development of a cultural competence for nursing students", pp.2014
  36. 안옥희, "다문화 역량강화 프로그램 개발 및 적용", 한국웰니스학회지, 11(4), pp.253~265 (2016), 한국웰니스학회[DOI]
  37. Josepha Campinha-Bacote, "Delivering Patient-Centered Care in the Midst of a Cultural Conflict: The Role of Cultural Competence", OJIN: The Online Journal of Issues in Nursing, 16(2), pp.5~ (2011), American Nurses Association[DOI]
  38. 김은희, "다문화 체험형 교육프로그램이 간호학생의 다문화 인식, 문화적 역량, 공감능력에 미치는 효과", 예술인문사회 융합 멀티미디어 논문지, 9(10), pp.83~93 (2019), 사단법인 인문사회과학기술융합학회[DOI]
  39. 채덕희, "간호사의 문화적 역량 측정도구에 대한 고찰–IAPCC와 CCA를 중심으로", 간호행정학회지, 19(1), pp.48~62 (2013), 간호행정학회[DOI]
  40. Cuevas MC, "Cultural competence, cultural awareness and attitudes of social work students", pp.2002
  41. Davis MH, "Empathy: A social psychological approach" (1996), Westview Press
  42. Arnold Munroe, "The munroe multicultural attitude scale questionnaire: a new instrument for multicultural studies", Educational and Psychological Measurement, 66(5), pp.819~834 (2006), SAGE Publications[DOI]
  43. The 2012 study on multicultural acceptability in Korea, "Ahn SS", Ministry of Gender Equality and Family, ~ (2012)
  44. A study on multicultural acceptability in Korea, "Korean Women's Development Institute", Korean Women's Development Institute, ~ (2012)
  45. 김덕희, "간호대학생의 문화적 역량수준과 영향요인", 정신간호학회지, 22(3), pp.159~168 (2013), 한국정신간호학회
  46. 김민아, "국내 간호사와 간호대학생의 문화적 역량 연구에 대한 문헌고찰", 지역사회간호학회지, 29(4), pp.450~466 (2018), 한국지역사회간호학회[DOI]
  47. 이인숙, "간호대학생의 문화적 역량과 다문화 교육 요구도에 관한 연구", 한국산학기술학회논문지, 15(1), pp.283~290 (2014), 한국산학기술학회[DOI]
  48. 김경하, "간호대학생의 다문화 인식과 문화적 공감이 문화적 역량에 미치는 영향", 한국산학기술학회논문지, 21(8), pp.241~247 (2020), 한국산학기술학회[DOI]
  49. 강선주, "The effect of global disaster competency development program on paramedic and nursing undergraduate students", 한국응급구조학회지, 18(1), pp.83~94 (2014), 사단법인 한국응급구조학회

관련 논문AI추천

간호사의 문화적 역량 프로그램 효과분석: 체계적 문헌고찰 및 메타분석모진아, 최성희대한산업경영학회 · 산업융합연구2024 · 제22권 제9호국제간호교육이 간호대학생의 국제보건 간호역량과 국제개발협력 이해 및 교육만족도에 미치는 효과김희숙, 이도영대한근관절건강학회 · 근관절건강학회지2021 · 제28권 제1호Effects of a cultural nursing course to enhance the cultural competence of nursing students in Korea박혜숙, 장희정, 정금희한국보건의료인국가시험원 · Journal of Educational Evaluation for Health Professions2019 · 제16권 간호대학생의 다문화 인식과 문화 역량이 다문화 태도에 미치는 영향노인숙, 정종희다문화건강학회 · 다문화건강학회지2021 · 제11권 제1호간호대학생의 다문화교육 및 다문화접촉 경험이 문화적 역량에 미치는 영향최정, 김정아대한의료커뮤니케이션학회 · 의료커뮤니케이션2019 · 제14권 제1호간호대학생의 문화역량과 문화간호역량 교육 요구도윤혜원, 임지영, 조미진다문화건강학회 · 다문화건강학회지2024 · 제14권 제1호

이 간행물의 다른 논문 (6건)

식도암 수술 환자의 회복을 위한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석이혜진, 서지민, 김혜정pp. 1-22Influence of Late School-age Children and Their Mothers’ Health Beliefs, Children’s Self-esteem, and Social Support on Health Behaviors of Children박가은, 이해정, 이윤주, 현수경, 이수진pp. 36-46주관적 인지 저하를 경험하는 지역사회 노인의 사회적 요인이 건강관련 삶의 질에 미치는 영향: 2019년 지역사회건강조사 자료분석박종민, 성호현pp. 47-56외래간호사의 비부가가치 간호활동의 유형과 발생원인김동희, 하미경pp. 57-68Factors Affecting Job Satisfaction and Turnover Intention among Newly Graduated Nurses in Korea이해정, 이윤주, 주향림pp. 69-77
원문 보기