HEALTH TOURISM CONCEPT AND TRANSCULTURAL NURSING ACCORDING TO THE MEANING WORLDS OF NURSES

Year 2020, Volume: 5 Issue: 3, 348 - 362, 16.11.2020

Kadriye Bıyıklı Handan Zincir

Abstract

Purpose: This study aims to describe health tourism and transcultural nursing concept from the viewpoint of nurses and to find out how they interpret them. Method: As a mixed study, it was conducted at 6 private hospital with the participation of sixteen nurses. Data were collected with demographic information form, intercultural sensitivity scale and semi-structured interview form. Result: The mean of cultural sensitivity scale score of nurses was 81.39 ± 4.84. Cultural sensitivity levels of nurses were not correlated with gender, marital status, age, education level, professional title and transcultural nursing training background. Only one nurse had transcultural nursing training. Lack of foreign language and cultural knowledge are problems for nurses while caring to foreign patients. Conclusion: Nurses mostly face language and communication difficulties while caring to foreign patients. Also, they need to get information and training about different cultures. Even if nurses play an indispensable and key role in health tourism, they cannot represent themselves sufficiently. Implications for Practice: The professional and personal development of nurses should increase by trainings on ethics, intercultural nursing and geography, especially foreign language. For easy and error free communication between nurse and patient, foreign language education must be integrated nursing education program.

Keywords

health tourism, transcultural nursing, nurse's experience, interpretation

References

• Aydın, D., Constantinides, C., Mike, C., Yılmaz, C., Genç, A. and Lanyi, A. (2012). Sağlık turizminde süreçler ve aracı kuruluşlar araştırma raporu. Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü, Ankara.
• Al-Amer, R., Ramjan, L., Glew, P., Darwish, M. and Salamonson, Y. (2016). Language translation challenges with Arabic speakers participating in qualitative research studies. International journal of nursing studies, 54, 150-157.
• Almutairi, A. F., McCarthy, A. and Gardner, G. E. (2015). Understanding cultural competence in a multicultural nursing workforce: Registered nurses’ experience in Saudi Arabia. Journal of Transcultural Nursing, 26(1), 16-23.
• Amiri, R. and Heydari, A. (2017). Nurses' experiences of caring for patients with different cultures in Mashhad, Iran. Iranian Journal of Nursing and Midwifery Research, 22(3), 232.
• Ben-Natan, M., Ben-Sefer, E. and Ehrenfeld, M. (2009). Medical tourism: a new role for nursing. OJIN: The Online Journal of Issues in Nursing, 14(3).
• Boi, S. (2000). Nurses' experiences in caring for patients from different cultural backgrounds. NT research, 5(5), 382-389.
• Bulduk, S., Tosun, H. and Ardıç, E. (2011). Türkçe kültürler arası duyarlılık ölçeğinin hemşirelik öğrencilerinde ölçümsel özellikleri. Türkiye Klinikleri Tıp Etiği-Hukuku-Tarihi Dergisi, 19(1), 25-31.
• Bulduk, S., Esra, U. S. T. A. and Dincer, Y. (2017). Kültürlerarası duyarlılık ve etkileyen faktörlerin belirlenmesi: Bir sağlık hizmetleri meslek yüksekokulu örneği. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(2), 73-77.
• Chen, G. M. and Starosta, W. J. (2000). The Development and Validation of the Intercultural Sensitivity Scale. Human Communication, 3(2000) 1-15.
• Çalışkan, U. (2009). Turist Sağlığı Güvenliğinin Analizi: Türkiye Termal Tesisler Uygulaması. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Turizm İşletmeciliği Anabilim Dalı Turizm İşletmeciliği Programı. Doktora Tezi, İzmir.
• Çevirme, A., Kaynak, Ö. and Uğurlu, N. (2014). Türkiye’de Medikal Turizm Hemşireliği ve Eğitsel Yapısı: Swot Analizi. Uluslararası Hakemli Akademik Spor Sağlık ve Tıp Bilimleri Dergisi, 13(4).
• De Gagne, J. C., Oh, J., So, A., Haidermota, M. and Lee, S. Y. (2015). A mixed methods study of health care experience among Asian Indians in the southeastern United States. Journal of Transcultural Nursing, 26(4), 354-364.
• Foronda, C. L. (2008). A concept analysis of cultural sensitivity. Journal of Transcultural Nursing, 19(3), 207-212.
• Heung, V. C., Kucukusta, D. and Song, H. (2011). Medical tourism development in Hong Kong: An assessment of the barriers. Tourism Management, 32(5), 995-1005.
• Hull, M. (2016). Medical language proficiency: A discussion of interprofessional language competencies and potential for patient risk. International Journal of Nursing Studies, 54, 158-172.
• Ian, C., Nakamura-Florez, E. And Lee, Y. M. (2016). Registered nurses' experiences with caring for non-English speaking patients. Applied Nursing Research, 30, 257-260.
• Maeno, M., Sakuyama, M., Motoyama, S. and Matsuo, H. (2011). Japanese nurses' views of perioperative management of foreign patients in Osaka. Kokusai Hoken Iryo (Journal of International Health), 26(4), 273-280.
• Mubita-Ngoma, C.A. and Mayimbo, S. (2017). Transcultural Nursing in Zambia: A Challenge for the 21st Century. Ann Nurs Res Pract, 2(2): 1022.
• Ngai, K. M., Grudzen, C. R., Lee, R., Tong, V. Y., Richardson, L. D. and Fernandez, A. (2016). The association between limited English proficiency and unplanned emergency department revisit within 72 hours. Annals of Emergency Medicine, 68(2), 213-221.
• Nielsen, B. and Birkelund, R. (2009). Minority ethnic patients in the Danish healthcare system–a qualitative study of nurses’ experiences when meeting minority ethnic patients. Scandinavian journal of caring sciences, 23(3), 431-437.
• Soysal, A. (2017). Sağlık turizmi: tehdit ve fırsatlar bağlamında Türkiye açısından bir durum değerlendirmesi. Uluslararası Turizm ve Sosyal Araştırmalar Dergisi, 2, 169‐187.
• Powell, H. K., Fisher, L., Fontaine, D. and Martin-Holland, J. (2008). Evaluating diversity in nursing education: a mixed method study. Journal of transcultural nursing: official journal of the Transcultural Nursing Society, 19(4), 363-370.
• Smith, M. and Puczko, L. (2014). Health, tourism and hospitality: Spas, wellness and medical travel. Routledge.
• Tanrıverdi, G. (2017). Hemşirelerde kültürel yeterliliği geliştirmeye yönelik yaklaşım ve öneriler. Florence Nightingale Hemşirelik Dergisi, 25(3), 227-236.
• Temel, A. (2012). Çok kültürlülük ve kültürlerarası iletişimin sağlık hizmetlerinin sunumuna etkileri. Onlar Bizim Hemşehrimiz, Uluslararası Göç ve Hizmetlerin Kültürlerarası Açılımı, 43-73.