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Hofstede's cultural dimensions as the explanatory framework for performance issues during clinical placement: A mixed
Jacqueline Rojo1, Bronwyn Everett1, Lucie M Ramjan1
1Western Sydney University, School of Nursing and Midwifery, Centre for Oral Health Outcomes & Research Translation (COHORT), Ingham Institute for Applied Medical Research, Locked Bag 1797, Penrith, NSW 2751, Australia.
Nurse Education Today
|September 14, 2020
Summary
Nursing students facing clinical performance issues are more likely to withdraw from their programs. Hofstede
Area of Science:
- Nursing Education
- Cross-Cultural Psychology
- Healthcare Performance Analysis
Background:
- Clinical performance issues are a significant concern in nursing education.
- Understanding factors influencing student success in clinical placements is crucial.
- Hofstede's cultural dimensions theory offers a potential framework for analyzing these issues.
Purpose of the Study:
- To investigate the link between clinical performance issues and program withdrawal or progression.
- To explore the relationship between academic and clinical performance.
- To examine demographic factors associated with clinical performance issues.
- To assess the applicability of Hofstede's cultural dimensions theory in explaining these issues.
Main Methods:
- Retrospective analysis of clinical issue reports (2014-2018).
- Mixed methods design utilizing Directed Content Analysis with Hofstede's dimensions.
- Quantitative analysis using univariate and multivariate logistic regression.
Main Results:
- Students aged 21 and younger showed issues related to low long-term orientation.
- Male students exhibited challenges with low uncertainty avoidance and masculinity.
- Overseas-born students were less likely to face low power distance issues.
- Students with no prior academic failures had fewer low long-term orientation issues.
- Poor psychomotor skills and language barriers were identified as issues.
- Students with clinical issues were three times more likely to leave the course.
Conclusions:
- Hofstede's cultural dimensions framework effectively explains clinical performance issues in nursing students.
- Early identification of at-risk students enables targeted interventions.
- Addressing cultural dimensions can improve student retention and success in clinical placements.
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