Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2012 Mar;18(1):76-86. Korean.
    Published online Mar 31, 2012.
    https://doi.org/10.11111/jkana.2012.18.1.76
    Copyright © 2012 Korean Academy of Nursing Administration
    Original Article

    A Study on Factors Affecting Cultural Competency of General Hospital Nurses

    Duck-Hee Chae,1 Yun-Hee Park,2 Kyeong-Hwa Kang,3 and Tae-Hwa Lee4
      • 1Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea.
      • 2Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea.
      • 3Associate Professor, Department of Nursing, Hallym University, Korea.
      • 4Professor, College of Nursing, Yonsei University, Seoul, Korea.
    • Correspondence: Park, Yun-Hee. College of Nursing, Yonsei University Sungsan-ro 250, Seodaemun-gu, Seoul, Korea. Tel: 82-2-2228-3365, Fax: 82-2-2228-3237, Email: uneepark@yahoo.co.kr
    Received January 30, 2012; Revised February 29, 2012; Accepted March 11, 2012.

    Abstract

    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(±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.

    Keywords
    Cultural competency; General hospital nurses; Ecological model; Cultural experience; Organizational factors

    Figures

    Figure 1
    Conceptual framework of the study based on the ecological model

    Tables

    Table 1
    Difference of Cultural Competency Scores by Intrapersonal Characteristics (n=327*)

    Table 2
    Difference of Cultural Competency Scores by Cultural Experience (n=327*)

    Table 3
    Difference of Cultural Competency Scores by Hospital Resources (n=327*)

    Table 4
    Correlation between Job Stress and Cultural Competency

    Table 5
    Hierarchical Multiple Regression Analysis

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    MeSH Terms
    Cultural Competency
    Delivery of Health Care
    Health Education
    Hospitals, General
    Job Description
    Korea
    Metrics
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