Nursing Students' Attitudes towards Immigrant Individuals and Their Cultural Intelligence: A Comparative Study
Year 2025,
Volume: 8 Issue: 6, 243 - 249, 15.11.2025
Aytuğ Türk
,
Cemre Gülten Çelik
Abstract
This study aims to evaluate the impact of clinical practice in migrant health centers on nursing students' attitudes towards migrants and their cultural intelligence. The research was conducted using a causal-comparative design with 52 students who practiced in migrant health centers and 52 students who practiced in different units during the 2022-2023 academic year. Data were collected using the Negative Attitudes Towards Migrants Scale, the Cultural Intelligence Scale, and a socio-demographic information form. Data were analyzed using SPSS 25.0, with normality and variance assumptions checked; t-tests or ANOVA were applied as appropriate. Students who practiced in migrant health centers scored significantly lower on the Negative Attitudes towards Migrants Scale (P=0.023) and higher on the Cultural Intelligence Scale total and sub-dimensions (cognitive, motivational, and behavioral) (P=0.002) compared to those practicing in other units. However, no significant difference was found in the meta-cognitive sub-dimension (P=0.142). While socio-demographic variables did not generally show a significant effect, prior experience with providing care to migrants and receiving cultural care training positively influenced attitudes and cultural intelligence. The study demonstrates that clinical practice in migrant health centers improves nursing students' attitudes towards migrants and enhances their cultural intelligence. These findings highlight the importance of integrating clinical practice and cultural training into nursing education.
Ethical Statement
Before the study, approval was obtained from the Ege University Medical Research Ethics Committee (Approval date: December 14, 2023, prodocol code: 23-12T/41) and written permission was received from the institution where the study was conducted. Verbal consent was obtained from all participants included in the study. In addition, permission to use the relevant measurement tools (NATMS and CQS) was obtained from the respective authors. This study was conducted in compliance with research and publication ethics principles. The research was supported within the scope of the TÜBİTAK 2209-A Program, and the project budget was funded by TÜBİTAK (The Scientific and Technological Research Council of Türkiye).
Supporting Institution
The research was supported within the scope of the TÜBİTAK 2209-A Program, and the project budget was funded by TÜBİTAK (The Scientific and Technological Research Council of Türkiye).
Project Number
TUBİTAK 2209-1919B012224371
References
-
Altawil MJ, Turan N. 2023. Determination of nursing students’ attitudes towards refugees and affecting factors. CURARE J Nurs, 1: 9-16.
-
Ang S, Van Dyne L, Koh C, Ng KY, Templer KJ, Tay C, Chandrasekar NA. 2007. Cultural intelligence: Its measurement and effects on cultural judgment and decision making, cultural adaptation and task performance. Manag Organ Rev, 3(3): 335-371.
-
Ang S, Van Dyne L. 2015. Conceptualization of cultural intelligence: definition, distinctiveness, and nomological network. In: Ang S, Van Dyne L, editors. Handbook of cultural intelligence. Routledge, New York, US, pp: 21-33.
-
Atalla ADG, Elseesy NA. 2023. Cultural intelligence and professional competencies among nurses: A cross-sectional study. Alex Sci Nurs J, 25(1): 151-164.
-
Bahari Z, Vosoghi N, Ramazanzadeh N, Moshfeghi S, Aghamohammadi M. 2024. Patient trust in nurses: Exploring the relationship with care quality and communication skills in emergency departments. BMC Nurs, 23(1): 595.
-
Çetin H, Demirel B. 2023. University students' attitudes towards migrants: The case of Kırıkkale University. Social Humanit Admin Sci J, 6(10): 1314-1328.
-
Ersin F, Bahar Z. 2014. The effects of globalization on nursing. Harran Univ Med Fac J, 11(3): 280-288.
-
Figueroa M, Hofhuis J. 2024. Are some individuals more susceptible to intercultural education than others? Multicultural personality predicts the effects of an intercultural training on cultural intelligence. Int J Intercult Relat, 98: 101927.
-
Galan-Lominchar M, Muñoz-San Roque I, del Campo Cazallas C, et al. 2024. Nursing students’ internationalization: Virtual exchange and clinical simulation impact cultural intelligence. Nursing Outlook, 72(2): 102137.
-
Gay LR, Airasian PW. 2000. Student guide to accompany educational research: Competencies for analysis and application (6th ed.). Merill, New York, US, pp: 1-8.
-
Gooden DJ, Creque CA, Chin-Loy C. 2017. The impact of metacognitive, cognitive, and motivational cultural intelligence on behavioral cultural intelligence. Int Bus Econ Res J, 16(3): 223.
-
Günay G, Ersoy AF, Boylu AA, Kılıç C. 2019. Turkish validity and reliability of the negative attitude scale towards migrants. Third Sect Soc Econ Rev, 54(4): 1827-1843.
-
Guo L, Ryan B, Leditschke IA, Haines KJ, Cook K, Erikson L, Olusanya O, Selak T, Shekar K, Ramadan M. 2022. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: A systematic review. BMJ Qual Saf, 31(9): 679-687.
-
İlhan M, Çetin B. 2014. Validity and reliability study of the Turkish version of the Cultural Intelligence Scale. Hacettepe Univ Fac Educ J, 29(2): 94-114.
-
Kwame A, Petrucka PM. 2021. A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nurs, 20(1): 158.
-
Majda A, Zalewska-Puchała J, Bodys-Cupak I, Kurowska A, Barzykowski K. 2021. Evaluating the effectiveness of cultural education training: Cultural competence and cultural intelligence development among nursing students. Int J Environ Res Public Health, 18(8): 4002.
-
Özkol Kılınç K, Öztürk H. 2020. Assessment of cultural intelligence levels of nursing students. Türkiye Klin J Nurs Sci, 12(4): 574-583.
-
Repo H, Vahlberg T, Salminen L, Papadopoulos I, Leino-Kilpi H. 2017. The cultural competence of graduating nursing students. J Transcult Nurs, 28(1): 98-107.
-
Richard-Eaglin A. 2021. The significance of cultural intelligence in nurse leadership. Nurse Lead, 19(1): 90-94.
-
Selçuk AK, Yanikkerem E. 2022. Nursing students' perspectives and caregiving experiences with refugees: A qualitative analysis. Nurse Educ Today, 109: 105240.
-
Suphanchaimat R, Kantamaturapoj K, Putthasri W, Prakongsai P. 2015. Challenges in the provision of healthcare services for migrants: A systematic review through providers’ lens. BMC Health Serv Res, 15: 1-14.
-
Türkan Işik M, Can Özdemir R. 2024. Cultural sensitivity of a group of nursing students’ and attitudes toward refugees. J Transcult Nurs, 35(3): 244-253.
-
Uludağ E, Deveci G. 2018. Evaluation of cultural intelligence among nursing students. Gumushane Univ J Health Sci, 7(1): 70-76.
-
Varela JG, Gonzalez E Jr, Clark JW, Cramer RJ, Crosby JW. 2013. Development and preliminary validation of the Negative Attitude Toward Immigrants Scale. J Lat Psychol, 1(3): 155.
-
Webb M, Carnago L, Knisely MR. 2024. Bridging the gap: Role of cultural intelligence (CQ) in addressing pain inequities. Pain Manag Nurs, 25(3): 205-208.
-
World Health Organization. 2018. Report on the health of refugees and migrants in the WHO European Region: No public health without refugee and migrant health: Summary. WHO, Geneva, Copenhagen, Denmark, pp: 1-20.
-
Yıldırım JG. 2019. Experiences of nursing students caring for refugees: A phenomenological study. STED/Contin Med Educ J, 28(4): 263-271.
Nursing Students' Attitudes towards Immigrant Individuals and Their Cultural Intelligence: A Comparative Study
Year 2025,
Volume: 8 Issue: 6, 243 - 249, 15.11.2025
Aytuğ Türk
,
Cemre Gülten Çelik
Abstract
This study aims to evaluate the impact of clinical practice in migrant health centers on nursing students' attitudes towards migrants and their cultural intelligence. The research was conducted using a causal-comparative design with 52 students who practiced in migrant health centers and 52 students who practiced in different units during the 2022-2023 academic year. Data were collected using the Negative Attitudes Towards Migrants Scale, the Cultural Intelligence Scale, and a socio-demographic information form. Data were analyzed using SPSS 25.0, with normality and variance assumptions checked; t-tests or ANOVA were applied as appropriate. Students who practiced in migrant health centers scored significantly lower on the Negative Attitudes towards Migrants Scale (P=0.023) and higher on the Cultural Intelligence Scale total and sub-dimensions (cognitive, motivational, and behavioral) (P=0.002) compared to those practicing in other units. However, no significant difference was found in the meta-cognitive sub-dimension (P=0.142). While socio-demographic variables did not generally show a significant effect, prior experience with providing care to migrants and receiving cultural care training positively influenced attitudes and cultural intelligence. The study demonstrates that clinical practice in migrant health centers improves nursing students' attitudes towards migrants and enhances their cultural intelligence. These findings highlight the importance of integrating clinical practice and cultural training into nursing education.
Ethical Statement
Before the study, approval was obtained from the Ege University Medical Research Ethics Committee (Approval date: December 14, 2023, prodocol code: 23-12T/41) and written permission was received from the institution where the study was conducted. Verbal consent was obtained from all participants included in the study. In addition, permission to use the relevant measurement tools (NATMS and CQS) was obtained from the respective authors. This study was conducted in compliance with research and publication ethics principles. The research was supported within the scope of the TÜBİTAK 2209-A Program, and the project budget was funded by TÜBİTAK (The Scientific and Technological Research Council of Türkiye).
Project Number
TUBİTAK 2209-1919B012224371
References
-
Altawil MJ, Turan N. 2023. Determination of nursing students’ attitudes towards refugees and affecting factors. CURARE J Nurs, 1: 9-16.
-
Ang S, Van Dyne L, Koh C, Ng KY, Templer KJ, Tay C, Chandrasekar NA. 2007. Cultural intelligence: Its measurement and effects on cultural judgment and decision making, cultural adaptation and task performance. Manag Organ Rev, 3(3): 335-371.
-
Ang S, Van Dyne L. 2015. Conceptualization of cultural intelligence: definition, distinctiveness, and nomological network. In: Ang S, Van Dyne L, editors. Handbook of cultural intelligence. Routledge, New York, US, pp: 21-33.
-
Atalla ADG, Elseesy NA. 2023. Cultural intelligence and professional competencies among nurses: A cross-sectional study. Alex Sci Nurs J, 25(1): 151-164.
-
Bahari Z, Vosoghi N, Ramazanzadeh N, Moshfeghi S, Aghamohammadi M. 2024. Patient trust in nurses: Exploring the relationship with care quality and communication skills in emergency departments. BMC Nurs, 23(1): 595.
-
Çetin H, Demirel B. 2023. University students' attitudes towards migrants: The case of Kırıkkale University. Social Humanit Admin Sci J, 6(10): 1314-1328.
-
Ersin F, Bahar Z. 2014. The effects of globalization on nursing. Harran Univ Med Fac J, 11(3): 280-288.
-
Figueroa M, Hofhuis J. 2024. Are some individuals more susceptible to intercultural education than others? Multicultural personality predicts the effects of an intercultural training on cultural intelligence. Int J Intercult Relat, 98: 101927.
-
Galan-Lominchar M, Muñoz-San Roque I, del Campo Cazallas C, et al. 2024. Nursing students’ internationalization: Virtual exchange and clinical simulation impact cultural intelligence. Nursing Outlook, 72(2): 102137.
-
Gay LR, Airasian PW. 2000. Student guide to accompany educational research: Competencies for analysis and application (6th ed.). Merill, New York, US, pp: 1-8.
-
Gooden DJ, Creque CA, Chin-Loy C. 2017. The impact of metacognitive, cognitive, and motivational cultural intelligence on behavioral cultural intelligence. Int Bus Econ Res J, 16(3): 223.
-
Günay G, Ersoy AF, Boylu AA, Kılıç C. 2019. Turkish validity and reliability of the negative attitude scale towards migrants. Third Sect Soc Econ Rev, 54(4): 1827-1843.
-
Guo L, Ryan B, Leditschke IA, Haines KJ, Cook K, Erikson L, Olusanya O, Selak T, Shekar K, Ramadan M. 2022. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: A systematic review. BMJ Qual Saf, 31(9): 679-687.
-
İlhan M, Çetin B. 2014. Validity and reliability study of the Turkish version of the Cultural Intelligence Scale. Hacettepe Univ Fac Educ J, 29(2): 94-114.
-
Kwame A, Petrucka PM. 2021. A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nurs, 20(1): 158.
-
Majda A, Zalewska-Puchała J, Bodys-Cupak I, Kurowska A, Barzykowski K. 2021. Evaluating the effectiveness of cultural education training: Cultural competence and cultural intelligence development among nursing students. Int J Environ Res Public Health, 18(8): 4002.
-
Özkol Kılınç K, Öztürk H. 2020. Assessment of cultural intelligence levels of nursing students. Türkiye Klin J Nurs Sci, 12(4): 574-583.
-
Repo H, Vahlberg T, Salminen L, Papadopoulos I, Leino-Kilpi H. 2017. The cultural competence of graduating nursing students. J Transcult Nurs, 28(1): 98-107.
-
Richard-Eaglin A. 2021. The significance of cultural intelligence in nurse leadership. Nurse Lead, 19(1): 90-94.
-
Selçuk AK, Yanikkerem E. 2022. Nursing students' perspectives and caregiving experiences with refugees: A qualitative analysis. Nurse Educ Today, 109: 105240.
-
Suphanchaimat R, Kantamaturapoj K, Putthasri W, Prakongsai P. 2015. Challenges in the provision of healthcare services for migrants: A systematic review through providers’ lens. BMC Health Serv Res, 15: 1-14.
-
Türkan Işik M, Can Özdemir R. 2024. Cultural sensitivity of a group of nursing students’ and attitudes toward refugees. J Transcult Nurs, 35(3): 244-253.
-
Uludağ E, Deveci G. 2018. Evaluation of cultural intelligence among nursing students. Gumushane Univ J Health Sci, 7(1): 70-76.
-
Varela JG, Gonzalez E Jr, Clark JW, Cramer RJ, Crosby JW. 2013. Development and preliminary validation of the Negative Attitude Toward Immigrants Scale. J Lat Psychol, 1(3): 155.
-
Webb M, Carnago L, Knisely MR. 2024. Bridging the gap: Role of cultural intelligence (CQ) in addressing pain inequities. Pain Manag Nurs, 25(3): 205-208.
-
World Health Organization. 2018. Report on the health of refugees and migrants in the WHO European Region: No public health without refugee and migrant health: Summary. WHO, Geneva, Copenhagen, Denmark, pp: 1-20.
-
Yıldırım JG. 2019. Experiences of nursing students caring for refugees: A phenomenological study. STED/Contin Med Educ J, 28(4): 263-271.