Investigation of the Cultural Competence Levels of Diabetes Nurses

Year 2022, , 805 - 811, 30.12.2022

Derya Çınar , Nermin Olgun , Aynur Koyuncu

https://doi.org/10.33808/clinexphealthsci.1016988

Abstract

Objective: It is important for nurses to have cultural competence in order to keep up with the cultural diversity brought by globalization. In this study, we aim to examine the cultural competence levels of diabetes nurses in diabetes education and care in accordance with the cultural characteristics of individuals with diabetes.
Methods: This study was conducted in a cross-sectional descriptive type with 183 diabetes nurses between September 15 and December 15, 2020 in Turkey. The data were collected using the Introductory Information Form and the Nurse Cultural Competence Scale.
Results: We determine that almost all of the diabetes nurses had cultural competence above the average. We find that having a postgraduate degree from diabetes nurses, receiving cultural education before, and having a diabetes nurse experience of 6 years or more affected the cultural competence levels (p<0.05).
Conclusion: This research shows that diabetes nurses in Turkey have cultural competence in providing care to individuals with diabetes from different cultures, and that education and experience affect this situation. It is predicted that diabetes nurses will contribute to the selfmanagement of individuals with diabetes by implementing strategies to improve their cultural competence.

Keywords

Diabetes, nursing, cultural competence

References

• Tanrıverdi G. Approachs of nurses towards standards of practice for culturally competent care. EGEHFD 2015;31(3):37– 52.
• Lin CJ, Lee CK, Huang MC. Cultural competence of healthcare providers: a systematic review of assessment instruments. J Nurs Res 2017;25(3):174-186.
• M. McAuliffe, B. Khadria. World Migration Report 2020. International Organization for Migration, Geneva, 2019. Available from:https://publications.iom.int/books/worldmigration-report-2020.
• Çakır B, Çevik C. Globalization, migration and woman’s health. HP 2021;3(1):225–243.
• Loftin C, Hartin V, Branson M, Reyes H. Measures of cultural competence in nurses: an integrative review. Sci. World J 2013;289101:1-10.
• International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels, Belgium: 2019. Available from: https://www.diabetesatlas.org
• Weber O, Semlali I, Gamondi C, Singy P. Cultural competency and sensitivity in the curriculum for palliative care professionals: a survey in Switzerland. BMC Med Educ 2021;21(1):1-10.
• Weber O, Sulstarova B, Singy P. Cross-cultural communication in oncology: challenges and training ınterests. Oncol Nurs Forum 2016;43(1):24-33.
• Karakuş Z, Babadağ B, Abay H, Akyar İ, Çelik SŞ. Nurses’ views related to transcultural nursing in Turkey. Int. J. Caring Sci 2013;6(2):201–207.
• Majda A, Zalewska-Puchała J, Bodys-Cupak I, Kurowska A, Barzykowski K. Evaluating the effectiveness of cultural education training: cultural competence and cultural intelligence development among nursing students. Int J Environ Res Public Health 2021;18(8):1-10
• Gözüm S, Tuzcu A, Kirca N. Validity and reliability of the Turkish version of the nurse cultural competence scale. J Transcult Nurs 2016;27(5):487-495.
• Sivrikaya S, Çınar D. Diabetes and cultural approach. DOHH 2017;8(1): 30–37.
• Bernhard G, Knibbe RA, von Wolff A, Dingoyan D, Schulz H, Mösko M. Development and psychometric evaluation of an instrument to assess cross-cultural competence of healthcare professionals (CCCHP). PLoS One 2015;7;10(12):e0144049:1-22.
• Kutob RM, Senf JH, Harris JM Jr. Teaching culturally effective diabetes care: results of a randomized controlled trial. Fam Med 2009;41(3):167-174.
• TEMD, Turkish Society of Endocrinology and Metabolism Diseases. Clinical Practice Guideline for Diagnosis, Treatment and Follow-up of Diabetes Mellitus and Its Complications. English Version of the 12th Edition. Ankara: Bayt Press; 2019
• Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care 2002;25(2):259-268.
• Peek EH, Park CS. Effects of a multicultural education program on the cultural competence, empathy and self-efficacy of nursing students. J Korean Acad Nurs 2013;43(5):690-696.
• Zarzycka D, Chrzan-Rodak A, Bąk J, Niedorys-Karczmarczyk B, Ślusarska B. Nurse cultural competence-cultural adaptation and validation of the Polish version of the nurse cultural competence scale and preliminary research results. PLoS One 2020; 16;15(10):e0240884:1-21.
• Jongen C, McCalman J, Bainbridge R. Health workforce cultural competency interventions: a systematic scoping review. BMC Health Serv Res 2018;2;18(1):1-15.
• Perng SJ, Watson R. Construct validation of the Nurse Cultural Competence Scale: a hierarchy of abilities. J Clin Nurs 2012;21(11-12):1678-1684.
• Ağaoğlu FO, Karagöz N, Zabun S. An evaluation of health tourism applications and their income to Turkey. CU J Eco Adm Sci 2019;20 (2):1–23.
• Lee SE, Lee MH, Peters AB, Gwon SH. Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. Int J Environ Res Public Health. 2020;13;17(12):1-10.
• Creech C, Filter M, Wehbe-Alamah H, McFarland MR, Andrews M, Pryor G. An intervention to improve cultural competence in graduate nursing education. Nurs Educ Perspect 2017;38(6):333-336.
• Liu W, Stone TE, McMaster R. Increasing undergraduate nursing students’ cultural competence: an evaluation study. Glob Health Res Policy 2018;3 (7):1-10.
• Tanrıverdi G. Suggestion of a new nursing model: Environment focused cultural competency model. J Hum Sci 2017;14(4):4658–4670.
• Sevinç S. Nurses’ Experiences in a Turkish internal medicine clinic with Syrian refugees. J Transcult Nurs 2018;29(3):258-264.