The Development of Indicators on Transcultural Nursing Competence of Nurses in Hospital in the Greater Mekong Subregion (GMS)
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Abstract
The objectives of this research were to 1) develop the indicators on transcultural nursing competence of nurses in hospitals in the Greater Mekong Subregion (GMS); 2) examine congruence between the structural model of the developed indicators on transcultural nursing competence of nurses in hospitals in the GMS and the empirical data and 3) develop a manual on the use of indicators on transcultural nursing competence of nurses in hospitals in the GMS. The research was conducted with a mixed methodology and was divided into 3 phases. Research conceptual framework building and indicator development was completed in the first phase by the studying of relevant documents and research papers, the interview with 7 qualified persons and the 3-time application of modified Delphi technique by 21 experts. The second phase was investigating the research hypothesis with empirical data by asking 503 of registered nurses. Registered nurses who had the working experience of no less than 3 years in hospitals in the GMS were selected. The third phase was a manual development for the use of developed indicators, which was verified by 5 experts. The tool employed was a 5-level rating scale questionnaire. Confirmatory factor analysis was carried out to verify the congruence between the developed structural model and empirical data. The appropriateness of the developed manual was assessed by using mean and standard deviation.
The research results are as follows.
1. Transcultural nursing competence of nurses in hospitals in the GMS comprised 5 main components, 15 sub-components and 73 indicators, which can be classified as 1) 3 sub-components and 14 indicators on competency in nursing practice implementation; 2) 3 sub-components and 16 indicators on risk management; 3) 3 sub-components and 15 indicators on ethics and professional ethics; 4) 3 sub-components and 16 indicators on communication and 5) 3 sub-components and 12 indicators on perception on cultural differences in person.
2. The developed structural model on on transcultural nursing competence of nurses in hospitals in the GMS showed congruence with the empirical data with chi-square = 21.00, df = 33, p-value = 0.88, GFI = 0.99, AGFI = 0.95 and RMSEA = 0.00.
3. The overall appropriateness of the developed manual on the use of indicators on transcultural nursing competence of nurses in hospitals in the GMS was at a high level.
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