Evaluating the Effectiveness of a New Curriculum for Transcultural Nursing Education

September 24, 2024 updated by: BETÜL TOSUN, PhD, Hacettepe University

Evaluating the Effectiveness of a New Curriculum for Transcultural Nursing Education: a Mixed-method Study

In recent years, limited studies have evaluated the development of cultural awareness, sensitivity, skills, communication, and competence among nursing students using different models and curricula. This study aims to evaluate the effectiveness of a new internationally developed curriculum for transcultural nursing education. This mixed methods study was conducted on nursing students (n=83) who attended a transcultural nursing course from 2021-2022 during the fall semester.

Study Overview

Study Type

Interventional

Enrollment (Actual)

83

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Merkez
      • Giresun, Merkez, Turkey, 28200
        • Giresun University
    • Şehitkamil
      • Gaziantep, Şehitkamil, Turkey, 27310
        • Hasan Kalyoncu University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Over 18 years of age
  • Volunteering to participate in the research
  • Being enrolled in the Transcultural Nursing Course in the fall semester 2021-2022

Exclusion Criteria:

  • Not meeting the criteria for inclusion in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Transcultural Nursing Course (new curriculum)
The Transcultural Nursing Course is a 25-hour elective designed to promote cultural competence in nursing students. It consists of 8 hours of theoretical instruction and 17 hours of practical training. The course is based on Madeleine Leininger's Culture Care Theory and incorporates models such as the Purnell, Campinha-Bacote, and Papadopoulos Models of Cultural Competence. It is aimed at enabling students to provide culturally appropriate nursing care for individuals, families, and communities.

Multinational Collaboration: Developed with input from institutions across five countries, ensuring a broad, international perspective on transcultural nursing.

Comprehensive Theoretical Framework: Integrates multiple cultural competence models (Purnell, Campinha-Bacote, Papadopoulos) with Leininger's Culture Care Theory, offering a thorough approach.

Extensive Practical Training: Includes 17 hours of hands-on experience, featuring hospital visits and interactions with healthcare professionals.

Interactive Learning Methods: Combines role-playing, reflective essays, and cultural activities (e.g., traditional clothing, dances) for dynamic, multimodal education.

Peer Education: Incorporates peer education and evaluation, enhancing collaborative learning and critical thinking.

Standardized Materials: Educational materials and teaching methods are standardized across institutions to ensure consistency and quality in instruction.

Other Names:
  • Culture-Based Nursing Care Education

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Better and Effective Nursing Education for Improving Transcultural Nursing Skills Cultural Competence and Cultural Sensitivity (BENEFITS-CCCS) Scale
Time Frame: At baseline, 15 minutes before the first class, students were informed about the BENEFITS-CCC Scale, and the survey was administered. The scale was re-applied 15 minutes before the final class ended, following the completion of the 14-week curriculum
This scale was developed by researchers from Belgium, the Czech Republic, Hungary, Slovenia, Spain, and Türkiye in the project Better and Effective Nursing Education for Improving Transcultural Nursing Skills (BENEFITS) to evaluate the effectiveness of cultural competence training in nursing students. The scale has 26 items across five subdimensions: Respect for Cultural Diversity (6 items), Culturally Sensitive Communication (4 items), Achieving Cultural Competence (3 items), Challenges and Barriers in Providing Culturally Competent Care (5 items), and Perceived Meaning of Cultural Care (8 items). Items are scored on a 7-point Likert scale (1 for Definitely Disagree to 7 for Definitely Agree). The possible total score ranges from 26 to 182. The scale Cronbachs alpha is 0.82.
At baseline, 15 minutes before the first class, students were informed about the BENEFITS-CCC Scale, and the survey was administered. The scale was re-applied 15 minutes before the final class ended, following the completion of the 14-week curriculum

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Metaphor Analysis Tool for Assessing Transcultural Nursing Experiences
Time Frame: Post-course assessment at the end of the semester (14 week). Students submitted their answers to the questions in essay form in the 15th week.

Unit of Measure:

Qualitative themes derived from metaphorical expressions related to experiences with patients and teammates from diverse backgrounds.

Measurement Tool:

A qualitative questionnaire prompting nursing students to complete the following statements:

  1. Caring for patients with different religions, languages, cultures, or lifestyles is like … because …
  2. Working with teammates having different religions, languages, cultures, or lifestyles is like … because …
  3. A culturally sufficient care environment is like … because …
  4. This transcultural nursing course is like … because …

Data Analysis Process:

Data were analyzed thematically, which involved coding the content into categories, defining themes, and interpreting results. Feedback was solicited from participants to ensure data validity, with three researchers reviewing the data and an expert opinion sought for reliability.

Post-course assessment at the end of the semester (14 week). Students submitted their answers to the questions in essay form in the 15th week.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Betul Tosun, RN, PhD, Assoc. Prof., Hacettepe University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 25, 2021

Primary Completion (Actual)

February 1, 2022

Study Completion (Actual)

February 1, 2022

Study Registration Dates

First Submitted

September 18, 2024

First Submitted That Met QC Criteria

September 24, 2024

First Posted (Actual)

September 26, 2024

Study Record Updates

Last Update Posted (Actual)

September 26, 2024

Last Update Submitted That Met QC Criteria

September 24, 2024

Last Verified

February 1, 2022

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual data will be protected and presented in an anonymized form. The data will be used solely for scientific purposes, and informed consent from participants has been obtained under these conditions. Participant privacy and data security are prioritized. IPD sharing will be conducted in compliance with ethical and legal requirements. Measures will be taken to ensure data security and to grant access only to authorized researchers.

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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