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Influence of Cultural competency and Intercultural Communication on Clinical competence of Emergency Unit Nurses Caring for Foreign Patients

응급실 간호사의 문화역량과 문화간 의사소통역량이 외국인 환자 임상간호수행능력에 미치는 영향

  • Ryu, Yoon Ji (Inje University Haeundae Paik Hospital) ;
  • Lee, Yun Mii (College of Nursing.Institute of Health Science Research, Inje University)
  • 류윤지 (인제대학교 해운대백병원) ;
  • 이윤미 (인제대학교 간호대학.건강과학연구소)
  • Received : 2021.01.13
  • Accepted : 2021.02.02
  • Published : 2021.02.28

Abstract

Purpose : This study identified the factors affecting the clinical competence of emergency unit nurses caring for foreign patients. Methods : This study utilized a descriptive correlation design. Participants were 112 emergency unit nurses working in different hospitals designated as the government's emergency medical centers and agencies in 2018. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression analysis. Results : Subjects' clinical competence showed positive relationships with cultural competency (r=.45, p<.001) and intercultural communication (r=.53, p<.001). Factors that affect the clinical competence of subjects showed intercultural communication (β=0.38, p=.001). Conclusion : It is necessary to develop programs to improve intercultural communication, factors that influence clinical competence of emergency unit nurses, and apply them to practical fields.

Keywords

References

  1. Korea Health Industry Development Institute. Statistics on international patients in Korea [Internet]. Cheongju: Korea Health Industry Development Institute; 2018 [cited 2020 April 3]. Available from: https://www.https://www.khiss.go.kr/board/view?pageNum%2520=1&rowCnt=10&no1=1&linkId=175529&menuId=MENU00308&schType=1&schText=2018%25EC%2599%25B8%25EA%25B5%25AD%25EC%259D%25B8&boardStyle=&categoryId=&continent=&schStartChar=&schEndChar=&country=
  2. Jeon H, Kang GH, Jang YS, Choi GT, Kim JH, Lee BJ, et al. Evaluation of emergency care for foreign patients in Korea. Journal of the Korean Society of Emergency Medicine. 2011;22(6):735-42.
  3. National Emergency Medical Center. 2018 NEDIS Statistical Yearbook [Internet]. Seoul: National Emergency Medical Center; 2018 [cited 2020 December 04]. Available from: https://www.e-gen.or.kr/nemc
  4. Kim YY, Joe ID. Medical experience and cultural gap among international marriage migrant women: The case of Wongok-dong, Ansan-si, Kyounggi-do, South Korea. Multiculture & Peace. 2016;10(2):69-94. https://doi.org/10.22446/mnpisk.2016.10.2.004
  5. Jung YO. A study on medical vocabulary structure for foreign workers focused on EPS-TOPIK: the standard textbook of Korean, aja aja Korean. Linguistics and Literature. 2019;39:127-75.
  6. Jones SM. Emergency nurses' caring experiences with Mexican American patients. Journal of Emergency Nursing. 2008;34(3):199-204. https://doi.org/10.1016/j.jen.2007.05.009
  7. Emergency Nurses Association. Emergency nurses association position statement: cultural diversity and gender inclusivity in the emergency care setting [Internet]. Illinois: Emergency Nurses Association; 2018 [cited 2020 June 17]. Available from: https://www.ena.org/practice-resources/resource-library/position-statements
  8. Papadopoulos I. Transcultural health and social care: development of culturally practitioners. 1st ed. Edinburgh: Churchill Livingstone Elsevier; 2006. p. 1-351.
  9. Choi YK, Ahn JW, Kim KS. Influence of cultural competency, intercultural communication, and organizational support on nurses' clinical competency caring for foreign patients. Health and Social Welfare Review. 2018;38(4):518-43. https://doi.org/10.15709/hswr.2018.38.4.518
  10. Ulrey KL, Amason P. Intercultural communication between patients and health care providers: an exploration of intercultural communication effectiveness, cultural sensitivity, stress, and anxiety. Health Communication. 2001;13(4):449-63. https://doi.org/10.1207/s15327027hc1304_06
  11. Oh HJ, Kim HJ. Cultural awareness of students in a nursing education program. Journal of Korean Academic Society of Nursing Education. 2013;19(3): 446-54. https://doi.org/10.5977/jkasne.2013.19.3.446
  12. Harding AD, Walker-Cillo GE, Duke A, Campos GJ, Stapleton SJ. A framework for creating and evaluating competencies for emergency nurses. Evidence-Based Practice. 2013;39(3):252-64. https://doi.org/10.1016/j.jen.2012.05.006
  13. Park HJ. The effect on the cultural competences of nurses on the nursing performance of foreign patient [master's thesis]. Seoul: Ewha Womans University; 2017. p. 1-122.
  14. Chae DH, Lee JR. Development and psychometric evaluation of the Korean version of the cultural competence scale for clinical nurses. Asian Nursing Research. 2014;8(4):305-12. https://doi.org/10.1016/j.anr.2014.06.004
  15. Redmond M, Bunyi JM. The relationship of intercultural communication competence with stress and the handling of stress as reported by international students. International Journal of Intercultural Relations. 1993;17(2):235-54. https://doi.org/10.1016/0147-1767(93)90027-6
  16. Lee WH, Kim CJ, Yoo JS, Hur HK, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yeonsei Nursing. 1990; 13:17-29.
  17. Yang JJ, Park MY. The relationship of clinical competency and self-directed learning in nursing students. The Journal of Korean Academic Society of Nursing Education. 2004;10(2):271-7.
  18. Lee JY, Lee HK, Kim S, Jang YS. Comparison of perceived nurses' cultural competence of nurses and foreign patients. Journal of Korean Clinical Nursing Research. 2014;20(3):267-78. http://doi.org/10.22650/JKCNR.2014.20.3.267
  19. Lee JS. Cultural competence and its influencing factors of hospital nurses [master's thesis]. Ulsan: University of Ulsan; 2017. p. 1-55.
  20. Ko MS, Choi EH, Choi KO. A study on the relationship of cultural competence, self efficacy and job stress in nurses caring for hospitalized foreign patients. Journal of Korean Clinical Nursing Research. 2016;22(1):68-77. https://doi.org/10.22650/JKCNR.2016.22.1.68
  21. Jang MM. Factors affecting cultural competence of general hospital nurses [master's thesis]. Changwon: Changshin university; 2020. p. 1-77.
  22. Yang NY, Song MS. Influence of self-efficacy and intercultural communicative competence on the cultural competence of allied health college students. The Journal of Korean Academic Society of Home Care Nursing. 2018;25(2):147-54. https://doi.org/10.22705/jkashcn.2018.25.2.147
  23. Lee EM, Kim SH. Factors affecting the cultural sensitivity of nursing students. The Journal of Korean Academic Society of Nursing Education. 2013;6: 127-37.
  24. Gibson D, Zhong M. Intercultural communication competence in the healthcare context. International Journal of Intercultural Relations. 2005;29(5):621-34. https://doi.org/10.1016/j.ijintrel.2005.07.008.
  25. Street RL. Interpersonal communication skills in health care contexts. In: Greene JO, Burleson BR. editors. Handbook of communication and social interaction skills. New Jersey: Erlbaum; 2003. p. 909-934.
  26. Chai YS, Lee JK, Park SS, Kim HJ, Kang IG, Kim HS, et al. Use of emergency medical services and characteristics of urgent and non-urgent adult patients according to the usual source of care: a Korea medical expenditure panel study. Journal of The Korean Society of Emergency Medicine. 2015;26(2):129-37.
  27. Kim BW, Yoon YI. Developing the data analysis-based emergency room congestion predictive model for the resolution of overcrowded emergency room. Journal of the Korean Data & Information Science Society. 2018;29(5):1201-14. https://doi.org/10.7465/jkdi.2018.29.5.1201
  28. Kim YS, Lim KS, Hwang SO, Yoon YG. The prospective research of the prehospital emergency system and transfer system of emergency patients. Journal of The Korean Society of Emergency Medicine. 1992; 3:46-55.
  29. Jang YS, Shin CN. A study of characteristics of patients at international clinic of university hospital. Korean Public Health Research. 2005;31(1):46-54.
  30. Jang KS. A study on establishment of clinical career development model of nurses [master's thesis]. Seoul: Yonsei University; 2000. p. 1-212.
  31. Park JB, Choi HJ, Kang BS, Kim CS, Kang HG, Lim TH. A nationwide survey of Korean emergency department triage systems and scales: a first step towards reform of the emergency medical service system. Journal of The Korean Society of Emergency Medicine. 2014;25(5):499-508.
  32. Axley L. Competency: a concept analysis. Nursing Forum. 2008;43(4):214-22. https://doi.org/10.1111/j.1744-6198.2008.00115.x