Womens Health Nurs.  2024 Dec;30(4):318-329. 10.4069/whn.2024.11.03.

Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study

Affiliations
  • 1Delivery Room, Pohang Women’s Hospital, Pohang, Korea
  • 2College of Nursing & Research Institute of Nursing Innovation, Kyungpook National University, Daegu, Korea

Abstract

Purpose
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency

Keyword

Attitude; Cultural competency; Cultural diversity; Nurses; Pregnant women

Reference

References

2. Lim HS. The experience of transition in pregnancy and childbirth among the married immigrant women in Korea. Korean J Women Health Nurs. 2011; 17(3):243–255. https://doi.org/10.4069/kjwhn.2011.17.3.243. DOI: 10.4069/kjwhn.2011.17.3.243. PMID: 37697552.
Article
3. Park H, Park M, Chun Y. A study on education needs related to prenatal care programs in married immigrant women. J Korea Acad-Ind Coop Soc. 2015; 16(7):4632–4640. https://doi.org/10.5762/KAIS.2015.16.7.4632. DOI: 10.5762/KAIS.2015.16.7.4632.
Article
4. Kim MJ. A comparative study on birth outcomes between Korean women and immigrant women. Korean J Women Health Nurs. 2011; 17(4):407–414. https://doi.org/10.4069/kjwhn.2011.17.4.407. DOI: 10.4069/kjwhn.2011.17.4.407. PMID: 37697545.
Article
5. Park KS, Shin HJ. A study on the factors influencing on cultural competence of university students. J Reg Stud. 2011; 19(4):51–72. https://doi.org/10.11111/jkana.2012.18.1.76.
Article
6. Yang SO, Kwon MS, Lee SH. The factors affecting cultural competency of visiting nurses and community health practitioners. J Korean Acad Community Health Nurs. 2012; 23(3):286–295. https://doi.org/10.12799/jkachn.2012.23.3.286. DOI: 10.12799/jkachn.2012.23.3.286.
Article
7. Kim SH, Kim KW, Bae KE. Experiences of nurses who provide childbirth care for women with multi-cultural background. J Korean Public Health Nurs. 2014; 28(1):87–101. https://doi.org/10.5932/JKPHN.2014.28.1.87. DOI: 10.5932/JKPHN.2014.28.1.87.
Article
8. Cross TL. Towards a culturally competent system of care: a monograph on effective services for minority children who are severely emotionally disturbed. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center;1989.
9. Kang HJ, Lim EM. Validation study of multicultural attitude scale for Korean university students. Asian J Educ. 2012; 13(4):35–57. https://doi.org/10.15753/aje.2012.13.4.002. DOI: 10.15753/aje.2012.13.4.002.
Article
10. Kim N, Lim SY. Relationships between multicultural awareness, multicultural attitude and multicultural efficacy among nursing students. Multicult Educ Stud. 2014; 7(4):169–184. https://doi.org/10.14328/MES.2014.12.31.169. DOI: 10.14328/MES.2014.12.31.169.
Article
11. Yang HJ, Byun EK. Factors affecting multicultural efficacy of nurse. Asia-Pac J Multimed Serv Converg Art Humanit Sociol. 2019; 9(6):491–499. https://doi.org/10.35873/ajmahs.2019.9.6.047. DOI: 10.35873/ajmahs.2019.9.6.047.
Article
12. Koh CK, Koh SK. Married female migrants’ experiences of health care services. J Korean Acad Soc Nurs Educ. 2009; 15(1):89–99. https://doi.org/10.5977/JKASNE.2009.15.1.089. DOI: 10.5977/JKASNE.2009.15.1.089.
Article
13. Park HS, Ha SJ, Park JH, Yu JH, Lee SH. Employment experiences of nurses caring for foreign patients. J Korean Acad Nurs Adm. 2014; 20(3):281–291. https://doi.org/10.11111/jkana.2014.20.3.281. DOI: 10.11111/jkana.2014.20.3.281.
Article
14. Jang HY, Lee E. Caring experiences of the nurses caring for foreign inpatients of non-english speaking. J Korea Acad-Ind Coop Soc. 2016; 17(12):415–426. https://doi.org/10.5762/KAIS.2016.17.12.415. DOI: 10.5762/KAIS.2016.17.12.415.
Article
15. Chae DH, Park YH, Kang KH, Lee TH. A study on factors affecting cultural competency of general hospital nurses. J Korean Acad Nurs Adm. 2012; 18(1):76–86. DOI: 10.11111/jkana.2012.18.1.76.
Article
16. Ko MS, Choi KO, Choi EH. A study on the relationship of cultural competence, self efficacy and job stress in nurses caring for hospitalized foreign patients. J Korean Clin Nurs Res. 2016; 22(1):68–77. https://doi.org/10.22650/JKCNR.2016.22.1.68. DOI: 10.22650/JKCNR.2016.22.1.68.
Article
17. Ryu YJ, Lee YM. Influence of cultural competency and intercultural communication on clinical competence of emergency unit nurses caring for foreign patients. J Korean Crit Care Nurs. 2021; 14(1):40–49. https://doi.org/10.34250/jkccn.2021.14.1.40. DOI: 10.34250/jkccn.2021.14.1.40.
Article
18. Jang MM, Jang SH, Lee DY. Factors affecting the cultural competence of general hospital nurses: self-efficacy and intercultural communication skill. J Korean Soc Multicult Health. 2022; 12(1):29–39. https://doi.org/10.33502/JKSMH.12.1.029. DOI: 10.33502/JKSMH.12.1.029.
Article
19. Lee J, Lee H, Kim S, Jang Y. Comparison of perceived nurses’ cultural competence of nurses and foreign patients. J Korean Clin Nurs Res. 2014; 20(3):267–278. http://doi.org/10.22650/JKCNR.2014.20.3.267. DOI: 10.22650/JKCNR.2014.20.3.267.
Article
20. Byun HS, Park MK. Impacts of multicultural acceptability, transcultural self-efficacy on the cultural competency among nurses. J Health Info Stat. 2020; 45(1):91–99. https://doi.org/10.21032/jhis.2020.45.1.91. DOI: 10.21032/jhis.2020.45.1.91.
Article
21. Kim M. A study on multicultural attitude, cultural competence and influencing factors among nurses in Korea. J Humanit Soc Sci. 2019; 10(1):159–174. https://doi.org/10.22143/HSS21.10.1.12. DOI: 10.22143/HSS21.10.1.12.
Article
22. Kwon SA, Yang NY, Song MS, Kim NY. Healthcare workers’ cultural competence and multi-cultural job stress. J Korean Acad Soc Home Care Nurs. 2016; 23(2):206–215. https://doi.org/10.22705/jkashcn.2016.23.2.206. DOI: 10.22705/jkashcn.2016.23.2.206.
Article
23. Chae DH, Lee CY. Development and psychometric evaluation of the Korean version of the cultural competence scale for clinical nurses. Asian Nurs Res. 2014; 8(4):305–312. https://doi.org/10.1016/j.anr.2014.06.004. DOI: 10.1016/j.anr.2014.06.004.
Article
24. Munroe A, Pearson C. The Munroe multicultural attitude scale questionnaire: a new instrument for multicultural studies. Educ Psychol Meas. 2006; 66(5):819–834. https://doi.org/10.1177/0013164405285. DOI: 10.1177/0013164405285.
Article
25. Oh WO, Park ES, Suk MH, Im YJ. Development and psychometric evaluation of the transcultural self-efficacy scale for nurses. J Korean Acad Nurs. 2016; 46(2):293–304. https://doi.org/10.4040/jkan.2016.46.2.293. DOI: 10.4040/jkan.2016.46.2.293. PMID: 27182025.
Article
26. Jeffreys MR. Development and psychometric evaluation of the transcultural self-efficacy tool: a synthesis of findings. J Transcult Nurs. 2000; 11(2):127–136. https://doi.org/10.1177/104365960001100207. DOI: 10.1177/104365960001100207. PMID: 11982045.
Article
27. Lee DW. A comparative study of intercultural communicative competence of Korean students as sojourners and American students as hosts in American universities. Korean J Commun Stud. 2011; 19(4):65–84.
28. Lee EM, Kim SH. Variables affecting the intercultural communication skills of nursing students. Korean Parent Child Health J. 2015; 18(2):78–87.
29. Balcazar FE, Suarez-Balcazar Y, Taylor-Ritzler T. Cultural competence: development of a conceptual framework. Disabil Rehabil. 2009; 31(14):1153–1160. https://doi.org/10.1080/09638280902773752. DOI: 10.1080/09638280902773752. PMID: 19802931.
Article
30. Choi YK, Ahn JW, Kim KS. Influence of cultural competency, intercultural communication, and organizational support on nurses’ clinical competency caring for foreign patients. Health Soc Welf Rev. 2018; 38(4):518–543. https://doi.org/10.15709/hswr.2018.38.4.518. DOI: 10.15709/hswr.2018.38.4.518.
Article
31. Choi KS, Morgan S, Thongpriwan V, Lee SY, Jun M. A proposed teaching model to improve cultural competency care for undergraduate Korean nursing students. J Korean Acad Soc Nurs Educ. 2014; 20(3):424–434. https://doi.org/10.5977/jkasne.2014.20.3.424. DOI: 10.5977/jkasne.2014.20.3.424.
Article
32. Son HM, Je MJ, Yi BJ. Integrative review on cultural competence of nurse. Korean J Cult Arts Educ Stud. 2014; 9(4):25–47. DOI: 10.15815/kjcaes.2014.9.4.25.
Article
33. Jang I, Lee K. Mediating effect of multicultural attitude between multicultural perception and multicultural efficacy of elementary school teachers. Multicult Peace. 2014; 8(3):1–20. https://doi.org/10.22446/mnpisk.2014.8.3.001. DOI: 10.22446/mnpisk.2014.8.3.001.
Article
34. Cho JY, Youn MS. A study on attitude toward immigrants and multicultural efficiency among nursing college students. J Korean Soc Multicult Health. 2015; 5(2):31–38.
35. Yoo H, Kim K, Lee H, Park B, Park S, Park J, et al. Cultural capacity and intercultural communication of university students in nursing. J Korean Acad Rural Health Nurs. 2019; 14(2):23–29. https://doi.org/10.22715/jkarhn.2019.14.2.23. DOI: 10.22715/jkarhn.2019.14.2.23.
Article
36. Yhi B. The lived experiences of clinical nurses who working at the women’s hospital caring for foreign wives in Korea: a narrative study approach. J Korea Acad Ind Coop Soc. 2016; 17(1):188–198. https://doi.org/10.5762/KAIS.2016.17.1.188. DOI: 10.5762/KAIS.2016.17.1.188.
Article
37. Ahn JW, Jang HY. Factors affecting cultural competence of nurses caring for foreign patients. Health Policy Manag. 2019; 29(1):49–57. https://doi.org/10.4332/KJHPA.2019.29.1.49. DOI: 10.4332/KJHPA.2019.29.1.49.
Article
38. Beach MC, Price EG, Gary TL, Robinson KA, Gozu A, Palacio A, et al. Cultural competence: a systematic review of health care provider educational interventions. Med Care. 2005; 43(4):356–373. https://doi.org/10.1097/01.mlr.0000156861.58905.96. DOI: 10.1097/01.mlr.0000156861.58905.96.
Article
39. Statistics Korea. A marriage to a foreigner by city/county [Internet]. Seoul: Author;2022. [cited 2022]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BB0002&conn_path=I2.
40. Ahn JW. Structural equation modeling on culteral competence of nurses caring for foreign patients [doctoral dissertation]. Seoul: Seoul National University; 2015. 94 p. https://doi.org/10.23170/snu.000000025723.11032.0000435. DOI: 10.23170/snu.000000025723.11032.0000435.
41. Song M. The factors influencing multicultural receptivity in Korea. Minjok Yeonku. 2010; 41:74–98.
Full Text Links
  • WHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr