目的:本研究的目的是利用跨文化发展量表(IDI)的结果,探索护理学学士(BSN)学生对独特教学策略有效性的看法。一种评估跨文化能力的工具,他们定制的跨文化发展计划(IDP)在护理高级实习中增强他们的文化能力发展。该研究还研究了学生对如何制定计划来发展他们的跨文化能力将对他们未来的护理实践产生影响的见解。
背景:跨文化能力对于提供优质的医疗保健至关重要,然而,在理解如何设计和实施教育干预措施以提高护理专业学生的文化能力方面存在差距。本文介绍了一种发展跨文化能力的策略。IDI在五个学期的BSN计划的第四学期中被管理给护理学学士(BSN)学生。根据他们的IDI结果,每个学生都接受了定制的IDP,该IDP建议了特定的活动,并鼓励引导自我反思以增强跨文化能力的发展。在第五学期的高级实习课程中,学生根据他们的IDP制定了个人跨文化能力发展目标。他们还在实习期间每周发表关于跨文化能力发展的期刊。
方法:本研究采用定性案例研究设计。
方法:这项研究于2021年1月至7月在美国东南部的一个大型BSN计划中对47名高级实习学生进行了研究。数据包括学生对IDI/IDP如何影响其跨文化发展及其对未来实践的潜在影响的提示的书面答复。通过归纳内容分析对数据进行分析。
结果:出现了三个关键主题:自我意识,承认文化影响和增长目标。学生的思考表明,他们希望发展跨文化能力,以便为患者提供最佳的护理。尽管如此,大多数学生没有计划如何在这方面成长。许多学生报告说,他们的IDI/IDP在整个实习过程中提高了文化意识,指导他们跨文化能力的发展,并导致对文化的更深入和更广泛的理解。学生建议,这增进了文化理解,以及他们的国内流离失所者,将促进他们在未来的专业实践中继续发展跨文化能力。
结论:本研究通过提供经验证据证明IDI/IDP对护生感知的跨文化发展的积极影响,有助于现有的跨文化能力发展知识和有效的教学方法。这些发现可以为提高跨文化能力的教学策略的制定和实施提供信息,这将最终改善所有医疗保健环境中的患者护理结果。
OBJECTIVE: The aim of this study was to explore Bachelor of Science in Nursing (BSN) students\' perceptions of the effectiveness of a unique teaching-learning strategy using their results from the Intercultural Development Inventory (IDI), an instrument for the assessment of intercultural competence, with their customized Intercultural Development Plan (IDP) in enhancing their cultural competence development in a nursing senior practicum. The study also examined student insights about how having a plan to develop their intercultural competence will have an impact on their future nursing practice.
BACKGROUND: Intercultural competence is vital for providing quality healthcare, yet there is a gap in understanding how educational interventions are designed and implemented to enhance cultural competence among nursing students. This paper describes a strategy for developing intercultural competence. The IDI was administered to Bachelor of Science in Nursing (BSN) students in the fourth semester of a five-semester BSN program. Based on their IDI results, each student received a customized IDP that suggested specific activities and encouraged guided self-reflection to enhance intercultural competence development. In the fifth-semester senior practicum course, the students developed personal intercultural competence development goals based on their IDP. They also kept weekly journals on their intercultural competence development during their practicum.
METHODS: This study used a Qualitative Case Study design.
METHODS: This study was conducted from January to July 2021 with 47 senior practicum students in a large BSN program in the Southeastern United States. Data consisted of student written responses to prompts on how the IDI/IDP influenced their intercultural development and its potential effect on their future practice. The data were analyzed through inductive content analysis.
RESULTS: Three key themes emerged: self-awareness, recognition of cultural influences and growth goals. Student reflections suggested that they desired to develop intercultural competence so they could provide the best possible nursing care for their patients. Still, most students did not have a plan for how to grow in this area. Many students reported that their IDI/IDP heightened cultural awareness throughout their practicum, guiding their development of intercultural competence and leading to a deeper and broader understanding of culture. Students suggested that this enhanced cultural understanding, along with their IDP, will facilitate their continued development of intercultural competence in their future professional practice.
CONCLUSIONS: This study contributes to existing knowledge about intercultural competence development and effective teaching methods by providing empirical evidence of the positive impact of the IDI/IDP on nursing students\' perceived intercultural development. These findings can inform the development and implementation of pedagogical strategies to enhance intercultural competence, which will ultimately improve patient care outcomes in all healthcare settings.