Integration of Cooperative Education and Nursing Practicum to Enhance Transcultural Nursing Competency


  • Nuchamart Gaewgoontol Suranaree University of Technology
  • Weerapong Polnigongit Suranaree University of Technology


Cooperative Education, Nursing Practicum, Transcultural Nursing Competency


     Introduction: Transcultural health care in multicultural society is crucial. However, the literature review found that the readiness of nursing students’ cultural competency is at the moderate and fair level. Therefore, teaching and learning to enhance transcultural nursing competency for preparing nursing students’ authentic work-readiness is challenging.

Research objectives: To develop and examine  the effectiveness of the integration of the cooperative education and nursing practicum model (the CoopENP model) for enhancing transcultural nursing competency CoopENP model. 

Research methodology: This quasi-experimental study used two-group pretest-posttest design. The participants were 48 third-year nursing students of Boromarajonani College of Nursing, Nakhon Ratchasima. They were recruited using a multi-stage sampling technique.   Research instruments were the CoopENP model, lesson plans, supervision plans, the General Record Form, the Transcultural Nursing Competency Assessment in cultural knowledge and cultural nursing skill, and the Star Record Form of Transcultural Nursing Competency. Data were analyzed using descriptive statistics, Chi-square test, t-test, and content analysis.

Results:  Results showed that the CoopENP model composed of three stages. Stage 1 was pre-practice which took 30 hours to prepare students for transcultural nursing competency.   Stage 2 was during practice which  let the learners to apply their knowledge into practice in the cultural nursing process. Stage 3 was post-practice  which mutually co-evaluated, shared, and reflected  the learning. The results also revealed that the experimental group  was able to create  innovative media to assess cultural health status.  They were able to care for clients using cultural nursing process. These results were related to the average overall competency score at follow-up. Moreover, at follow-up, the average competency score of the experimental group was significantly higher than baseline; and also significantly greater than that of the control group (p<.001).  

Conclusions: The CoopENP model could certainly help nursing students to apply transcultural nursing knowledge to practice.

Implications: The CoopENP model should be used with the second, and fourth-year nursing students to test for its effectiveness and improve the integrated model in the future.



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How to Cite

Gaewgoontol N, Polnigongit W. Integration of Cooperative Education and Nursing Practicum to Enhance Transcultural Nursing Competency . JHNR [Internet]. 2021 Nov. 29 [cited 2022 Dec. 4];37(3):267-79. Available from:



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