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Abstract Mediating and Moderating effect of Transcultural Efficacy in Relationship between Cultural Empathy and Cultural Competence Shin, Ji-won D...

Abstract Mediating and Moderating effect of Transcultural Efficacy in Relationship between Cultural Empathy and Cultural Competence Shin, Ji-won Department of Nursing Education The Graduate School of Education Korea University The aim of this study was to examine the mediating and moderating effects of transcultural efficacy in relationship between cultural empathy and cultural competence. The research was a descriptive survey that investigated how cultural empathy and cultural competence influenced mediating and moderating effects of transcultural efficacy. Data was collected from 250 nurses with at least one year of experience with working with foreign patients at K-university Hospital in Gyeonggi-do and Seoul for eight weeks from August 2016 to September 2016. Research tools used in the study included cultural empathy measurement tools, transcultural efficacy measurement tools, and cultural competence measurement tools. SPSS 23.0 and AMOS 20.0 programs were used to analyze the data. Results of the research are as follows: 1) Average of patient’s cultural empathy level was 100.27 ± 10.99, average of transcultural efficacy level was 65.32 ± 8.96, and average of cultural competence was 151.55 ± 22.62. 2) Cultural empathy level significantly differed depending on academic level (F=4.40 p=.01), study abroad experience (t=2.59, P=.02), amount of communication with foreigners (F=3.61, p=.03), and amount of contact with multicultural-related mass media (F=3.82, p<.001). Transcultural efficacy level significantly differed depending on academic level (F=3.23, p=.04), study abroad experience (F=3.33, p=.001), amount of communication with foreigners (F=10.62 p<.001), and amount of experience with multicultural related mass media(F=3.52, p=.04). Cultural competence level significantly differed depending on academic leve(F=7.11, p=.001), amount of contact with foreign patient or guardian (t=-2.13, p=.03), amount of communication with foreigners (F=4.09, p=.02), and amount of contact with multicultural-related mass media (F=3.37, p=.001). 3) There was a positive correlation between cultural empathy and transcultural efficacy (r=.54, p<.001), and as well as between cultural empathy and cultural competence (r=.54, p<.001). There was also a correlation between transcultural efficacy and cultural competence (r=.52, p<.001). 4). The investigated outcome of the mediating effect of transcultural efficacy between nurse’s cultural empathy and cultural competence, and direct effect (β =.38, t=6.25, p<.001) and indirect effect(β =.17 t=4.14, p=0.01) of cultural empathy about cultural competence were all significant – thus, transcultural efficacy has a partial mediating effect between cultural empathy and cultural competence. 5) Examining how transcultural efficacy between cultural empathy and cultural competence affected the moderating effect, since there was no statistical significance when inserting correlation level between cultural empathy and cultural competence into research, a conclusion can be reached that there was no moderating effect of transcultural efficacy between cultural empathy and cultural competence (β =.04, p=.49). As a conclusion, the research showed that if nurse’s cultural empathy increases, then transcultural efficacy will increase, causing an increase in cultural competence as well. Therefore, programs that will increase nurse’s cultural competence, thereby causing an increase transcultural efficacy, are necessary.

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