• Title, Summary, Keyword: Cultural Competence

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Cultural Competence of Health Care Providers in Daegu and Satisfaction on Health Care Services of Chinese Medical Tourists (대구지역 의료서비스 제공자들의 중국 문화에 대한 문화적 역량과 중국 의료관광객의 만족도)

  • Park, Sa-Ra;Lee, Kyeong-Soo;Kim, Sang-Kyu;Hwang, Tae-Yoon
    • Health Policy and Management
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    • v.26 no.2
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    • pp.115-124
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    • 2016
  • Background: This study aims at making a survey on health care service providers' cultural competence and making an appraisal of Chinese medical tourists on service quality, health care service providers' cultural competence, perceived value, and satisfaction. Methods: The data was collected from August until November, 2014 and 150 health care service providers and 65 Chinese medical tourists from 12 medical institutions in Daegu were enrolled in analysis. Results: The results showed that health care service provider's knowledge on Chinese culture was very low with 33.5% of correct answer. Health care service providers were found to get 3.82 point on a 5 point-scale in cultural perception, 3.53 points in cultural sensitivity, and 2.85 points in cultural skills. Chinese medical tourists were analyzed to give 4.08 points on a 5-point scale to satisfaction on health care service, followed by 4.01 points to health care service quality, 4.00 points to perceived value of health care service, and last 3.85 points to a health care service providers' cultural skills. However, there was a difference in points in cultural skills between health care service providers and Chinese medical tourists. Chinese medical tourists' satisfaction with health care service in Daegu was found to be comparatively high, but in relation to satisfaction with communication, it was found to be relatively low. Conclusion: Through this research, health care service providers' knowledge level of Chinese culture and cultural skills were low while they seemed to take a half-hearted attitude towards educational experience for building up cultural competence and foreign patient service response.

Development of a Cultural Competence Scale for Nursing Students (간호대학생의 문화적 역량 측정도구 개발)

  • Han, Seok-Young;Cho Chung, Hyang-In
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.684-693
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    • 2015
  • Purpose: This methodological study was conducted to develop and test a cultural competence scale for nursing students. Methods: Based on the five constructs of cultural competency identified in the conceptual analysis of Suh, 76 items for the tool were derived initially. These items were reduced to 58 items after content validity tests (two times) by 6 multicultural experts. Data collected from 526 nursing students were utilized to test the validity and reliability of the preliminary tool. Item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha were used for the analysis. Results: Twenty-seven items were selected for the final scale, and categorized into 5 factors explaining 62.1% of the total variance. Cronbach's alpha was .91 and the reliability of the subscales ranged from .76 to .91. Criterion validity between the developed tool and empathy (r=.26, p <.001) was significant. Conclusion: The results show that this scale can provide scientific and empirical data when evaluating the effectiveness of school curriculums or multicultural empowerment programs regarding cultural competence of nursing students.

The Influence of Multicultural Perception and Cultural Competence upon Multicultural Acceptance Among Nursing Students (간호대학생의 다문화 인식과 문화적 역량이 다문화 수용성에 미치는 영향)

  • Cho, Young Mi;Sok, So Hyune
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.190-197
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    • 2019
  • Purpose: The purpose of this study was to investigate the correlation and the degree of multicultural perception, cultural competence, and multicultural acceptance of nursing college students. METHODS: The study was analyzed using the SPSS 25.0 program. The correlation among multicultural perception, cultural competence, and multicultural acceptance was analyzed by Pearson's correlation coefficients, and it was analyzed using Multiple Regression to figure out factors influencing multicultural acceptance. RESULTS: Multicultural acceptance was a significant positive correlation with multicultural perception and cultural competence of nursing college students (r = .645, p <.001; r = .556, p <.001). As a result of regression analysis, it was confirmed that multicultural perception (${\beta}=0.479$, p <.001) and cultural competence (${\beta}=0.299$, p <.001) were factors that influence nursing students' multicultural acceptance. Conclusion: Based on the results of this study, it is suggested that nursing students should develop cultural competency as a way to increase multicultural acceptance in a multicultural society. Also, in developing and implementing multicultural education programs, it is necessary to develop multicultural education program content and the policy backing should be supported that promotes multicultural perception and enhances cultural competence.

A Study on Factors Affecting Cultural Competency of General Hospital Nurses (종합병원 간호사의 문화적 역량수준과 영향요인)

  • Chae, Duck-Hee;Park, Yun-Hee;Kang, Kyeong-Hwa;Lee, Tae-Hwa
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.1
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    • pp.76-86
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    • 2012
  • Purpose: As Korea has been rapidly transformed to be a multicultural society, it becomes essential for nurses to develop cultural competency. The purpose of this descriptive study was to assess the cultural competency level of general hospital nurses and to examine its contributing factors adopting ecological model. Method: A convenience sample of 327 nurses from six general hospitals in Seoul metropolitan area was recruited between November 14 to 28, 2011. Cultural competency was measured using the Korean version of the Caffrey Cultural Competence in Healthcare Scale (CCCHS) and Cultural Competence Assessment(CCA). Hierarchical multiple regression analysis was performed to assess the influence of intrapersonal, cultural-experience, and organizational factors on cultural competency. Results: Mean cultural competency in this study was 2.57(${\pm}0.43$). Cultural competency was associated with job position (p=.044) at the intrapersonal level. At the cultural experience level, foreign language classes experience (p=.005), fluency in a foreign language (p=.000), experience of working with foreign health care professionals (p=.000) were associated cultural competency. At the organizational level, training program (p=.000), job description (p=.002), health education materials (p=.016), insufficient job control (p=.000), and interpersonal conflicts (p=.011) showed significant difference. Foreign language class experience, foreign language fluency, experience of working with foreign health care professionals, and job control were the most consistent predictors of cultural competence and explained 20.4% of the total variance in the proposed ecological model. Conclusions: The findings suggest that to enhance cultural competency in general hospital nurses, cultural experience and organizational factors need to be more fully considered than intrapersonal factors.

Exploratory Study on Experience in Cultural Competence of Multicultural Counselors Working with Female Immigrants by Marriage (결혼이주여성 대상 다문화 상담자들의 문화적 역량 관련 경험에 관한 탐색적 연구)

  • Lee, Hyun Jung
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.519-530
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    • 2014
  • The purpose of this study was to explore the experience in cultural competence of multicultural counselors working with female immigrants by marriage. In-depth interviews, followed by a phenomenological analysis, were conducted on 10 multicultural counselors. 6 themes were emerged from data analysis: facing difficulties due to linguistic and cultural differences, feeling doubts about self and one's ability, reflecting self, putting efforts to learn other cultures and groups, realizing changes, and feeling insecure still. 3 categories appeared from the 6 themes above: difficulties, efforts to change, and change and limitations. Based on the results, social work suggestions for increasing cultural competence of multicultural counselors were discussed.

Reconsidering Mathematical Literacy (수학적 소양 (Mathematical Literacy)에 대하여)

  • 주미경
    • Journal of Educational Research in Mathematics
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    • v.12 no.2
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    • pp.163-180
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    • 2002
  • The purpose of this paper is to reconsider the meaning of mathematical literacy based on the investigation of the nature of mathematical knowledge communicated in university level mathematics classes. The analysis of classroom discourse has revealed three different kinds of mathematical knowledge circulated in mathematics class, which include 'factual mathematics', 'mathematical fantasy', and 'mathematical savior faire.' The fact that a mathematics teacher delivers diverse categories of mathematics knowledge suggests that the mathematical literacy is not confined to the development of technical competence. More specifically, the kinds of mathematical knowledge identified above tell that mathematical literacy developed through learning mathematics reflects the cultural norms and values of doing mathematics. This means that mathematical literacy is not merely involve with technical competence but rather with cultural competence. In this regard, this paper highlights the meaning of mathematical literacy as a cultural identity, which has been underestimated in the theory and practice of mathematics education dominated by technocracy of the twentieth century In particular, the notion of mathematical savior faire implies that teaching and teaming mathematics ultimately deals with a system of cultural meaning. Hence, through learning mathematics, a learner gets transformed as a whole person according to the cultural norms and values. In this regard, it is concluded that mathematical literacy can be considered as a necessary condition to become a competent member of mathematics community sharing cultural norms of doing mathematics as well as a repertoire of mathematical skills.

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A Study on the Impact of Organizational Competencies on the Business Performance of Sheltered Workshop (장애인직업재활시설의 조직역량이 경영성과에 미치는 영향)

  • Song, Dae-Sung;Na, Woon-Hwan;Song, Chang-Keun
    • 재활복지
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    • v.20 no.1
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    • pp.151-170
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    • 2016
  • The purpose of the research is to suggest the method to maximize management achievement of the sheltered workshops with analyzing the factors of organizational competencies which affect the business performance. The study was proceeded after suggesting the research model based on discussion on the business performance of Malcolm Baldrige (1987) model which assessed as the most optimized one for evaluation of the business performance of enterprise. First, the organizational competence of the sheltered workshop impact on commercial performance and noncommercial performance meaningfully. The commercial performance affects marketing competence, administrative competence, financial competence in order of mention, and noncommercial performance affects workshop cultural competence, financial competence, leader competence, human resources competence in order of mention. Second, the organizational competence of the sheltered workshop affects comprehensive business performance including commercial and noncommercial, in order of marketing competence, workshop cultural competence, financial competence, and human resource competence.

A Literature Review of the Studies on Cultural Competency of Nurses and Nursing Students in Korea (국내 간호사와 간호대학생의 문화적 역량 연구에 대한 문헌고찰)

  • Kim, Min-A;Choi, So-Eun
    • Journal of Korean Academy of Community Health Nursing
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    • v.29 no.4
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    • pp.450-466
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    • 2018
  • Purpose: The purpose of this study is to identify trends in research on cultural competency of nursing students and nurses in Korea and to provide suggestions for future studies. Methods: A literature search was conducted with 432 papers published between 1985 and 2016 from five electronic databases and other sources using such key words as 'cultural competency', 'cultural nursing', 'multi-cultural competency', 'nursing students', 'nurses', etc. Results: The research design of 86 nursing researches on the cultural competence of nurses and nursing students analyzed in this study was 90.7% in quantitative research, 9.3% in qualitative research, and 2.3% in mixed research. Cultural competence was the most measured concept. A total of 41 papers (47.7%) out of 86 papers were used to measure cultural competence. Ten different tools were used various instruments of cultural competency were used in 41 papers. In 11 experimental studies, new methods such as role playing, case study, four stage 3D puzzle model, newspaper reading, and writing reflection note were used other than traditional method of lecture. Conclusion: The overall findings of this study suggest that future research should include more well-designed experimental studies, qualitative studies and repeated studies to confirm the effects of findings from previous studies. Development of effective and highly diverse teaching methods is recommended to increase cultural competency. Supporting systems and funding are required to help activate research of nurses.

Factors Influencing to the Cultural Competence in Nursing Students (간호대학생의 문화적 역량 영향요인)

  • Seo, Young Sook;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.415-423
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    • 2014
  • The purpose of this study was to investigate the level of multicultural competencies and influencing factors of multicultural competencies in nursing students. The participants of 181 subjects were recruited from three colleges in K and B. A structured questionnaire was used to collect data, and data were analyzed using descriptive statistics, t-test, one way-ANOVA and multiple regression with SPSS/WIN 17.0. Results showed that cultural competence of nursing students was middle range. There was a significant positive correlation between cultural competence, empathy, and self-efficacy. The significant factors influencing cultural competence of nursing students were empathy, self-efficacy, and education of multiple cultural. These three factors explained 51% of the variance in multicultural competencies of nursing students. The study finding suggest that to develop the learning program with achievement level of multicultural competencies for nursing students.

Social Philosophical Analysis of Critical Discourses on the Cultural Competence (문화적 역량 비판 담론에 관한 사회철학적 분석)

  • Kim, Gi-Duk
    • Korean Journal of Social Welfare
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    • v.63 no.3
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    • pp.239-260
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    • 2011
  • It is very interesting phenomenon that despite a broad consensus on the need for social worker to take cultural aspects into professional practice, thus to be a culturally competent, a number of materials criticising the concept of cultural competence have emerged in these days simultaneously. The main purpose of the study is to clarify such phenomenon, which means that this article is trying to analyze the contents of such critical discourse on cultural competence and the validity of those contents. The result of the study finds out that most of the arguments can be categorized into three aspects: epistemological, ethical, ontological, and that most of the main ideas of the critical discourses have been borrowed from a branch of critical social work theories, especially highly influenced from Foucault and Derrida. This article argues that critical discourses have some significant problems which make a conflict with traditional values and tenets in social work as a human service profession. First, epistemologically, the critical discourse fails to differentiate the matter of discovery from that of justification, which brings the cultural competence to the brink of agnosticism. Second, ethically, insisting that there should be no foundational criteria for cultural hierarchy in term of rightness or goodness, the critical discourses reveal their intrinsic limitations in solving ethical dilemmas and conflict in real world, which can be considered as a kind of evasion of responsibility in disguise of cultural relativism. Third, in practical vein, critical discourses are largely in effective in specifying the concrete model to realize their own ideas, and furthermore they unintentionally promote context-blind perspectives that eclipses the significance of structural and systematical impacts on the cultural identity.

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