Li-Chun Chang1, Ching-Wen Chiu2, Chih-Ming Hsu3, Li-Ling Liao4, Hui-Ling Lin5. 1. School of Nursing, Chang Gung University of Science and Technology, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC; Department of Nursing, Linkou Chang Gung Memorial Hospital, Linkou, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC. 2. Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taiwan, ROC; Department of Nursing, Sijhih Cathay General Hospital, N0.2, Lane 59, Jiancheng Rd., Sijhih Dist., New Taipei City, Taiwan, ROC. Electronic address: irene0723@cgh.org.tw. 3. Education Department, Chang Gung Memorial Hospital, 6.West Sec. Chiapy Road, Putzu City, Chiayi Hsien, Taiwan, ROC; Nursing department, Shu Zen College of Medicine and Management, No.452, Huanqiu Rd. Luzhu Dist., Kaohsiung City 82144 Taiwan, ROC. Electronic address: kan200068@cgmh.org.tw. 4. Department of Health Management, I-Shou University, No. 8, Yida Rd., Jiaosu Village Yanchao District, Kaohsiung City 82445, Taiwan, ROC. Electronic address: hililin@isu.edu.tw. 5. School of Nursing, Chang Gung University of Science and Technology, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC; Chang Gung Medical Education Research Centre, Taiwan, ROC; School of Nursing, Chang Gung University, Taiwan, ROC. Electronic address: g22021@cgmh.org.tw.
Abstract
BACKGROUND: Cultural competency has been identified as an essential curricular element in undergraduate and graduate nursing programmes. Supporting successful transition to practice is essential for retaining graduate nurses in the workforce and meeting the demand for cultural diversity in health care services. OBJECTIVES: This study aimed to explore the teaching and learning interactions of transition cultural competence from the perspective of mentors of newly graduated nurses in a Taiwanese postgraduate nursing programme. DESIGN: A qualitative design that utilised focus group interviews was adopted for this study. A framework approach-a content and thematic analysis strategy-was used to analyse the interviews. SETTING: The study setting consisted of two hospitals in northern Taiwan. PARTICIPANTS: The study participants consisted of 24 new graduate nurse mentors. METHODS: Three focus group sessions were conducted (two at a medical centre and one at a district hospital), where the participants were interviewed. RESULTS: Four themes were derived from the data-transition process, teaching strategies according to the transition stage, learning after overcoming clinical stress, and awareness of cultural diversity among new graduate nurses. The clinical routine and physical stress of caring for patients did not allow the newly graduated nurses to appropriately demonstrate cultural competence in the first three months. Mentors were only able to provide resources for new graduate nurses when they first started to care for patients in cultural groups. The point of catalysis was when learners finally gained awareness of cultural differences, and, consequently, they could encounter the teaching and learning process. CONCLUSION: The different learning stages and teaching strategies illustrated the interactive process between new nurses and educators. Facilitating the cultural awareness of learners is a challenge for teachers who provide cultural competence training. This model could serve as a reference for curriculum and clinical training programmes.
BACKGROUND: Cultural competency has been identified as an essential curricular element in undergraduate and graduate nursing programmes. Supporting successful transition to practice is essential for retaining graduate nurses in the workforce and meeting the demand for cultural diversity in health care services. OBJECTIVES: This study aimed to explore the teaching and learning interactions of transition cultural competence from the perspective of mentors of newly graduated nurses in a Taiwanese postgraduate nursing programme. DESIGN: A qualitative design that utilised focus group interviews was adopted for this study. A framework approach-a content and thematic analysis strategy-was used to analyse the interviews. SETTING: The study setting consisted of two hospitals in northern Taiwan. PARTICIPANTS: The study participants consisted of 24 new graduate nurse mentors. METHODS: Three focus group sessions were conducted (two at a medical centre and one at a district hospital), where the participants were interviewed. RESULTS: Four themes were derived from the data-transition process, teaching strategies according to the transition stage, learning after overcoming clinical stress, and awareness of cultural diversity among new graduate nurses. The clinical routine and physical stress of caring for patients did not allow the newly graduated nurses to appropriately demonstrate cultural competence in the first three months. Mentors were only able to provide resources for new graduate nurses when they first started to care for patients in cultural groups. The point of catalysis was when learners finally gained awareness of cultural differences, and, consequently, they could encounter the teaching and learning process. CONCLUSION: The different learning stages and teaching strategies illustrated the interactive process between new nurses and educators. Facilitating the cultural awareness of learners is a challenge for teachers who provide cultural competence training. This model could serve as a reference for curriculum and clinical training programmes.
Authors: María Angustias Sánchez-Ojeda; Silvia Navarro-Prado; Adelina Martín-Salvador; Trinidad Luque-Vara; Elisabet Fernández-Gómez; Fernando Jesús Plaza Del Pino Journal: Int J Environ Res Public Health Date: 2020-11-29 Impact factor: 3.390