Registered nurses' cultural orientation competence for culturally and linguistically diverse nurses in the hospital setting: A cross-sectional study.
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
15 Aug 2023
15 Aug 2023
Historique:
revised:
29
06
2023
received:
02
12
2022
accepted:
31
07
2023
medline:
16
8
2023
pubmed:
16
8
2023
entrez:
16
8
2023
Statut:
aheadofprint
Résumé
To explore registered nurses' cultural orientation competence profiles for providing culturally and linguistically diverse (CALD) nurses with orientation in the hospital setting, and to identify which factors are associated with cultural orientation competence profiles. A descriptive, explorative cross-sectional study. Data were collected from December 2020 to January 2021 using the Preceptors' Orientation Competence Instrument (POCI) and Preceptors' Cultural Orientation Competence Instrument (POCCI). A total of 844 registered nurses from one university hospital district in Finland participated, reflecting a response rate of 10%. A K-means cluster algorithm was employed to identify different cultural orientation competence profiles. The cluster analysis identified three cultural orientation competence profiles (A, B and C). Nurses in Profile A evaluated their cultural orientation competence the highest, with members of profiles B and C demonstrating the second highest and lowest, respectively, cultural orientation competence scores. Several factors were associated with cultural orientation competence profiles, namely, orientation education and student mentoring education, support from managers and colleagues, motivation, willingness to act as a preceptor, time to provide orientation, sufficient clinical and theoretical nursing skills and current work title. Cultural diversity and acceptance of it can be enhanced by building accepting culture towards new incomers and offering continuing education to improve the cultural competence of staff, which can further benefit patient care of CALD patients. Orientation practices can be improved by rewarding staff and building collaborative teamwork culture. Organizations can strengthen nurses' cultural orientation competence; for example, by providing adequate orientation education and allocating more time to the orientation process. The STROBE criteria were used to report the results of the observations critically. No patient or public contribution.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Alizadeh, S., & Chavan, M. (2016). Cultural competence dimensions and outcomes: A systematic review of the literature. Health & Social Care in the Community, 24(6), e117-e130. https://doi.org/10.1111/HSC.12293
Bartlett, A. D., Um, I. S., Luca, E. J., Krass, I., & Schneider, C. R. (2020). Measuring and assessing the competencies of preceptors in health professions: A systematic scoping review. BMC Medical Education, 20(1), 1-9. https://doi.org/10.1186/S12909-020-02082-9/TABLES/2
Blanchet Garneau, A., & Pepin, J. (2015). A constructivist theoretical proposition of cultural competence development in nursing. Nurse Education Today, 35(11), 1062-1068. https://doi.org/10.1016/J.NEDT.2015.05.019
Brunton, M., Cook, M., Kuxemski, D., Brownie, C., & Thirlwall, A. (2019). Internationally qualified nurse communication-A qualitative cross-country study. Journal of Clinical Nursing, 28(19-20), 3669-3679. https://doi.org/10.1111/jocn.14968
Cai, D. Y. (2016). A concept analysis of cultural competence. International Journal of Nursing Sciences, 3(3), 268-273. https://doi.org/10.1016/J.IJNSS.2016.08.002
Campinha-Bacote, J. (2010). A culturally conscious model of mentoring. Nurse Educator, 35(3), 130-135. https://doi.org/10.1097/NNE.0b013e3181d950bf
Chen, C. M., & Lou, M. F. (2014). The effectiveness and application of mentorship programmes for recently registered nurses: A systematic review. Journal of Nursing Management, 22(4), 433-442. https://doi.org/10.1111/JONM.12102
Covell, C. L., Primeau, M. D., Kilpatrick, K., & St-Pierre, I. (2017). Internationally educated nurses in Canada: Predictors of workforce integration. Human Resources for Health, 15(1), 26. https://doi.org/10.1186/s12960-017-0201-8
Covell, C. L., & Sands, S. L. (2021). Does being a visible minority matter? Predictors of internationally educated nurses' workplace integration. The Canadian Journal of Nursing Research, 53(4), 366-375. https://doi.org/10.1177/0844562120939795
European Union. (2016). General Data Protection Regulation 2016/679. The European Union Retrieved May 3, 2022, from https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32016R0679
Finnish National Board on Research Integrity TENK. (2019). The ethical principles of research with human participants and ethical review in the human sciences in Finland Finnish National Board on Research Integrity TENK guidelines 2019. Retrieved February 28, 2023, from https://tenk.fi/sites/default/files/2021-01/Ethical_review_in_human_sciences_2020.pdf
Hadziabdic, E., Marekovic, A. S., Salomonsson, J., & Heikkilä, K. (2021). Experiences of nurses educated outside the European Union of a Swedish bridging program and the program's role in their integration into the nursing profession: A qualitative interview study. BMC Nursing, 20(1), 7. https://doi.org/10.1186/s12912-020-00525-8
Hagqvist, P., Oikarainen, A., Tuomikoski, A. M., Juntunen, J., & Mikkonen, K. (2020). Clinical mentors' experiences of their intercultural communication competence in mentoring culturally and linguistically diverse nursing students: A qualitative study. Nurse Education Today, 87, 104348. https://doi.org/10.1016/J.NEDT.2020.104348
Han, R., Koskinen, M., Mikkonen, K., Sjogren, T., Korpi, H., Koivula, M., Koskimaki, M., Lahteenmaki, M.-L., Sormunen, M., Saaranen, T., Salminen, L., Wallin, O., Kaariainen, M., & Koskinen, C. (2020). Social- and health care educators' cultural competence. International Journal of Caring Sciences, 13(3), 1555-1562. www.internationaljournalofcaringsciences.org
Hari, R., Geraghty, S., & Kumar, K. (2021). Clinical supervisors' perspectives of factors influencing clinical learning experience of nursing students from culturally and linguistically diverse backgrounds during placement: A qualitative study. Nurse Education Today, 102, 104934. https://doi.org/10.1016/j.nedt.2021.104934
Holmes, T., & Grech, C. (2015). CaLD nurses transition to Australian tertiary hospital practice: Exposing the reality-A mixed methods study. Collegian, 22(4), 387-396. https://doi.org/10.1016/J.COLEGN.2014.08.001
Kamau, S., Koskenranta, M., Isakov, T.-M., Kuivila, H., Oikarainen, A., Tomietto, M., & Mikkonen, K. (2023). Culturally and linguistically diverse registered nurses' experiences of integration into nursing workforce-A qualitative descriptive study. Nurse Education Today, 121, 105700. https://doi.org/10.1016/j.nedt.2022.105700
Kamau, S., Koskenranta, M., Kuivila, H., Oikarainen, A., Tomietto, M., Juntunen, J., Tuomikoski, A.-M., & Mikkonen, K. (2022). Integration strategies and models to support transition and adaption of culturally and linguistically diverse nursing staff into healthcare environments: An umbrella review. International Journal of Nursing Studies, 136, 104377. https://doi.org/10.1016/j.ijnurstu.2022.104377
Ke, Y. T., Kuo, C. C., & Hung, C. H. (2017). The effects of nursing preceptorship on new nurses' competence, professional socialization, job satisfaction and retention: A systematic review. Journal of Advanced Nursing, 73(10), 2296-2305. https://doi.org/10.1111/JAN.13317
Korhonen, H., Tuomikoski, A. M., Oikarainen, A., Kääriäinen, M., Elo, S., Kyngäs, H., Liikanen, E., & Mikkonen, K. (2019). Culturally and linguistically diverse healthcare students' experiences of the clinical learning environment and mentoring: A qualitative study. Nurse Education in Practice, 41, 102637. https://doi.org/10.1016/J.NEPR.2019.102637
Li, H., Nie, W., & Li, J. (2014). The benefits and caveats of international nurse migration. International Journal of Nursing Sciences, 1(3), 314-317. https://doi.org/10.1016/J.IJNSS.2014.07.006
Mikkonen, K., Elo, S., Kuivila, H. M., Tuomikoski, A. M., & Kääriäinen, M. (2016). Culturally and linguistically diverse healthcare students' experiences of learning in a clinical environment: A systematic review of qualitative studies. International Journal of Nursing Studies, 54, 173-187. https://doi.org/10.1016/J.IJNURSTU.2015.06.004
Mikkonen, K., Merilainen, M., & Tomietto, M. (2020). Empirical model of clinical learning environment and mentoring of culturally and linguistically diverse nursing students. Journal of Clinical Nursing, 29(3-4), 653-661. https://doi.org/10.1111/JOCN.15112
Montayre, J., Montayre, J., & Holroyd, E. (2018). The global Filipino nurse: An integrative review of Filipino nurses' work experiences. Journal of Nursing Management, 26(4), 338-347. https://doi.org/10.1111/jonm.12552
Newton, L., Pront, L., & Giles, T. M. (2016). Experiences of registered nurses who supervise international nursing students in the clinical and classroom setting: An integrative literature review. Journal of Clinical Nursing, 25(11-12), 1486-1500. https://doi.org/10.1111/JOCN.13127
Nielsen, K., Finderup, J., Brahe, L., Elgraad, R., Elsborg, A., Engall-Soerensen, V., Holm, L., Juul, H., & Sommer, I. (2017). The art of preceptorship. A qualitative study. Nurse Education in Practice, 26, 39-45. https://doi.org/10.1016/j.nepr.2017.06.009
Oikarainen, A., Kaarlela, V., Heiskanen, M., Taam-Ukkonen, M., Lehtimaja, I., Kärsämänoja, T., Tuomikoski, A.-M., Kääriäinen, M., Tomietto, M., & Mikkonen, K. (2022). Educational intervention to support development of mentors' competence in mentoring culturally and linguistically diverse nursing students: A quasi-experimental study. Nurse Education Today, 116, 105424. https://doi.org/10.1016/j.nedt.2022.105424
Oikarainen, A., Mikkonen, K., Kenny, A., Tomietto, M., Tuomikoski, A. M., Meriläinen, M., Miettunen, J., & Kääriäinen, M. (2019). Educational interventions designed to develop nurses' cultural competence: A systematic review. International Journal of Nursing Studies, 98, 75-86. https://doi.org/10.1016/j.ijnurstu.2019.06.005
Oikarainen, A., Mikkonen, K., Tuomikoski, A. M., Elo, S., Pitkänen, S., Ruotsalainen, H., & Kääriäinen, M. (2018). Mentors' competence in mentoring culturally and linguistically diverse nursing students during clinical placement. Journal of Advanced Nursing, 74(1), 148-159. https://doi.org/10.1111/JAN.13388
Peltokoski, J., Vehviläinen-Julkunen, K., & Miettinen, M. (2015). Newly hired nurses' and physicians' perceptions of the comprehensive health care orientation process: A pilot study. Journal of Nursing Management, 23(5), 613-622. https://doi.org/10.1111/JONM.12187
Pohjamies, N., Haapa, T., Kääriäinen, M., & Mikkonen, K. (2022). Nurse preceptors' orientation competence and associated factors-A cross-sectional study. Journal of Advanced Nursing, 78, 4123-4134. https://doi.org/10.1111/JAN.15388
Pohjamies, N., Mikkonen, K., Kääriäinen, M., & Haapa, T. (2022). Development and psychometric testing of the preceptors' Orientation Competence Instrument (POCI). Nurse Education in Practice, 103445. https://doi.org/10.1016/J.NEPR.2022.103445
Polit, D. F., & Beck, C. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins.
Pung, L.-X., & Goh, Y.-S. (2017). Challenges faced by international nurses when migrating: An integrative literature review. International Nursing Review, 64(1), 146-165. https://doi.org/10.1111/INR.12306
Quek, G. J. H., & Shorey, S. (2018). Perceptions, experiences, and needs of nursing preceptors and their preceptees on preceptorship: An integrative review. Journal of Professional Nursing, 34(5), 417-428. https://doi.org/10.1016/J.PROFNURS.2018.05.003
Rauf, A., Mahfooz, S., Khusro, S., & Javed, H. (2012). Enhanced K-mean clustering algorithm to reduce number of iterations and time complexity. Middle East Journal of Scientific Research, 12(7), 959-963. https://doi.org/10.5829/IDOSI.MEJSR.2012.12.7.1845
Riden, H., Jacobs, S., & Marshall, B. (2014). New Zealand nurses' views on preceptoring international nurses. International Nursing Review, 61(2), 179-185. https://doi.org/10.1111/INR.12087
Segev, R., Mor, S., Even-Zahav, R., & Neter, E. (2022). Cultural intelligence and social distance among undergraduate students in clinical professions. Group Processes & Intergroup Relations, 25(2), 399-414. https://doi.org/10.1177/1368430220975476
Smith, J. B., Herinek, D., Woodward-Kron, R., & Ewers, M. (2022). Nurse migration in Australia, Germany, and the UK: A rapid evidence assessment of empirical research involving migrant nurses. Policy, Politics, & Nursing Practice, 23(3), 175-194. https://doi.org/10.1177/15271544221102964
Statistics Finland. (2020). Employed persons by occupational group (classification of occupations 2010, levels 1 to 2), background country, sex and year, 2010-2020. Statistics Finland's free-of-charge statistical databases. Retrieved February 24, 2023, from https://pxweb2.stat.fi/PxWeb/pxweb/en/StatFin/StatFin__tyokay/statfin_tyokay_pxt_115t.px/table/tableViewLayout1/
The Medical Research Act 488/1999. Ministry of Social Affairs and Health. Retrieved from: https://www.finlex.fi/fi/laki/ajantasa/1999/19990488
The Organisation for Economic Co-operation and Development (OECD). (2019). Recent trends in international migration of doctors, nurses and medical students. OECD Publishing. https://doi.org/10.1787/5571ef48-en
Von Elm, E. R., Altman, D. G., Egger, M., Pocock, S. L., Gotzsche, P. C., & Vandenbroucke, J. P. (2007). STROBE initiative. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. https://www.equator-network.org/reporting-guidelines/strobe/
Woodbridge, M., & Bland, M. (2010). Supporting Indian nurses migrating to New Zealand: A literature review. International Nursing Review, 57(1), 40-48. https://doi.org/10.1111/J.1466-7657.2009.00783.X
World Health Organization. (2020). State of the world's nursing 2020: Investing in education, jobs and leadership. Author.
World Health Organization. (2022). Human resources for health global strategy on human resources for health: Workforce 2030. Author. https://apps.who.int/iris/handle/10665/340986
Xiao, L. D., Willis, E., & Jeffers, L. (2014). Factors affecting the integration of immigrant nurses into the nursing workforce: A double hermeneutic study. International Journal of Nursing Studies, 51(4), 640-653. https://doi.org/10.1016/j.ijnurstu.2013.08.005