Influence of Self-Efficacy and Intercultural Communicative Competence on the Cultural Competence of Allied Health College Students

보건의료계열 대학생의 자신감과 문화 간 의사소통능력이 문화적 역량에 미치는 영향

  • Received : 2018.07.09
  • Accepted : 2018.08.05
  • Published : 2018.08.31


Purpose: The study examined the effects of self-efficacy and intercultural communicative competence on the cultural competence of allied health college students. Methods: The participants were 176 allied health college students. Data collection was conducted from June 12 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with the SPSS program. Results: The mean self-efficacy score was 3.52;, the mean intercultural communicative competence score was 3.24;, and the mean cultural competence score was 3.26. Cultural competence differed significantly by grade(p=.008), major(p<.001), overseas study exchange(p=.020), foreign language skill(p=.011), domestic multicultural friends (p=.002) and contact with people(p=.026) of general characteristics. Statistically significant positive relationships were observed between self-efficacy(r=.23), intercultural communicative competence(r=.58), and cultural competence. A total of 35.9% of cultural competence was explained by intercultural communicative competence and grade. Conclusion: These results can be used to develop cultural education programs to improve cultural competence, with consideration for intercultural communicative competence and grade levels.


  2. Choi YH, Gu MJ, Choi MJ, Kim YM. Factors affecting multicultural acceptability of adolescents using multilevel analysis. The Korean Journal of Health Service Management. 2018;12(2):75-87.
  3. Song EJ, Yang YK, Park SK. Effects on critical thinking disposition and empathy on cultural competency in nursing students. Journal Korean Academy Psychiatry Mental Health Nursing, 2016;25(4):347-355.
  4. Jo MK, Jang HY. Factors influencing cultural competence among nursing students. Journal of the Korean Data Analysis Society. 2015;17(5):2795-2808.
  5. Hong SK, Kang YS. The mediation effects of cultural competence on the relationship between socially prescribed perfectionism and career decision-making self-efficacy of university students. The Journal of Career Education Research, 2018;31(1):81-101.
  6. Campinha-Bacote J. Cultural competence in psychiatric nursing: Have you 'ASKED' the right questions?. Journal of the American Psychiatric Nurses Association. 2002;8(6):183-187.
  7. Campinha-Bacote J. Cultural competency in healthcare delivery: Have I asked myself the right question? Retrived November 26, 2006 from
  8. Kim MK. A qualitative study on university students' multicultural competence-focusing on the cultural cognition, cultural knowledge and cultural skill-. Korean Journal of Human Ecology, 2010;19(6):945-965.
  9. Oh WO, Jung WS, Kang HG, Kim EH, Suk MH. Cultural knowledge, empathy and cultural sensitivity of university students majoring in health and welfare. Journal of Korean Society of School Health, 2010;23(2):192-199.
  10. Clark MJ. Community health nursing: A advocacy for population health. Practice(5th ed). 216-218, New Jersey: Pearson Education.
  11. Choi SY. A study on the antecedent factors affecting helping professions' cultural competence-focus on social workers, nurses, and social work civil servants-. Korean Journal of Social Welfare. 2012;64(2):5-29.
  12. Bandura A. Self-efficacy: the exercise of control, New York, NY: Freeman. 1997.
  13. Yang J, Park K, Kim M, Yang YO. Factors influencing the confidence on performance of core fundamental nursing skills among nursing students. Journal of the Korean Data Analysis Society. 2012;14(5B):2611-2622.
  14. Foronda CF. A concept analysis of cultural sensitivity. Journal of Transcutural Nursing, 2008;19(3):207-212.
  15. Koh CK, Koh SK. Married female migrants experience of health care services. Journal of Korean Academic Society of Nursing Education. 2009;15(1):89-99.
  16. Ryan M, Twibell RS. Outcomes of a transcultural nursing immersion experience: Confirmation of a dimensional matrix. Journal of Transcultural Nursing, 2002;13(1): 30-39.
  17. Yang SY, Lim HN, Lee JH. The study on relationship between cultural competency and empathy of nursing students. Journal Korean Academy Society Nursing Education, 2013;19(2):183-193.
  18. Min SH, Lee MY. A Exploratory study about the cultural competence of university students-focused on the cultural awareness. Journal of Adolescent Welfare, 2009;11(1):183-206.
  19. Han SY, Chung HI. Development of a cultural competence scale for nursing students. Journal of Academy Nursing. 2015;45(5):684-693.
  20. Ko EJ. Improvement of underachiever's confidenence and self-esteem using music therapy program. [master's thesis]. Chungbuk: Korea National University of Education; 2004.
  21. Lee DW. A comparative study of intercultural communicative competence of korean students as sojourners and american students as hosts in american universities. Journal of Communication. 2011;19(4):65-84.
  22. Lee EM. Variables affecting the intercultural communication skills of nursing students. [master's thesis]. Daegu: Daegu Catholic University; 2013.
  23. Park DY, Jung KH. The influence of self esteem, interpersonal relations and intercultural communicative competence on cultural competence of nursing students. International Journal of Contents. 2014;14(11):337-346.
  24. Suh EE. The model of cultural competence through an evolutionary concept analysis. Journal of Trasnscultural Nursing. 2004;15(2):93-102.
  25. Leininger M. Culture care theory: A major contribution to advance transcultural nursing knowledge and practice. Journal of Trasnscultural Nursing. 2002;13(3):183-192.
  26. Koskinen L, Campbell B, Aarts C, Chasse F, Hemingway A, Juhansoo T, et al. Enhancing cultural competence: Trans-atlantic experiences of european and canadian nursing students. International Journal of Nursing Practice. 2009;15:502-509.
  27. Lee EM, Kim SH. Influence of multicultural awareness and cultural sensitivity on intercultural communication skills of the korean nursing students. Journal of the Korea Academia -Industrial cooperation Society. 2017;18(4):459-468.
  28. American Nurses Association. Public health nursing: scope and standards of practice. Silver Spring.