Investigation of Nursing Students' Intercultural Care Experiences in Clinical Practice

Yıl 2025, Cilt: 8 Sayı: 1, 16 - 24, 31.01.2025

Selda Rızalar , Aslı Çetin , Elif Beyza Aktay

https://doi.org/10.53493/avrasyasbd.1500549

Öz

Aim: Today, many health institutions provide treatment and care services to foreign nationals. Nursing students participate in the care of foreign patients during clinical practice and experience providing intercultural care. This study was conducted to examine nursing students' experiences of intercultural care in clinical practice.
Method: The study was conducted with 292 students studying in the nursing department of a foundation university in Istanbul. Data were collected with a questionnaire form consisting of questions examining the students' sociodemographic characteristics and their experiences of providing care to patients from different cultures, and were evaluated with frequency, percentage, mean and standard deviation in SPSS 22.0 program.
Findings: The average age of the nursing students included in the study was 20.8, 88.4% were female, and 98.3% were single. 31.5% of the students did not know a foreign language, 61% of those who knew English, and they most frequently encountered Syrian, Libyan and Lebanese patients in hospitals. 16.8% of the students have received intercultural care training, 33.9% have provided care to foreign patients many times, 62% have experienced difficulties while providing care, and 35.3% can often reach an interpreter. The most negative situations experienced by foreign patients in intercultural care are communication, security, and violence, respectively. Students encounter difficulties during data collection, patient education, treatment, and physical examination regarding intercultural care.
Conclusion and recommendations: It can be recommended that intercultural care be included in the nursing curriculum, foreign language education of students be developed, advance planning be done in practice areas, and there should be interpreters and language-speaking employees in hospitals.

Anahtar Kelimeler

Nursing, Student, Culture, Cross-cultural care

Proje Numarası

Decision no: 992/27.11.2019

Hemşirelik Öğrencilerinin Klinik Uygulamada Kültürlerarası Bakım Deneyimlerinin İncelenmesi

Öz

Amaç: Günümüzde ülkemizde birçok sağlık kurumunda yabancı uyruklu bireylere tedavi ve bakım hizmeti sunulmaktadır. Hemşirelik öğrencileri klinik uygulamalar sırasında yabancı uyruklu hastaların bakımına katılmakta ve kültürlerarası bakım vermeyi deneyimlemektedirler. Bu araştırma hemşirelik öğrencilerinin klinik uygulamada kültürlerarası bakım deneyimlerini incelemek amacıyla yapılmıştır.
Yöntem: Araştırma İstanbul ilinde bir vakıf üniversitesinin hemşirelik bölümünde okuyan 292 öğrenci ile yapıldı. Veriler öğrencilerin sosyodemografik özellikleri ile farklı kültürden hastalara bakım verme deneyimlerini inceleyen sorulardan oluşan anket formu ile toplandı, SPSS 22.0 programında frekans ve yüzdelik, ortalama ve standart sapma ile değerlendirildi.
Bulgular: Çalışmaya alınan hemşirelik öğrencilerinin yaş ortalaması 20,8 olup % 88,4’ü kız öğrenci, %98,3’ü bekardır. Öğrencilerin %31,5’inin yabancı dil bilmediği, %61’inin İngilizce dilini bildiği, hastanelerde en sıklıkla Suriye, Libya ve Lübnan uyruklu hastalar ile karşılaştıkları bulundu. Öğrencilerin %16,8’inin kültürlerarası bakıma yönelik eğitim aldığı, %33,9’unun çok kez yabancı uyruklu hastalara bakım verdiği, %62’sinin bakım verirken zorluk yaşadığı, % 35,3’ünün çoğu zaman bir tercümana ulaşabildiği belirlenmiştir. Bakım sırasında yaşanan olumsuz durumların %97,9’u iletişim, %60,6’sı güvenlik ve %26,4’ü şiddet konusunda olduğu belirlenmiştir. Öğrencilerin %88,7’si veri toplarken, %87,7’si kültürel olarak, %86,6’sı hasta eğitiminde %84,6’sı hastadan geri bildirim alamamak, %61,3’ü hata yapmaktan korkmak şeklinde olumsuz durumlar yaşadıkları saptandı.
Sonuç ve öneriler: Hemşirelik müfredatında kültürlerarası bakıma yer verilmesi, öğrencilerin yabancı dil eğitiminin geliştirilmesi, uygulama alanlarında önceden planlama yapılması, hastanelerde tercüman ve dil bilen çalışanlar olması önerilebilir.

Anahtar Kelimeler

Hemşirelik, Öğrenci, Kültür, Kültürlerarası bakım

Etik Beyan

Before starting the study, research permission was obtained from the Non-Interventional Research Ethics Committee of the foundation university (Decision no: 992/27.11.2019) and research institutional permission was obtained from the institutional administration. Before starting the study, the information in the Voluntary Consent Form was read to the students, verbal and written consent was obtained from the students, and the study was conducted in accordance with the rules of the Declaration of Helsinki.

Destekleyen Kurum

The study was not supported by any institute.

Proje Numarası

Decision no: 992/27.11.2019

Teşekkür

We would like to thank the nursing students who participated in the study

Kaynakça

• Abbas NK. (2023). Examination of nursing students' cultural awareness and intercultural sensitivity levels Master Thesis. Kırşehir Ahi Evran University The Institute of Health Sciences Department of Nursing, Kırşehir.
• Abdullah SN. (1995). Towards an Individualized Client’s Care Implication for Education. The Transcultural Approach. Journal of Advanced Nursing, 22(4): 715-20.
• Açıl A, Gülseven Karabacak B. (2024). Determination of nursing students’ levels of cultural awareness, intercultural sensitivity, and their perspectives on culturally sensitive nursing care. Journal of Human Sciences, 21(2): 108-128. http://doi.org/10.14687/jhs.v21i2.6429
• Akşit BT. (1995). Society, Culture and Health. Bertan, M, Güler Ç, ed. Basic Information on Public Health, 13-26, Güneş Kitabevi Ltd. Şti., Ankara.
• Aktaş YY, Gök Uğur H, Orak OS. (2016). Examining nurses' views on intercultural nursing care. International Journal of Refereed Nursing Research, 8: 120-135.
• Baksi A, Sürücü HA, Duman M. (2019). Assessment of Intercultural Sensitivity and Related Factors of Nursing Students. Journal of Education and Research in Nursing JAREN, 5(1):31-39.
• Baykal Akmeşe Z, Çilesiz E, Aydın S. (2023). Examination of the cultural awareness of midwifery students'. Gevher Nesibe Journal of Medical & Health Sciences, 8(2): 437-446. http:// doi.org/10.5281/zenodo.8023368.
• Birimoglu Okuyan C. ve Nambiar-Greenwood, G. (2020). Exploring Intercultural Sensitivities of Nursing Students in Two Countries: A Comparative Study. International Journal of Caring Sciences, May-August 13 (2) pp : 1004-1012.
• Ceylan S.S, Çetinkaya B. (2022). Experience and cultural sensitivity levels of nursing students who providing care to ımmigrant patients: a mix method research. Yoğun Bakım Hemşireliği Dergisi, 3(2):1-20.
• Ceylan Polat D. & Akcan E. (2016). Difficulties Experienced by Nursing Students in Providing Care to Foreign Patients. Anatolian Journal of Nursing and Health Sciences, 19: Special Issue:9-13.
• Degazon C. (1996). Community Health Nursing. In: Stanhope M, Lancaster J, eds. Culturel diversity and community health nursing practice, 117-34, Baltimore: MosbyYearBook.
• Douglas MK, Pierce JU, Rosenkoetter M, Pacquiao D, Callister LC, Hattar-Pollara M. (2011). Standards of practice for culturally competent nursingcare: 2011 update. Journal of TransculturalNursing. 22(4):317.
• Duffy ME. (2001). A Critique of Cultural Education in Nursing. Journal of Advanced Nursing, 36(4):487-95.
• Henkle JO, Kennerly SM. (1990). Cultural Diversity: A Resource ın Planning and Implementing Nursing Care. Public Health Abbas NK. (2023). Examination of nursing students' cultural awareness and intercultural sensitivity levels Master Thesis. Kırşehir Ahi Evran University The Institute of Health Sciences Department of Nursing, Kırşehir.
• Abdullah SN. (1995). Towards an Individualized Client’s Care Implication for Education. The Transcultural Approach. Journal of Advanced Nursing, 22(4): 715-20.
• Açıl A, Gülseven Karabacak B. (2024). Determination of nursing students’ levels of cultural awareness, intercultural sensitivity, and their perspectives on culturally sensitive nursing care. Journal of Human Sciences, 21(2): 108-128. http://doi.org/10.14687/jhs.v21i2.6429
• Akşit BT. (1995). Society, Culture and Health. Bertan, M, Güler Ç, ed. Basic Information on Public Health, 13-26, Güneş Kitabevi Ltd. Şti., Ankara.
• Aktaş YY, Gök Uğur H, Orak OS. (2016). Examining nurses' views on intercultural nursing care. International Journal of Refereed Nursing Research, 8: 120-135.
• Baksi A, Sürücü HA, Duman M. (2019). Assessment of Intercultural Sensitivity and Related Factors of Nursing Students. Journal of Education and Research in Nursing JAREN, 5(1):31-39.
• Baykal Akmeşe Z, Çilesiz E, Aydın S. (2023). Examination of the cultural awareness of midwifery students'. Gevher Nesibe Journal of Medical & Health Sciences, 8(2): 437-446. http:// doi.org/10.5281/zenodo.8023368.
• Birimoglu Okuyan C. ve Nambiar-Greenwood, G. (2020). Exploring Intercultural Sensitivities of Nursing Students in Two Countries: A Comparative Study. International Journal of Caring Sciences, May-August 13 (2) pp : 1004-1012.
• Ceylan S.S, Çetinkaya B. (2022). Experience and cultural sensitivity levels of nursing students who providing care to ımmigrant patients: a mix method research. Yoğun Bakım Hemşireliği Dergisi, 3(2):1-20.
• Ceylan Polat D. & Akcan E. (2016). Difficulties Experienced by Nursing Students in Providing Care to Foreign Patients. Anatolian Journal of Nursing and Health Sciences, 19: Special Issue:9-13.
• Degazon C. (1996). Community Health Nursing. In: Stanhope M, Lancaster J, eds. Culturel diversity and community health nursing practice, 117-34, Baltimore: MosbyYearBook.
• Douglas MK, Pierce JU, Rosenkoetter M, Pacquiao D, Callister LC, Hattar-Pollara M. (2011). Standards of practice for culturally competent nursingcare: 2011 update. Journal of TransculturalNursing. 22(4):317.
• Duffy ME. (2001). A Critique of Cultural Education in Nursing. Journal of Advanced Nursing, 36(4):487-95.
• Henkle JO, Kennerly SM. (1990). Cultural Diversity: A Resource ın Planning and Implementing Nursing Care. Public Health