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Perceived Transcultural Self-Efficacy of Nurses in General Hospitals in Guangzhou, China
1Juan Li, PhD, RN, Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, China, and Nurse and Director, Chief of the Nursing Quality Department, Guizhou Provincial People's Hospital, Guiyang, China. Zhuang He, Master, is PhD candidate, Faculty of Education, Beijing Normal University, China. Yong Luo, MD, is Professor, Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, China. Rong Zhang, MPA, RN, is Nurse and Director, Chief of the Nursing Quality Department, Guangdong Provincial People's Hospital, China.
Background:
Conflicts arising from cultural diversity among patients and hospital staff in China have become intense. Hospitals have an urgent need to improve transcultural self-efficacy of nurses for providing effective transcultural nursing.
Objective:
The purpose of the research was to (a) evaluate the current status of perceived transcultural self-efficacy of nurses in general hospitals in Guangzhou, China; (b) explore associations between demographic characteristics of nurses and their perceived transcultural self-efficacy; and (c) assess the reliability and validity of scores on the Chinese version of the Transcultural Self-Efficacy Tool (TSET).
Methods:
A cross-sectional survey of registered nurses from three general hospitals was conducted. Quota and convenience sampling were used. Participants provided demographic information and answered questions on the TSET.
Results:
A total of 1,156 registered nurses took part. Most nurses had a moderate level of self-efficacy on the Cognitive (87.9%), Practical (87%), and Affective (89.2%) TSET subscales. Nurses who were older; who had more years of work experience, higher professional titles, higher incomes, and a minority background; and who were officially employed (not temporary positions) had higher perceived transcultural self-efficacy. Reliability estimated using Cronbach's alpha was .99 for the total TSET score; reliability for the three subscales ranged from .97 to .98. Confirmatory factor analysis of TSET scores showed good fit with a three-factor model.
Conclusion:
The results of this study can provide insights and guidelines for hospital nursing management to facilitate design of in-service education systems to improve transcultural self-efficacy of nurses.
