Volume 18, Issue 1 (5-2021)
J Res Dev Nurs Midw 2021, 18(1): 1-7 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hosseini F A, Torabizadeh C, Bagherian S, Thomson B. Cultural Awareness in Nursing: Concept Analysis Using Rodgers’ Evolutionary Approach. J Res Dev Nurs Midw 2021; 18 (1) :1-7
URL: http://nmj.goums.ac.ir/article-1-1246-en.html
URL: http://nmj.goums.ac.ir/article-1-1246-en.html
1- Community Based Psychiatric Care Center, Shiraz University of Medical Sciences, Shiraz, Iran
2- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran , fhosseini23@yahoo.com
3- School of Allied Medicine, Birjand University of Medical Sciences, Birjand, Iran
4- School of Health and Life Sciences, University of the West of Scotland
2- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran , fhosseini23@yahoo.com
3- School of Allied Medicine, Birjand University of Medical Sciences, Birjand, Iran
4- School of Health and Life Sciences, University of the West of Scotland
Abstract: (2874 Views)
Background: The necessity of nurses’ cultural awareness in the caring process has been emphasized; however, there is a need to define this concept clearly; so the aim of this study was to clarify the cultural awareness concept in the nursing context.
Methods: in this qualitative study, a concept analysis using 6-steps Rodgers’s evolutionary method (Determining the intended concept and the related terms, selecting the appropriate domain for data gathering, determine attributes, antecedents, and consequences of the concept, data analysis, stating examples and generate a hypothesis) was adopted based on thematic analysis. The articles published in English and Persian language from 2005 to 2019 were searched and then analyzed.
Results: The 6 attributes of cultural awareness include “being a prerequisite to cultural competence, a dynamic and progressive process; having learning potential; being multidimensional; and including self-awareness and awareness about the service user”. Antecedents for cultural awareness consist of global diversity, cultural teaching, developing cultural skills, cultural immersion, and organizations supporting cultural awareness, and researches. Cultural competence or effectiveness, constructive intercultural interaction, and improvement of health outcomes are the consequences of cultural awareness. A definition of cultural awareness was proposed.
Conclusion: In today's global diversity, providing suitable infrastructure (including cultural teaching, development, immersion, and researches) can lead to cultural awareness that is a dynamic multidimensional process of self and service user awareness that causes constructive intercultural interaction, cultural competence, and improvement of health outcomes. So, it is suggested to providing the infrastructures and do more studies related to the development of this concept.
Methods: in this qualitative study, a concept analysis using 6-steps Rodgers’s evolutionary method (Determining the intended concept and the related terms, selecting the appropriate domain for data gathering, determine attributes, antecedents, and consequences of the concept, data analysis, stating examples and generate a hypothesis) was adopted based on thematic analysis. The articles published in English and Persian language from 2005 to 2019 were searched and then analyzed.
Results: The 6 attributes of cultural awareness include “being a prerequisite to cultural competence, a dynamic and progressive process; having learning potential; being multidimensional; and including self-awareness and awareness about the service user”. Antecedents for cultural awareness consist of global diversity, cultural teaching, developing cultural skills, cultural immersion, and organizations supporting cultural awareness, and researches. Cultural competence or effectiveness, constructive intercultural interaction, and improvement of health outcomes are the consequences of cultural awareness. A definition of cultural awareness was proposed.
Conclusion: In today's global diversity, providing suitable infrastructure (including cultural teaching, development, immersion, and researches) can lead to cultural awareness that is a dynamic multidimensional process of self and service user awareness that causes constructive intercultural interaction, cultural competence, and improvement of health outcomes. So, it is suggested to providing the infrastructures and do more studies related to the development of this concept.
Keywords: Cultural Awareness , Nursing [MeSH], Culturally Competent Care [MeSH], Concept analysis [MeSH], Rodgers
Type of Study: Original Article |
Subject:
Nursing
References
1. Johnstone MJ, Kanitsaki O. Culture, language, and patient safety: making the link. International Journal For Quality In Health Care. 2006;18(5):383-8. [View at paplisher] [DOI] [Google Scholar]
2. Betancourt JR, Green AR. Commentary: linking cultural competence training to improved health outcomes: perspectives from the field. AAMC. 2010;85(4):583-5. [View at paplisher] [DOI] [Google Scholar]
3. McFarland MR, Wehbe-Alamah HB. Leininger's transcultural nursing: concepts, theories, research & practice, fourth edition: mcgraw-hill education; 2018.
4. Hultsjö S, Bachrach-Lindström M, Safipour J, Hadziabdic E. "Cultural awareness requires more than theoretical education" - Nursing students' experiences. Nurse Education In Practice. 2019;39:73-9. [View at paplisher] [DOI] [Google Scholar]
5. Tomalin B, Stempleski S. Cultural Awareness-Resource Books for Teachers. Oxford University Press; 2013 Jul 15. [Google Scholar]
6. Marshall JK, Cooper LA, Green AR, Bertram A, Wright L, Matusko N, et al. Residents' attitude, knowledge, and perceived preparedness toward caring for patients from diverse sociocultural backgrounds. Health Equity. 2017;1(1):43-9. [View at paplisher] [DOI] [Google Scholar]
7. Li C, Son N, Abdulkerim BA, Jordan CA, Son CG. Overcoming communication barriers to healthcare for culturally and linguistically diverse patients. North American Journal Of Medicine & Science. 2017;10. [View at paplisher] [Google Scholar]
8. Chambers D, Wharrad H, Todhunter F, Chambers K, Nencini D, McGarry J, editors. Promoting cultural awareness in health care students with the use of virtual mobility, communication technologies and authentic case studies. 2011: IATED. [View at paplisher] [Google Scholar]
9. Foronda CL. A concept analysis of cultural sensitivity. Journal Of Transcultural Nursing. 2008;19(3):207-12. [View at paplisher] [DOI] [Google Scholar]
10. Perng SJ, Watson R. Construct validation of the nurse cultural competence scale: a hierarchy of abilities. Journal Of Clinical Nursing. 2012;21(11-12):1678-84. [View at paplisher] [DOI] [Google Scholar]
11. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Services Research. 2014;14:99. [View at paplisher] [DOI] [Google Scholar]
12. Mareno N, Hart PL. Cultural competency among nurses with undergraduate and graduate degrees: implications for nursing education. Nursing Education Perspectives. 2014;35(2):83-8. [View at paplisher] [DOI] [Google Scholar]
13. Curtis E, Jones R, Tipene-Leach D, Walker C, Loring B, Paine S-J, et al. Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition. International Journal for Equity in Health. 2019;18(1):174. [View at paplisher] [DOI] [Google Scholar]
14. Tofthagen R, Fagerström L. Rodgers' evolutionary concept analysis-A valid method for developing knowledge in nursing science. Scandinavian Journal Of Caring Sciences. 2010;24:21-31. [View at paplisher] [DOI] [Google Scholar]
15. Rafiee F, SajadiHezaveh M. Concept analysis of transition from nursing student to clinical nurse: rodgers' evolutionary concept analysis. Nurs Midwifery J. 2012; 10 (3) [Persian] [View at paplisher] [Google Scholar]
16. Koskinen L, Jokinen P. Multicultural healthcare: A transatlantic project. Nurse Educator. 2007;32(2):89-93. [View at paplisher] [DOI] [Google Scholar]
17. Sue DW, Sue D. Counseling the Culturally Diverse: Theory and Practice. Wiley; 2012. [View at paplisher]
18. Giddens JF, North S, Carlson-Sabelli L, Rogers E, Fogg L. Using a virtual community to enhance cultural awareness. Journal of Transcultural Nursing. 2012;23(2):198-204. [View at paplisher] [DOI] [Google Scholar]
19. Andrews MM, Boyle JS. Transcultural Concepts in Nursing Care: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008. [View at paplisher]
20. Waters N. The effect of virtual-learning on the cultural awareness of nursing students. Gardner-Webb University; 2014. [View at paplisher] [Google Scholar]
21. Victor-Chmil J. Critical thinking versus clinical reasoning versus clinical judgment: Differential diagnosis. Nurse Educator. 2013;38(1):34-6. [View at paplisher] [DOI] [Google Scholar]
22. Wagner D, Bear M. Patient satisfaction with nursing care: a concept analysis within a nursing framework. J Adv Nurs. 2009 Mar;65(3):692-701. [View at paplisher] [DOI] [Google Scholar]
23. Rew L, Becker H, Chontichachalalauk J, Lee HY. Cultural diversity among nursing students: reanalysis of the cultural awareness scale. Journal of Nursing Education. 2014;53(2):71-6. [View at paplisher] [DOI] [Google Scholar]
24. Martin-Thornton R. A correlational study on the cultural awareness among graduating associate degree nursing students. University of Phoenix: ProQuest Dissertations Publishing; 2014. [View at paplisher] [Google Scholar]
25. Quappe S, G. C. What is Cultural Awareness, anyway? How do I build it? 2005 [cited 2021]. Available from: http://www.insynctraining.nl/artikelen/what_is_cultural_awareness.pdf.
26. Osula B, Irvin SM. Cultural awareness in intercultural mentoring: A model for enhancing mentoring relationships. International Journal of Leadership Studies. 2009;5(1):37-50. [View at paplisher] [Google Scholar]
27. Hovater SE. Developing cultural awareness: A grounded theory study of pre-service teachers' field experiences in Taiwan [Dissertation]. Nebraska: University of Nebraska; 2007 [View at paplisher]
28. Cai D-Y. A concept analysis of cultural competence. International Journal of Nursing Sciences. 2016;3(3):268-73. [View at paplisher] [DOI] [Google Scholar]
29. Cai D, Kunaviktikul W, Klunklin A, Sripusanapan A, Avant PK. Identifying the essential components of cultural competence in a Chinese nursing context: A qualitative study. Nurs Health Sci. 2017 Jun;19(2):157-162. [View at paplisher] [DOI] [Google Scholar]
30. Gallegos JS, Tindall C, Gallegos SA. The need for advancement in the conceptualization of cultural competence. Advances In Social Work. 2008;9(1):51-62. [View at paplisher] [DOI] [Google Scholar]
31. Ingram RR. Using Campinha‐Bacote's process of cultural competence model to examine the relationship between health literacy and cultural competence. Journal of Advanced Nursing. 2012;68(3):695-704. [View at paplisher] [DOI] [Google Scholar]
32. Foronda CL. A concept analysis of cultural sensitivity. Journal of Transcultural Nursing. 2008;19(3):207-12. [View at paplisher] [DOI] [Google Scholar]
33. Banks JA, Banks CAMG. Multicultural Education: Issues and Perspectives. John Wiley & Sons; 2010.
34. Soekarman FI, Bariyyah K. Students multicultural awareness. COUNS-EDU: The International Journal of Counseling and Education. 2016;1(1):15-20. [View at paplisher] [DOI] [Google Scholar]
35. Roberts D, Moussa M, Sherrod D. Foster cultural responsiveness on your unit. Nursing Management. 2011;42(9). [View at paplisher] [DOI] [Google Scholar]
36. Williamson M, Harrison L. Providing culturally appropriate care: a literature review. International Journal of Nursing Studies. 2010;47(6):761-9. [View at paplisher] [DOI] [Google Scholar]
37. Pilhofer K. Cultural Knowledge - A Critical Perspective on the Concept as a Foundation for Respect for Cultural Differences: Diplomica Verlag; 2011. [View at paplisher] [Google Scholar]
38. Drevdahl DJ, Canales MK, Dorcy KS. Of goldfish tanks and moonlight tricks: can cultural competency ameliorate health disparities? ANS Advances In Nursing Science. 2008;31(1):13-27. [View at paplisher] [DOI] [Google Scholar]
39. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Services Research. 2014;14(1):99. [View at paplisher] [DOI] [Google Scholar]
40. Mesoudi A. Migration, acculturation, and the maintenance of between-group cultural variation. Plos One. 2018;13(10):e0205573. [View at paplisher] [DOI] [Google Scholar]
41. Lipson JG, DeSantis LA. Current approaches to integrating elements of cultural competence in nursing education. Journal Of Transcultural Nursing. 2007;18(1 Suppl):10S-20S. [View at paplisher] [DOI] [Google Scholar]
42. Lonneman W. Teaching Strategies to Increase Cultural Awareness in Nursing Students. Nurse Educator. 2015. [View at paplisher] [DOI] [Google Scholar]
43. Kolaski GW. Cultural awareness and the US military advisor in the Arab Middle East: A phenomenological study: University of Phoenix; 2010. [View at paplisher] [Google Scholar]
44. Thompson CJ. Improving the educational experience for international clinical nurse specialist students, part II: attending to culturally sensitive communication. Clinical Nurse Specialist. 2012;26(6):336-40. [View at paplisher] [DOI] [Google Scholar]
45. Pugh SL. Raising cultural awareness of second grade African American students using Mexican American children's literature: The University of Alabama; 2009. [View at paplisher] [Google Scholar]
46. Bohman DM, Borglin G. Student exchange for nursing students: Does it raise cultural awareness'? A descriptive, qualitative study. Nurse Education In Practice. 2014;14(3):259-64. [View at paplisher] [DOI] [Google Scholar]
47. Kokko R. Future nurses' cultural competencies: what are their learning experiences during exchange and studies abroad? A systematic literature review. Journal Of Nursing Management. 2011;19(5):673-82. [View at paplisher] [DOI] [Google Scholar]
48. Pesquera M, Yoder L, Lynk M. Improving cross-cultural awareness and skills to reduce health disparities in cancer. Medsurg Nursing. 2008;17(2):114. [DOI] [View at paplisher]
49. Goodman P, Edge B, Agazio J, Prue-Owens K. Cultural Awareness: Nursing Care of Iraqi Patients. Journal of Transcultural Nursing. 2014;26(4):395-401. [View at paplisher] [DOI] [Google Scholar]
50. Sermeno S. Building a case for cultural sensitivity through personal storytelling and interpersonal dialogue in international education. International Schools Journal. 2011;30:10-7. [View at paplisher] [Google Scholar]
51. Kjällman Alm A, Enhancing transcultural awareness in nursing education-the impact of rainbow intensive program. 11th Iberoamerican Conference on Nursing Education of ALADEFE; 2011 18-24 september 2011; Coimbra. [DOI] [Google Scholar]
52. Garcha S. Promoting Cultural Awareness at Fraser Health Authority Cultural Competence [Thesis]. British Columbia Institute of Technology, Royl Roads University; 2011.
53. Zhang R, Steele D. Improving intercultural awareness: a challenging task for Japan. Procedia-Social And Behavioral Sciences. 2012;47:52-63. [View at paplisher] [DOI] [Google Scholar]
54. Chinn PL, Kramer MK. Integrated Theory and Knowledge Development in Nursing: Mosby Elsevier; 2008. [View at paplisher]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
