• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.690-696
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• 2013

Purpose: This study was done to examine the effects of a multicultural education program on nursing students' cultural competence, empathy, and self-efficacy. Methods: In this quasi-experimental study, the participants were assigned to an experimental group (n=40) or a control group (n=40). The data were analyzed using independent t-test, Chi-square or Fisher's exact test, and paired t-test with the SPSS windows 18.0 program. Results: After receiving the multicultural education program, the levels of cultural competence and self-efficacy in the experimental group were higher than in the control group. The level of empathy increased slightly in the experimental group while it decreased in the control group. Conclusion: The results of this study indicate that multicultural education is effective in raising the level of cultural competence and self-efficacy in nursing students. Thus, there is a need for continuous effort to integrate multicultural education programs in the nursing curriculum. Repeated study to test effects of these multicultural education programs should be also necessary.

• Journal of Industrial Convergence
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• v.19 no.5
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• pp.139-150
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• 2021

The objective of the study was to examine the factors affecting the life satisfaction of multicultural adolescents and to verify the mediating effects of school adjustment and career attitude between depression and life satisfaction of multicultural adolescents.. For the purpose, 1079 subjects were selected from the 7th (2017) data of the Multicultural Adolescents Panel Study (MAPS), and the data collected were verified through analysis methods such as structural equation and Bootstrapping analysis. The results founded are as follows. First, the depression of multicultural adolescents was shown to decrease their life satisfaction. Second, school adjustment played a partial mediating role in the causal relationship between depression and life satisfaction of multicultural adolescents. Third, the effect of depression of multicultural adolescents on the life satisfaction was partly mediated by their career attitude. On the basis of the findings, practical programs and policy alternatives to enhance life satisfaction of multicultural adolescents were discussed.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.430-444
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• 2021

Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl's guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.2
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• pp.183-193
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• 2013

Purpose: The purpose of this study aimed to describe the empathy and cultural competence and to find the relationship between the empathy and cultural competence in Korean nursing students. Methods: A total of 276 nursing students participated in this study. Data collection was conducted through the use of questionnaires which were constructed to include an Interpersonal Reaction Index, the Caffrey Cultural Competence in Healthcare scale, and Cultural Competence Assessment. Results: Empathy and cultural competency of participants in this study were shown to have moderate levels (Empathy: M=3.5, SD=0.41; Cultural competency: M=2.7, SD=0.42). And the nursing students who exhibited more frequent interaction with foreigners and willing to have multicultural education were found to have significantly higher empathy and cultural competence. There was a significant positive correlation between empathy and cultural competency(r=.189, p<.001). Conclusion: The findings suggest that nursing students need to enhance empathy and cultural competence.

• Journal of East-West Nursing Research
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• v.21 no.1
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• pp.52-60
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• 2015

Purpose: This study investigated the relationship between cultural competence and empathy of nursing students who can provide appropriate health care to their patients in the future. Methods: All the participants (N=364) were nursing students and completed a survey of the Caffrey Cultural Competence in Health Scale (CCCHS), Cultural Competence Assessment (CCA), and Interpersonal Reactions Index (IRI). Results: The mean of cultural competence and empathy of participants were 2.8 and 3.7, respectively. The cultural competence score in male students was higher than the score of female students (p=.044). In addition, the cultural competence score of nursing students who had an experience with foreigners was higher than the score of students who had not (p=.017). However, the cultural competence score of nursing students who did not take a multicultural education was higher than the score of students who took it. The empathy score of female students was higher than the score of male students (p=.003). The empathy score of students who had a multicultural education was higher than the score of students who did not take it (p=.008). Conclusion: The findings suggest that nursing students need to enhance cultural competence and empathy.

• Korean Journal of Adult Nursing
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• v.21 no.6
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• pp.639-651
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• 2009

Purpose: This study examined relationships among stress, stress coping strategies, and somatization in mothers-in-law from multi-cultural families in a rural area. Methods: Elderly mothers-in-law (n=227) living with foreign daughters-in-law completed a self-reporting questionnaire. Data were collected from April to August 2009. Questions related to stress (Visual Analog Scale, VAS), coping strategies (Coping Strategy Scale) for stress, and somatization (Symptom Check List 90, Revised). SPSS/WIN 12.0 program was used for descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and multiple regression analyses. Results: Subjects had a moderate level of stress (5.03). There were significant differences in stress level according to age, educational level, religion, chronic disease, health status, number of children, agreement of an international marriage of her sons, satisfaction in living with a foreign daughter-in-law, and family conflict. Stress showed a significant positive correlation with offensive coping strategy, passive strategy, and somatization. Stress, offensive coping strategy, and passive coping strategy affected the level of somatization. Conclusion: In a family situation involving co-habitation of mother- and foreign daughter-in-law, increased stress experienced by the mother-in-law can lead to increased offensive and passive coping strategies, and increased somatization. More effective means of stress reduction are needed for mothers-in-law from multi-cultural families.

• Journal of Home Health Care Nursing
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• v.23 no.1
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• pp.5-15
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• 2016

Purpose: This study was conducted to evaluate health service delivery and attitudes, toward multi-cultural clients amongst community health practitioners (CHPs). Methods: A survey was conducted among 242 CHPs from December 10-22, 2015. The collected data were analyzed using chi-square test, t-test, and ANOVA using SPSS 18.0. Results: General awareness of multi-culturalism varied significantly by CHPs age and language ability. Additionally, utilization of services in accordance with the location of community health centers (CHCs) was significantly higher in rural areas than urban areas CHCs in post-partum maternal & neonate care giver service (in maternal child health), management of health educational programs and management of physical exercise (in implementing healthy life style) and networking resources in & outside of CHCs (in management of chronic disease). Conclusion: CHPs deliver health-care services to multi-cultural clients, but have not received sufficient training or education to serve these clients effectively. CHPs who received multi-cultural and foreign language training had more positive experiences with multi-cultural clients. This supports the needs for developing educational programs to enhance multi-cultural understanding amongst CHPs.

• Journal of Home Health Care Nursing
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• v.16 no.1
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• pp.59-66
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• 2009

Purpose & Method: Based on a large amount of research concerning the recognition of local residents in an era of an increasing number of multi-cultural families, this study aimed to provide fundamental data for program development and policies. As well, the data was stratified based on understanding of multi-cultural society, recognition of multi-cultural families, and social and economic adaptability of multi-cultural families. Result: The available literature supports the view that an understanding of a multi-cultural society and recognition of multi-cultural families encourages an emphasis on maintaining ethnicity and respect for diverse cultures. Parental approval for friendships with members of multi-cultural families tends to be encouraged, although there is still resistance to marital ties with such families. The literature indicates that immigrant women participate in economic activities of their adopted locale and adapt to the new societal structure. A positive correlation between recognition and interests in social and economic adaptiveness was apparent. Conclusion: Findings of the study suggest that complement, development, and application of realistic programs and institutional policies are required to understand multi-cultural families and establish a multi-cultural society. Ongoing research will be valuable in resolving outstanding questions and clarifying political alternatives.

• Research in Community and Public Health Nursing
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• v.33 no.2
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• pp.228-236
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• 2022

Purpose: The purpose of this study is to demonstrate the mediating effect of happiness in the relationship between internet addiction, depression and suicidal ideation among adolescents from multicultural families. Methods: 1,065 adolescents from multicultural families who participated in the 16th (2020) Adolescent Health Behavior Survey were selected as the final subjects for the study, and were analyzed with descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: There was a fully mediating effect of happiness in the relationship between internet addiction and suicidal ideation of the adolescents from multicultural families (F=6.65, p<.001). There was a partial mediating effect of happiness in the relationship between depression and suicidal ideation of the adolescents from multicultural families (F=10.01, p<.001). Conclusion: To mitigate the suicidal ideation of adolescents from multicultural families, it is necessary to develop and apply a positive psychological treatment program that enhances happiness for adolescents from multicultural families who are experiencing internet addiction and depression.

• Journal of Korean Public Health Nursing
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• v.28 no.1
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• pp.87-101
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• 2014

Purpose: This study was conducted in order to investigate the experiences of nurses in health care of women with multi-cultural background. The structure of these experiences was identified in a social-cultural context. Methods: Data were collected by means of in-depth interviews using tape-recordings from 16 participants who were providing childbirth care for culturally different women. A phenomenological method proposed by Colaizzi was used to guide the process of data analysis. Results: A total of 138 significant statements were extracted from the data resulting in nine themes and five theme clusters. Theme clusters that emerged from the data were: more in-depth cultural difference, difficulty in providing care in multi-cultured, sticking to care in our own way, not being ready to nurse, and accepting culturally different woman, such as a Korean woman. Conclusion: The findings suggest that systematic educational programs for enhancement of cultural competency and its support systems should be developed for Korean nurses. Useful materials on Korean childbirth care should also be provided to women giving birth.