Lim Janet, Downie Jill, Nathan Pauline
School of Nursing and Midwifery, Curtin University of Technology, GPO Box U1987, Perth 6845, Australia.
Nurse Educ Today. 2004 Aug;24(6):428-34. doi: 10.1016/j.nedt.2004.04.007.
The aim of any health care service is to provide optimal quality care to clients and families regardless of their ethnic group. As today's Australian society comprises a multicultural population that encompasses clients with different cultural norms and values, this study examined undergraduate nursing students' self-efficacy in providing transcultural nursing care. A sample of 196 nursing students enrolled in the first and fourth year of a pre-registration nursing program in a Western Australian University were invited to participate in a survey incorporating a transcultural self-efficacy tool (TSET) designed by Jeffery [Unpublished instrument copyrighted by author, 1994]. The findings revealed that fourth year students, exposed to increased theoretical information and clinical experience, had a more positive perception of their self-efficacy in providing transcultural nursing skills than the first year students. In addition, the study found that age, gender, country of birth, languages spoken at home and previous work experience did not influence the nursing students' perception of self-efficacy in performing transcultural care. The study supports the notion that educational preparation and relevant clinical experience is important in providing nursing students with the opportunity to develop self-efficacy in performing effective and efficient transcultural nursing in today's multicultural health care system. It is for this reason that educators need to focus on providing students with relevant theoretical information and ensure sufficient clinical exposure to support student learning in the undergraduate program.
任何医疗保健服务的目标都是为客户及其家庭提供优质护理，无论其种族如何。由于当今澳大利亚社会是一个多元文化的群体，包含有着不同文化规范和价值观的客户，本研究调查了本科护理专业学生在提供跨文化护理方面的自我效能感。邀请了西澳大利亚大学护理预注册课程一年级和四年级的196名护理专业学生参与一项调查，该调查采用了杰弗里设计的跨文化自我效能工具（TSET）[作者拥有版权的未发表工具，1994年]。研究结果显示，接触了更多理论信息和临床经验的四年级学生，相较于一年级学生，对自己提供跨文化护理技能的自我效能感有更积极的认知。此外，研究发现年龄、性别、出生国家、在家中使用的语言以及以往工作经验，均未影响护理专业学生在进行跨文化护理时的自我效能感认知。该研究支持了这样一种观点，即在当今多元文化的医疗保健系统中，教育准备和相关临床经验对于为护理专业学生提供发展有效且高效的跨文化护理自我效能感的机会至关重要。正因如此，教育工作者需要专注于为学生提供相关理论信息，并确保有足够的临床实践机会，以支持本科课程中学生的学习。
