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Journal of Nursing Education, 2019;58(1):17–26
Cite this articlePublished Online:https://doi.org/10.3928/01484834-20190103-04Cited by:23

Abstract

Background:

The effective delivery of health care to the growing multicultural population within Australia is a challenge for the nursing profession. A breakdown in cross-cultural communication and understanding, which stems from the tendency of nurses to project their own culturally specific values and behaviors onto patients and colleagues from other countries, can contribute significantly to non-compliance in migrant populations and conflict in collegial relationships.

Method:

The Inventory for Assessing the Process of Cultural Competence-Revised was administered to Australian undergraduate nursing students immediately before, immediately after, and 12 months after returning from international clinical placement. Data were analyzed using descriptive and inferential functions of SPSS.

Results:

Overall cultural competence increased immediately following the placement and was sustained over time. However, there were significant differences among the five constructs measured.

Conclusion:

International clinical placements enhance cultural competence but targeted activities need to be undertaken pre-placement to develop specific aspects, in particular cultural desire. [J Nurs Educ. 2019;58(1):17–26.]

  • Amerson R. (2010). The impact of service-learning on cultural competence. Nursing Education Perspectives, 31, 18–22.

    > MedlineGoogle Scholar
  • Australian Bureau of Statistics. (2017a). Characteristics of recent migrants, Australia, November, 2016, Cat. No. 6250.0. Retrieved from http://www.abs.gov.au/ausstats/[email protected]/mf/6250.0

    > Google Scholar
  • Australian Bureau of Statistics. (2017b). Migration, Australia, 2015–2016, Cat. No. 3412.0. Retrieved from http://www.abs.gov.au/ausstats/[email protected]/mf/3412.0

    > Google Scholar
  • Australian Government Department of Immigration and Border Protection. (2015). Australia's migration programme: Country ranking 2014–15. Retrieved from https://www.homeaffairs.gov.au/ReportsandPublications/Documents/statistics/country-ranking-2014-15.pdf

    > Google Scholar
  • Ballestas H.C., Roller M.C. (2013). The effectiveness of a study abroad program for increasing students' cultural competence. Journal of Nursing Education and Practice, 3(6), 125–133.10.5430/jnep.v3n6p125

    > CrossrefGoogle Scholar
  • Bohman D.M., Borglin G. (2014). Student exchange for nursing students: Does it raise cultural awareness? A descriptive, qualitative study. Nurse Education in Practice, 14, 259–264.10.1016/j.nepr.2013.11.006

    > Crossref MedlineGoogle Scholar
  • Browne C.A., Fetherston C.M., Medigovich K. (2015). International clinical placements for Australian undergraduate nursing students: A systematic thematic synthesis of the literature. Nurse Education Today, 35, 1028–1036.10.1016/j.nedt.2015.05.012

    > Crossref MedlineGoogle Scholar
  • Caffrey R.A., Neander W., Markle D., Stewart B. (2005). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. Journal of Nursing Education, 44, 234–240.

    > LinkGoogle Scholar
  • Campinha-Bacote J. (2002). The process of cultural competence in the delivery of health care services: A model of care. Transcultural Nursing, 13, 181–184.10.1177/10459602013003003

    > Crossref MedlineGoogle Scholar
  • Campinha-Bacote J. (2007). The process of cultural competence in the delivery of healthcare services: The journey continues (5th ed.). Cincinnati OH: Transcultural C.A.R.E. Associates.

    > Google Scholar
  • Chang W.W., Chen C.H.L., Huang Y.F., Yuan Y.H. (2012). Exploring the unknown: International service and individual transformation. Adult Education Quarterly, 62, 230–251.10.1177/0741713611402049

    > CrossrefGoogle Scholar
  • Charles L., Maltby H., Abrams S., Shea J., Brand G., Nicol P. (2014). Expanding worldview: Australian nursing students' experience of cultural immersion in India. Contemporary Nurse, 48, 67–75.10.1080/10376178.2014.11081928

    > Crossref MedlineGoogle Scholar
  • Cushman L.F., Delva M., Franks C.L., Jimenez-Bautista A., Moon-Howard J., Glover J., Begg M.D. (2015). Cultural competency training for public health students: Integrating self, social, and global awareness into a master of public health curriculum [Supplemental material]. American Journal of Public Health, 105, S132–S140.10.2105/AJPH.2014.302506

    > Crossref MedlineGoogle Scholar
  • Edmonds M.L. (2012). An integrative literature review of study abroad programs for nursing students. Nursing Education Perspectives, 33, 30–34.10.5480/1536-5026-33.1.30

    > Crossref MedlineGoogle Scholar
  • Esterhuizen P., Kirkpatrick M.K. (2015). Intercultural-global competencies for the 21st century and beyond. Journal of Continuing Education in Nursing, 46, 209–214.10.3928/01484834-20150420-01

    > LinkGoogle Scholar
  • Govere L., Fioravanti M.A., Tuite P.K. (2016). Increasing the cultural competence levels of undergraduate nursing students. Journal of Nursing Education, 55, 155–159.10.3928/01484834-20160216-06

    > LinkGoogle Scholar
  • Gower S., Duggan R., Dantas J.A.R., Boldy D. (2017). Something has shifted: Nursing students' global perspective following international clinical placement. Journal of Advanced Nursing, 73, 2395–2406.10.1111/jan.13320

    > Crossref MedlineGoogle Scholar
  • Gozu A., Beach M.C., Price E.G., Gary T.L., Robinson K., Palacio A., Cooper L.A. (2007). Self-administered instruments to measure cultural competence of health professionals: A systematic review. Teaching and Learning in Medicine, 19, 180–190.10.1080/10401330701333654

    > Crossref MedlineGoogle Scholar
  • Isaacs A.N., Raymond A., Jacob E., Jones J., McGrail M., Drysdale M. (2016). Cultural desire need not improve with cultural knowledge: A cross-sectional study of student nurses. Nurse Education in Practice, 19, 91–96.10.1016/j.nepr.2016.05.009

    > Crossref MedlineGoogle Scholar
  • Isaacson M. (2014). Clarifying concepts: Cultural humility or competency. Journal of Professional Nursing, 30, 251–258.10.1016/j.profnurs.2013.09.011

    > Crossref MedlineGoogle Scholar
  • Johannessen B., Hovland O.J., Steen J.J. (2014). Topics Norwegian nursing students are concerned with during clinical placement in an African country: Analysis of reflective journals. International Journal for Human Caring, 18(3), 7–14.10.20467/1091-5710.18.3.7

    > CrossrefGoogle Scholar
  • Kaddoura M., Puri A., Dominick C.A. (2014). International academic service learning: Lessons learned from students' travel experiences of diverse cultural and health care practices in Morocco. Journal of Nursing Education, 53, 45–47.10.3928/01484834-20131223-01

    > LinkGoogle Scholar
  • Kohlbry P.W. (2016). The impact of international service-learning on nursing students' cultural competency. Journal of Nursing Scholarship, 48, 303–311.10.1111/jnu.12209

    > Crossref MedlineGoogle Scholar
  • Loftin C., Hartin V., Branson M., Reyes H. (2013). Measures of cultural competence in nurses: An integrative review. ScientificWorldJournal, 2013, 1–10.10.1155/2013/289101

    > CrossrefGoogle Scholar
  • Lokkesmoe K.J., Kuchinke K.P., Ardichvili A. (2016). Developing cross-cultural awareness through foreign immersion programs: Implications of university study abroad research for global competency development. European Journal of Training and Development, 40, 155–170.10.1108/EJTD-07-2014-0048

    > CrossrefGoogle Scholar
  • Mkandawire-Valhmu L., Doering J. (2012). Study abroad as a tool for promoting cultural safety in nursing education. Journal of Transcultural Nursing, 23, 82–89.10.1177/1043659611423831

    > Crossref MedlineGoogle Scholar
  • Murray B.A. (2015). Nursing students' experiences of health care in Swaziland: Transformational processes in developing cultural understanding [Supplemental material]. Journal of Nursing Education, 54, S65–S73.10.3928/01484834-20150814-13

    > LinkGoogle Scholar
  • Negin J., Rozea A., Cloyd B., Martiniuk A.L. (2013). Foreign-born health workers in Australia: An analysis of census data. Human Resources for Health, 11(69), 1–9.10.1186/1478-4491-11-69

    > Crossref MedlineGoogle Scholar
  • Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice. Retrieved from http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx

    > Google Scholar
  • Nursing Council of New Zealand. (2011). Guidelines for cultural safety, the Treaty of Waitangi and Maori Health in nursing education and practice. Retrieved from http://www.nursingcouncil.org.nz/Publications/Standards-and-guidelines-for-nurses

    > Google Scholar
  • Reid-Searl K., Dwyer T., Moxham L., Happell B., Sander T. (2011). Rediscovering the essence of nursing: Exploring the impact of in clinical experience in Thailand for undergraduate nursing students from Australia. Nurse Education Today, 31, 892–897.10.1016/j.nedt.2010.12.024

    > Crossref MedlineGoogle Scholar
  • Riley D., Smyer T., York N. (2012). Cultural competence of practicing nurses entering an RN-BSN program. Nursing Education Perspectives, 33, 381–385.10.5480/1536-5026-33.6.381

    > Crossref MedlineGoogle Scholar
  • Riner M.E. (2011). Globally engaged nursing education: An academic program framework. Nursing Outlook, 59, 308–317.10.1016/j.outlook.2011.04.005

    > Crossref MedlineGoogle Scholar
  • Roller M.C., Ballestas H.C. (2017). Cultural competency: Measuring the sustainability following an immersion program for undergraduate students. Journal of the New York State Nurses Association, 45(1), 21–28.

    > Google Scholar
  • Salisbury M.H. (2011). The effect of study abroad on intercultural competence among undergraduate college students (Doctoral dissertation). Retrieved from http://ir.uiowa.edu/etd/1073

    > CrossrefGoogle Scholar
  • Smit E.M., Tremethick M.J. (2013). Development of an international interdisciplinary course: A strategy to promote cultural competence and collaboration. Nurse Education in Practice, 13, 132–136.10.1016/j.nepr.2012.08.006

    > Crossref MedlineGoogle Scholar
  • Transcultural C.A.R.E. Associates. (2015). Inventory for assessing the process of cultural competence among healthcare professionals: Revised (IAPCC-R). Retrieved from http://transculturalcare.net/iapccr/

    > Google Scholar
  • Tuckett A., Crompton P. (2014). Qualitative understanding of an international learning experience: What Australian undergraduate nurses and midwives said about a Cambodia placement?International Journal of Nursing Practice, 20, 135–141.10.1111/ijn.12142

    > Crossref MedlineGoogle Scholar
  • Ulvund I., Mordal E. (2017). The impact of short term clinical placement in a developing country on nursing students: A qualitative descriptive study. Nurse Education Today, 55, 96–100.10.1016/j.nedt.2017.05.013

    > Crossref MedlineGoogle Scholar
  • Witt A.J. (2016). The impact of cultural encounters on the cultural competence of baccalaureate nursing students (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. 10125534)

    > Google Scholar

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