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Research article
Effect of a transcultural nursing course on improving the cultural competency of nursing graduate students in Korea: a before-and-after study  
Kyung Eui Bae, Geum Hee Jeong
J Educ Eval Health Prof. 2023;20:35.   Published online December 4, 2023
DOI: https://doi.org/10.3352/jeehp.2023.20.35
  • 3,243 View
  • 240 Download
AbstractAbstract PDFSupplementary Material
Purpose
This study aimed to evaluate the impact of a transcultural nursing course on enhancing the cultural competency of graduate nursing students in Korea. We hypothesized that participants’ cultural competency would significantly improve in areas such as communication, biocultural ecology and family, dietary habits, death rituals, spirituality, equity, and empowerment and intermediation after completing the course. Furthermore, we assessed the participants’ overall satisfaction with the course.
Methods
A before-and-after study was conducted with graduate nursing students at Hallym University, Chuncheon, Korea, from March to June 2023. A transcultural nursing course was developed based on Giger & Haddad’s transcultural nursing model and Purnell’s theoretical model of cultural competence. Data was collected using a cultural competence scale for registered nurses developed by Kim and his colleagues. A total of 18 students participated, and the paired t-test was employed to compare pre-and post-intervention scores.
Results
The study revealed significant improvements in all 7 categories of cultural nursing competence (P<0.01). Specifically, the mean differences in scores (pre–post) ranged from 0.74 to 1.09 across the categories. Additionally, participants expressed high satisfaction with the course, with an average score of 4.72 out of a maximum of 5.0.
Conclusion
The transcultural nursing course effectively enhanced the cultural competency of graduate nursing students. Such courses are imperative to ensure quality care for the increasing multicultural population in Korea.
Brief report
Comparing ChatGPT’s ability to rate the degree of stereotypes and the consistency of stereotype attribution with those of medical students in New Zealand in developing a similarity rating test: a methodological study  
Chao-Cheng Lin, Zaine Akuhata-Huntington, Che-Wei Hsu
J Educ Eval Health Prof. 2023;20:17.   Published online June 12, 2023
DOI: https://doi.org/10.3352/jeehp.2023.20.17
  • 3,543 View
  • 163 Download
  • 3 Web of Science
  • 5 Crossref
AbstractAbstract PDFSupplementary Material
Learning about one’s implicit bias is crucial for improving one’s cultural competency and thereby reducing health inequity. To evaluate bias among medical students following a previously developed cultural training program targeting New Zealand Māori, we developed a text-based, self-evaluation tool called the Similarity Rating Test (SRT). The development process of the SRT was resource-intensive, limiting its generalizability and applicability. Here, we explored the potential of ChatGPT, an automated chatbot, to assist in the development process of the SRT by comparing ChatGPT’s and students’ evaluations of the SRT. Despite results showing non-significant equivalence and difference between ChatGPT’s and students’ ratings, ChatGPT’s ratings were more consistent than students’ ratings. The consistency rate was higher for non-stereotypical than for stereotypical statements, regardless of rater type. Further studies are warranted to validate ChatGPT’s potential for assisting in SRT development for implementation in medical education and evaluation of ethnic stereotypes and related topics.

Citations

Citations to this article as recorded by  
  • Applications of Artificial Intelligence in Medical Education: A Systematic Review
    Eric Hallquist, Ishank Gupta, Michael Montalbano, Marios Loukas
    Cureus.2025;[Epub]     CrossRef
  • The Performance of ChatGPT on Short-answer Questions in a Psychiatry Examination: A Pilot Study
    Chao-Cheng Lin, Kobus du Plooy, Andrew Gray, Deirdre Brown, Linda Hobbs, Tess Patterson, Valerie Tan, Daniel Fridberg, Che-Wei Hsu
    Taiwanese Journal of Psychiatry.2024; 38(2): 94.     CrossRef
  • ChatGPT and Other Large Language Models in Medical Education — Scoping Literature Review
    Alexandra Aster, Matthias Carl Laupichler, Tamina Rockwell-Kollmann, Gilda Masala, Ebru Bala, Tobias Raupach
    Medical Science Educator.2024; 35(1): 555.     CrossRef
  • Psychiatric Care, Training and Research in Aotearoa New Zealand
    Chao-Cheng (Chris) Lin, Charlotte Mentzel, Maria Luz C. Querubin
    Taiwanese Journal of Psychiatry.2024; 38(4): 161.     CrossRef
  • Efficacy and limitations of ChatGPT as a biostatistical problem-solving tool in medical education in Serbia: a descriptive study
    Aleksandra Ignjatović, Lazar Stevanović
    Journal of Educational Evaluation for Health Professions.2023; 20: 28.     CrossRef
Review
The effectiveness of cultural competence education in enhancing knowledge acquisition, performance, attitudes, and student satisfaction among undergraduate health science students: a scoping review  
Elio Arruzza, Minh Chau
J Educ Eval Health Prof. 2021;18:3.   Published online February 24, 2021
DOI: https://doi.org/10.3352/jeehp.2021.18.3
  • 14,456 View
  • 642 Download
  • 22 Web of Science
  • 26 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
Cultural competence in healthcare assists in the delivery of culturally sensitive and high-quality services. This scoping review aims to provide an overview of the available evidence and to examine the effectiveness of classroom-based intervention strategies used to enhance the cultural competence of undergraduate health science students.
Methods
A comprehensive and systematic literature search was undertaken in databases, including Cochrane Library, Medline, and Emcare. Articles were eligible if they employed an experimental study design to assess classroom-based cultural competency education for university students across the health science disciplines. Two reviewers independently screened and extracted relevant data pertaining to study and participant characteristics using a charting table. The outcomes included knowledge, attitudes, skills, and perceived benefits.
Results
Ten studies were analysed. Diverse approaches to cultural education exist in terms of the mode, frequency, and duration of interventions. For the knowledge outcome, students who experienced cultural education interventions yielded higher post-test scores than their baseline cultural knowledge, but without a significant difference from the scores of students who did not receive interventions. Data relating to the skills domain demonstrated positive effects for students after experiencing interventions. Overall, students were satisfied with their experiences and demonstrated improvements in confidence and attitudes towards culturally competent practice.
Conclusion
Across health science disciplines, cultural competency interventions were shown to be effective in enhancing knowledge acquisition, performance of skills, attitudes, and student satisfaction. Future research is necessary to address the significant absence of control arms in the current literature, and to assess long-term effects and patient-related outcomes.

Citations

Citations to this article as recorded by  
  • Student Interpretation of Culturally Relevant Pedagogies by Undergraduates Majoring in Kinesiology and Exercise Science
    Brittany Pinkerton, Samantha Johnson, Hanah Bennett
    International Journal of Kinesiology in Higher Education.2025; : 1.     CrossRef
  • Predisposing Factors of Intercultural Sensitivity Among Nursing Students: A Predictive Correlational Design
    Sultan Ayaz-Alkaya, Joyce Simones
    Journal of Transcultural Nursing.2024; 35(1): 83.     CrossRef
  • Usability and Acceptability of a Conversational Agent Health Education App (Nthabi) for Young Women in Lesotho: Quantitative Study
    Elizabeth Nkabane-Nkholongo, Mathildah Mpata-Mokgatle, Brian W Jack, Clevanne Julce, Timothy Bickmore
    JMIR Human Factors.2024; 11: e52048.     CrossRef
  • Examining Cultural Comfort and Knowledge in Undergraduate Nursing Students After the Implementation of an Online Educational Animation on Providing Care for Muslim Patients
    Farhat Alucozai, Elizabeth A. Richards, Amanda Ward, Ann Loomis
    Journal of Transcultural Nursing.2024; 35(3): 237.     CrossRef
  • Unlocking the mechanisms of change in the MAMAACT intervention to reduce ethnic disparity in stillbirth and newborns' health: integration of evaluation findings
    Sarah Fredsted Villadsen, Helle Johnsen, Trine Damsted Rasmussen, Claus Thorn Ekstrøm, Janne Sørensen, Elie Azria, Janet Rich-Edwards, Birgitta Essén, Ulla Christensen, Signe Smith Jervelund, Anne-Marie Nybo Andersen
    Frontiers in Health Services.2024;[Epub]     CrossRef
  • By Medical Students, for Medical Students: A Narrative Medicine Antiracism Program
    Yoshiko Iwai, Sarah Holdren, Alyssa R. Browne, Nicholas R. Lenze, Felix Gabriel Lopez, Antonia M. Randolph, Amy B. Weil
    Journal of Medical Education and Curricular Development.2024;[Epub]     CrossRef
  • Cultural competence of undergraduate student nurses: a multicenter study
    Lucía Sagarra-Romero, Enrique Ramón-Arbués, Isabel Huércanos-Esparza, Indrani Kalkan, Nuran Kömürcü, Valérie Vanceulebroeck, Shana Dehaes, Margarida Coelho, Antonio Casa-Nova, Isabel Antón-Solanas
    Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
  • Competência cultural de estudantes de graduação em enfermagem: um estudo multicêntrico
    Lucía Sagarra-Romero, Enrique Ramón-Arbués, Isabel Huércanos-Esparza, Indrani Kalkan, Nuran Kömürcü, Valérie Vanceulebroeck, Shana Dehaes, Margarida Coelho, Antonio Casa-Nova, Isabel Antón-Solanas
    Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
  • Competencia cultural de estudiantes de pregrado en enfermería: estudio multicéntrico
    Lucía Sagarra-Romero, Enrique Ramón-Arbués, Isabel Huércanos-Esparza, Indrani Kalkan, Nuran Kömürcü, Valérie Vanceulebroeck, Shana Dehaes, Margarida Coelho, Antonio Casa-Nova, Isabel Antón-Solanas
    Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
  • Answering the Call
    JeanMarie Digges, Antonio P. Gutierrez de Blume
    Journal of Christian Nursing.2024; 41(4): E68.     CrossRef
  • Food Insecurity Knowledge and Training Among College Students in Health Majors
    Virginia B. Gray, Cara Cuite, Megan Patton-López, Rickelle Richards, Mateja Savoie-Roskos, Stephanie Machado, Emily Heying, Matthew Landry, Susan Chen, Rebecca L. Hagedorn-Hatfield, Georgianna Mann, Zubaida Qamar, Kendra OoNorasak, Victoria A. Zigmont
    Journal of Nutrition Education and Behavior.2024; 56(12): 893.     CrossRef
  • Disparities in Breast Reconstruction After Mastectomy in Southeast Asia: A Systematic Review
    Antoinette Nguyen, Jeewon Chon, Brigid Coles, Robert Galiano
    Journal of Surgical Oncology.2024;[Epub]     CrossRef
  • Diversity training for health professionals: Preparedness to competently address intellectual disability in the Western Cape Province, South Africa
    Mario R Smith, Maryam Papadakis, Erica Munnik
    Journal of Intellectual Disabilities.2023; 27(1): 24.     CrossRef
  • Physical Therapists' Perceptions of Preparedness to Engage in Culturally Competent Practice Upon Graduation: A Qualitative Research Study
    Emily Schubbe
    Journal of Physical Therapy Education.2023; 37(2): 145.     CrossRef
  • The Relationship Between Cultural Intelligence and Cultural Competence of Students of Nursing and Midwifery During COVID-19: A Cross-Sectional Study
    Zeynab Bakhtiari, Nasrin Hanifi, Nasrin Jafari Varjoshani
    Journal of Medical Education and Curricular Development.2023;[Epub]     CrossRef
  • Need for Widely Applicable Cultural Competencies in the Healthcare of Humans and Animals
    Costas S. Constantinou
    Encyclopedia.2023; 3(3): 956.     CrossRef
  • The Changing Landscape of Intercultural Mindset in 616 Doctor of Physical Therapy Students Over the Past 7 Years and the Implications for Doctor of Physical Therapy Cultural Competence Education
    Lisa VanHoose, Heidi Eigsti
    Journal of Physical Therapy Education.2023; 37(4): 271.     CrossRef
  • Patient representation in New Zealand general practice and rural health case-based teaching: a quality improvement exercise
    Jessica Gu, Jim Ross, Sharon Leitch, Felicity Goodyear-Smith
    Journal of Primary Health Care.2023; 15(3): 281.     CrossRef
  • Quality improvement in allied healthcare: Key recommendations for educational institutions
    Jithin Kalathikudiyil Sreedharan, Saad Mohammed AlRabeeah, Arun Vijay Subbarayalu, Edan M. AlZahrani, Jaber Saud AlQahtani, Mohammed Dafer AlAhmari, Abdullah Saeed AlQahtani, Musallam AlNasser, Amal AlSomali, Asma Falah AlHarbi, Yaser AlNaam, Ibrahim A. A
    Informatics in Medicine Unlocked.2023; 43: 101412.     CrossRef
  • Effect of a transcultural nursing course on improving the cultural competency of nursing graduate students in Korea: a before-and-after study
    Kyung Eui Bae, Geum Hee Jeong
    Journal of Educational Evaluation for Health Professions.2023; 20: 35.     CrossRef
  • Nuevas tendencias en educación integral en la universidad. Una revisión sistemática según la Declaración PRISMA
    Yildret Rodriguez Avila, Francia Moncada-Navas
    European Journal of Child Development, Education and Psychopathology.2023; : 1.     CrossRef
  • Proceedings From the Advances in Surgery Channel Diversity, Equity, and Inclusion Series: Lessons Learned From Asian Academic Surgeons
    Tracy S. Wang, Eugene S. Kim, Quan-Yang Duh, Ankush Gosain, Lillian S. Kao, Anai N. Kothari, Susan Tsai, Jennifer F. Tseng, Allan Tsung, Kasper S. Wang, Steven D. Wexner
    Journal of Surgical Research.2022; 278: 14.     CrossRef
  • Improving Cultural Competence and Self-Efficacy Among Postgraduate Nursing Students: Results of an Online Cultural Care Training Program
    Mohammad Mahdi Fadaeinia, Sakineh Miri, Mansooreh Azizzadeh Forouzi, Callista Roy, Jamileh Farokhzadian
    Journal of Transcultural Nursing.2022; 33(5): 642.     CrossRef
  • Preparing students to deal with the consequences of the workforce shortage among health professionals: a qualitative approach
    Christoph Golz, Annie Oulevey Bachmann, Tiziana Sala Defilippis, Andrea Kobleder, Karin Anne Peter, René Schaffert, Xenia Schwarzenbach, Thomas Kampel, Sabine Hahn
    BMC Medical Education.2022;[Epub]     CrossRef
  • Cultural Competence in Healthcare and Healthcare Education
    Costas S. Constantinou, Panayiota Andreou, Monica Nikitara, Alexia Papageorgiou
    Societies.2022; 12(6): 178.     CrossRef
  • Cultural Competence: A tool to Augment the Education Recovery in Universities of Pakistan
    Seema Khalid Khan, Dr. Khalid Mehmood Iraqi
    Pakistan Journal of Applied Social Sciences.2022; 13(2): 73.     CrossRef
Research article
Effects of a cultural nursing course to enhance the cultural competence of nursing students in Korea  
Hae Sook Park, Hee Jung Jang, Geum Hee Jeong
J Educ Eval Health Prof. 2019;16:39.   Published online December 27, 2019
DOI: https://doi.org/10.3352/jeehp.2019.16.39
  • 10,783 View
  • 307 Download
  • 7 Web of Science
  • 8 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
With Korea’s recent rapid change into a multicultural society, cultural competence is being emphasized as a core nursing competency. This study investigated the effects of a cultural nursing course that aimed to enhance the cultural competence of nursing students in Korea.
Methods
This was a single-group pre- and post-comparison study. The subjects were 69 nursing students at Dongyang University who attended a cultural nursing course in 2015, of whom 62 students responded to the survey. The 13-week cultural nursing course was held for 2 hours a week. The methods of the course included small group activities, discussions and presentations, experiential learning, reflective activities, and lectures. Nursing students’ cultural competence was measured pre- and post-course with the Cultural Competence Scale for Korean Nurses, which contains 33 items scored on a 7-point Likert scale.
Results
After completing the cultural nursing course, students’ total cultural competence scores increased, as did their scores in each category (cultural awareness, cultural knowledge, cultural sensitivity, and cultural skills) (P<0.001). There was no significant difference in cultural competence by gender (P<0.001).
Conclusion
This cultural nursing course was found to be effective in enhancing the cultural competence of nursing students. Therefore, the educational program developed in this study can be extended to other university-level nursing programs in Korea.

Citations

Citations to this article as recorded by  
  • Innovative cultural care training: the impact of flipped classroom methods on critical cultural competencies in psychiatric nursing: a quasi-experimental study
    Mahdiyeh Sarvarizadeh, Sakineh Miri, Fatemeh Darban, Jamileh Farokhzadian
    BMC Nursing.2024;[Epub]     CrossRef
  • Enhancing Cultural Competence in Undergraduate Nursing Students: An Integrative Literature Review of Strategies for Institutions of Higher Education
    Khumoetsile Daphney Shopo, Vistolina Nuuyoma, Leonard Chihururu
    Journal of Transcultural Nursing.2024;[Epub]     CrossRef
  • Determinants of attitudes towards refugees and intercultural sensitivity of nursing students: A descriptive and correlational study
    Ayşegül Akca, Sultan Ayaz-Alkaya
    Nurse Education Today.2023; : 105772.     CrossRef
  • Effect of a transcultural nursing course on improving the cultural competency of nursing graduate students in Korea: a before-and-after study
    Kyung Eui Bae, Geum Hee Jeong
    Journal of Educational Evaluation for Health Professions.2023; 20: 35.     CrossRef
  • Development and Evaluation of Cultural Competence Course on Undergraduate Nursing Students in Vietnam
    Trang-Thi-Thuy Ho, Jina Oh
    International Journal of Environmental Research and Public Health.2022; 19(2): 888.     CrossRef
  • Identifikacija merskih instrumentov za merjenje kulturnih kompetenc pri medicinskih sestrah in študentih zdravstvene nege
    Liridon Avdylaj, Sabina Ličen
    Obzornik zdravstvene nege.2022; 56(1): 49.     CrossRef
  • Organisational and staff-related effects on cultural competence in the hospital setting: a cross-sectional online survey of nursing and medical staff
    Liane Schenk, Pia-Theresa Sonntag, Patricia Beck, Zohra Khan, Lisa Peppler, Meryam Schouler-Ocak
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Nursing students’ experience of learning cultural competence
    Isabel Antón-Solanas, Elena Tambo-Lizalde, Nadia Hamam-Alcober, Valérie Vanceulebroeck, Shana Dehaes, Indrani Kalkan, Nuran Kömürcü, Margarida Coelho, Teresa Coelho, Antonio Casa Nova, Raul Cordeiro, Lucía Sagarra-Romero, Ana B. Subirón-Valera, Isabel Hué
    PLOS ONE.2021; 16(12): e0259802.     CrossRef
Brief Report
Effectiveness of pre-admission data and letters of recommendation to predict students who will need professional behavior intervention during clinical rotations in the United States  
Chalee Engelhard, Rebecca Leugers, Jenna Stephan
J Educ Eval Health Prof. 2016;13:26.   Published online June 27, 2016
DOI: https://doi.org/10.3352/jeehp.2016.13.26
  • 28,290 View
  • 299 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDF
The study aimed at finding the value of letters of recommendation in predicting professional behavior problems in the clinical portion of a Doctor of Physical Therapy program learning cohorts from 2009-2014 in the United States. De-identified records of 137 Doctor of Physical Therapy graduates were examined by the descriptive statistics and comparison analysis. Thirty letters of recommendation were investigated based on grounded theory from 10 student applications with 5 randomly selected students of interest and 5 non-students of interest. Critical thinking, organizational skills, and judgement were statistically significant and quantitative differentiating characteristics. Qualitatively, significant characteristics of the student of interest included effective communication and cultural competency. Meanwhile, those of nonstudents of interest included conflicting personality descriptor, commitment to learning, balance, teamwork skills, potential future success, compatible learning skills, effective leadership skills, and emotional intelligence. Emerged significant characteristics did not consistently match common non-professional behavior issues encountered in clinic. Pre-admission data and letters of recommendation appear of limited value in predicting professional behavior performance in clinic.

Citations

Citations to this article as recorded by  
  • The Vital Role of Professionalism in Physical Medicine and Rehabilitation
    Julie K. Silver, Sara Cuccurullo, Lyn D. Weiss, Christopher Visco, Mooyeon Oh-Park, Danielle Perret Karimi, Walter R. Frontera, Talya K. Fleming, Glendaliz Bosques, Saurabha Bhatnagar, Anne Felicia Ambrose, Vu Q.C. Nguyen
    American Journal of Physical Medicine & Rehabilitation.2020; 99(4): 273.     CrossRef
Research Article
Cultural competency in the physician assistant curriculum in the United States: a longitudinal study with two cohorts  
Barbra Beck, Matthew H. Scheel, Kathleen De Oliveira, Jane Hopp
J Educ Eval Health Prof. 2014;11:2.   Published online January 27, 2014
DOI: https://doi.org/10.3352/jeehp.2014.11.2
  • 43,978 View
  • 186 Download
  • 4 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Purpose
Many Physician Assistant (PA) programs have recently integrated cultural competency into their curricula. However, there is little evidence tracking the longitudinal effectiveness of curricula on culture competency. This study tested whether amount of exposure to a cultural competency curriculum affected self-assessments of cultural awareness among two cohorts of students.
Method
Cohort 1 and Cohort 2 students completed a cultural awareness survey at the beginning of the program and retook the survey at three intervals during the first year.
Results
Regression analyses confirmed significant linear relationships (two-tailed α < .05) between responses and interval number on all questions for each cohort, with exception of Question 8 for Cohort 2.
Conclusion
Results from Cohort 2 replicated those from Cohort 1 suggesting that cultural awareness among PA students benefits from repeated exposure to lessons on cultural competency. Schools attempting to develop or expand cultural awareness among students should consider integrating cultural competency training throughout the PA curriculum.

Citations

Citations to this article as recorded by  
  • Short- and Long-Term Outcomes of Student Field Research Experiences in Special Populations
    Amr S. Soliman, Robert M. Chamberlain
    J Canc Educ.2015;[Epub]     CrossRef

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