Effect of Cultural Marginality Theory-Based Education on Intercultural Adaptation and Psychological Well-Being of Foreign Nursing Students

The Effect of Cultural Marginality Theory-Based Education on Intercultural Adaptation and Psychological Well-Being of Foreign Nursing Students: A Randomized Controlled Study

In this study, between 1 - 31 December 2022, who met the inclusion and exclusion criteria, a total of 66 foreign nursing students who are with 1st year foreign students starting the Nursing Department of Ondokuz Mayıs University and Mersin University.

Study Overview

• Status: Completed
• Conditions: Adaptation, Psychological; Psychological Well-being; Culture
• Intervention / Treatment: Other: The Cultural Marginality Theory-Based Education

Detailed Description

The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group. In the first session to the students in the experimental group and to the students in the control group after the post-tests, the training booklet, which consists of information about the educational content in the program, will be given online in pdf format in color and with pictures.

• Study Type: Interventional
• Enrollment (Actual): 66
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Çankırı, Turkey, 18100
    • Hilal ALTUNDAL DURU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. being a first-year foreign nursing student studying at state universities in the north and south two cities of Türkiye,
2. agreeing to participate in the research
3. not having communication barrier

Exclusion Criteria:

1) having a physical or mental illness that would prevent participation in the research

The Termination Criteria:

1. withdrawing from the research voluntarily
2. not attending at least one of the sessions
3. incomplete or incorrectly answering the instruments

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group.	Other: The Cultural Marginality Theory-Based Education; The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group.
No Intervention: Control group; There will be no training or intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
CROSS CULTURAL ADAPTABILITY INVENTORY (CCAI)	The Turkish adaptation of the inventory developed by Kelley and Meyers in 1992 was made in 2009 by Karaeminoğulları, Doğan and Bozkurt. The Intercultural Adaptation Inventory consists of 49 items and is 6-point Likert type. A high score from the inventory indicates cultural compatibility, and a low score indicates incompatibility with the culture. The inventory assesses individuals' levels of intercultural activity and their abilities regarding individual awareness against the characteristics of the culture they live in. These dimensions are emotional flexibility (18 items), flexibility/openness (15 items), perceptual sensitivity (10 items), and personal autonomy (7 items). The Cronbach alpha internal consistency coefficient of the Intercultural Adaptation Inventory is 0.84.	Change from before education up to after education (three weeks)
THE PSYCHOLOGICAL WELL-BEING SCALE (PWS)	The scale developed by Diener et al. (2010) was developed to measure socio-psychological well-being, complementing existing well-being measures. The Turkish adaptation of the scale was carried out by Telef in 2013. The Single Factor Psychological Well-Being Scale consists of 8 items and is in 7-point Likert type. All items are expressed positively. Scores from the scale range from 8 to 56. The higher the score obtained from the scale, the higher the level of psychological well-being is calculated. The Cronbach alpha internal consistency coefficient of the scale is 0.80.	Change from before education up to after education (three weeks)

Collaborators and Investigators

• Sponsor: Hilal Altundal
• Investigators: Study Chair: Hilal ALTUNDAL DURU, Doctor, Çankırı Karatekin University

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2022
• Primary Completion (Actual): January 17, 2023
• Study Completion (Actual): September 15, 2024

Study Registration Dates

• First Submitted: June 26, 2023
• First Submitted That Met QC Criteria: July 5, 2023
• First Posted (Actual): July 13, 2023

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 27, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Keywords: randomized controlled trial; psychological well-being; foreign nursing student; intercultural adaptation; cultural marginality
• Other Study ID Numbers: ÇankırıKaratekinU

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No