International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 11, Issue 9 (September 2024), Pages: 173-183

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 Original Research Paper

Nurses' cultural competence and its impact on work engagement and teamwork in community medical centers healthcare network in Central California, USA

 Author(s): 

 Gemma Stela L. Imperial 1, 2, Evelyn E. Feliciano 1, 2, *, Alfredo Z. Feliciano 1, 3, Mary Angelica P. Bagaoisan 1, Cyrelle D. Agunod 1, 4, Delma Joie D. Magtubo 1, 5, Anna Lyn M. Paano 1

 Affiliation(s):

 1College of Nursing and Graduate Studies, Angeles University Foundation, Angeles, Philippines
 2Intensive Care Unit Stepdown, Clovis Community Medical Center, Clovis, Central California, USA
 3Encompass Health Rehabilitation Hospital, Mesa, Arizona, USA
 4College of Nursing, Northern Private College of Nursing, Arar, Saudi Arabia
 5Graduate School, Holy Angel University, Angeles, Philippines

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 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0001-9120-1534

 Digital Object Identifier (DOI)

 https://doi.org/10.21833/ijaas.2024.09.019

 Abstract

This study explores the relationship between nurses' cultural competence and their work engagement and teamwork in hospitals at a tertiary private medical center in Central California. Using a correlational method, data were collected from 357 nurses, primarily female, aged 37-38, and of Asian descent. The Self-Assessment Cultural Competence Checklist, Utrecht Work Engagement Scale (WES-9), and Nursing Teamwork Scale (NTS) were used to measure these variables. Pearson’s correlation analysis revealed a positive association between cultural competence, work engagement, and teamwork, indicating that differences in beliefs can enhance collaboration and team cohesion among healthcare workers from diverse backgrounds. These findings highlight the importance of cultural competence in fostering effective teamwork and relationships in a multicultural healthcare environment.

 © 2024 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

 Cultural competence, Work engagement, Teamwork, Nurses, Diversity

 Article history

 Received 29 April 2024, Received in revised form 24 August 2024, Accepted 13 September 2024

 Acknowledgment

All authors would like to thank all nurses who voluntarily and enthusiastically participated in this academic work.

 Compliance with ethical standards

 Ethical considerations

Ethics clearance and approval were obtained from the Ethics Review Committee (ERC) of the Angeles University Foundation (AUF) and the selected hospitals prior to conducting the study. Informed consent was also secured from the respondents to ensure the protection of their privacy and the confidentiality of the data collected. The informed consent form outlined the purpose of the study, participant information, the nature of their involvement, potential benefits, risks or hazards, clauses related to illness or injury, voluntary participation, confidentiality measures, and the contact information of the researcher and the AUF-ERC panel. The initial step involved obtaining a letter of permission and support from the Dean of the AUF Graduate School and the instructor to proceed with the study.

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Imperial GSL, Feliciano EE, Feliciano AZ, Bagaoisan MAP, Agunod CD, Magtubo DJD, and Paano ALM (2024). Nurses' cultural competence and its impact on work engagement and teamwork in community medical centers healthcare network in Central California, USA. International Journal of Advanced and Applied Sciences, 11(9): 173-183

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 Figures

 Fig. 1

 Tables

 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 

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 References (36)

  1. Azimirad M, Magnusson C, Wiseman A, Selander T, Parviainen I, and Turunen H (2022). Identifying teamwork-related needs of the medical emergency team: Nurses' perspectives. Nursing in Critical Care, 27(6): 804–814. https://doi.org/10.1111/nicc.12676   [Google Scholar] PMid:34216412
  2. Baek H, Han K, Cho H, and Ju J (2023). Nursing teamwork is essential in promoting patient-centered care: A cross-sectional study. BMC Nursing, 22: 433. https://doi.org/10.1186/s12912-023-01592-3   [Google Scholar] PMid:37978376 PMCid:PMC10655287
  3. Bargagliotti LA (2012). Work engagement in nursing: A concept analysis. Journal of Advanced Nursing, 68(6): 1414–1428. https://doi.org/10.1111/j.1365-2648.2011.05859.x   [Google Scholar] PMid:22044047
  4. Barton G, Bruce A, and Schreiber R (2018). Teaching nurses teamwork: Integrative review of competency-based team training in nursing education. Nurse Education in Practice, 32: 129–137. https://doi.org/10.1016/j.nepr.2017.11.019   [Google Scholar] PMid:29287747
  5. Červený M, Dimunová L, Della Pelle C, Papp K, Siaki L LA, Kilíková M, and Nagórska M (2020). Self-reported cultural competence of nurses providing nursing care in Slovakia. Journal of Nursing Scholarship, 52(6): 705–712. https://doi.org/10.1111/jnu.12601   [Google Scholar] PMid:32960488
  6. Červený M, Kratochvilova I, Hellerová V, and Tothova V (2022). Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011–2021. Frontiers in Psychology, 13: 936181. https://doi.org/10.3389/fpsyg.2022.936181   [Google Scholar] PMid:36092120 PMCid:PMC9449514
  7. Costello M, Rusell K, and Coventry T (2021). Examining the average scores of nursing teamwork subscales in an acute private medical ward. BMC Nursing, 20: 84. https://doi.org/10.1186/s12912-021-00609-z   [Google Scholar] PMid:34059037 PMCid:PMC8166033
  8. Engelbrecht M, Rau A, Nel P, and Wilke M (2020). Emotional well-being and work engagement of nurses who moonlight (dual employment) in private hospitals. International Journal of Nursing Practice, 26(1): e12783. https://doi.org/10.1111/ijn.12783   [Google Scholar] PMid:31512344 PMCid:PMC9285812
  9. García-Sierra R, Fernández-Castro J, and Martínez-Zaragoza F (2016). Work engagement in nursing: An integrative review of the literature. Journal of Nursing Management, 24(2): E101–E111. https://doi.org/10.1111/jonm.12312   [Google Scholar]
  10. Goh PQL, Ser TF, Cooper S, Cheng LJ, and Liaw SY (2020). Nursing teamwork in general ward settings: A mixed-methods exploratory study among enrolled and registered nurses. Journal of Clinical Nursing, 29(19-20): 3802–3811. https://doi.org/10.1111/jocn.15410   [Google Scholar]
  11. Halm B (2011). Employee engagement: A prescription for organizational transformation. Advances in Health Care Management, 10: 77–96. https://doi.org/10.1108/S1474-8231(2011)0000010011   [Google Scholar]
  12. Hsu P, Bryant MC, Hayes-Bautista TM, Partlow KR, and Hayes-Bautista DE (2018). California and the changing American narrative on diversity, race, and health. Health Affairs, 37(9): 1394–1399. https://doi.org/10.1377/hlthaff.2018.0427   [Google Scholar] PMid:30179544
  13. Kaiser JA, and Westers JB (2018). Nursing teamwork in a health system: A multisite study. Journal of Nursing Management, 26(5): 555–562. https://doi.org/10.1111/jonm.12582   [Google Scholar] PMid:29336502
  14. Kim H and Seo K (2021). Impact of job engagement on the quality of nursing services: The effect of person-centered nursing in South Korean nurses. Healthcare, 9(7): 826. https://doi.org/10.3390/healthcare9070826   [Google Scholar] PMid:34209929 PMCid:PMC8305326
  15. Kumra T, Hsu YJ, Cheng TL, Marsteller JA, McGuire M, and Cooper LA (2020). The association between organizational cultural competence and teamwork climate in a network of primary care practices. Health Care Management Review, 45(2): 106-116. https://doi.org/10.1097/HMR.0000000000000205   [Google Scholar] PMid:30045097 PMCid:PMC6345619
  16. Li C, Son N, Abdulkerim BA, Jordan CA, and Son CGE (2017). Overcoming communication barriers to healthcare for culturally and linguistically diverse patients. North American Journal of Medicine and Science, 10(3): 103–109.   [Google Scholar]
  17. Marshall JK, Cooper LA, Green AR, Bertram A, Wright L, Matusko N, McCullough W, and Sisson SD (2017). Residents' attitude, knowledge, and perceived preparedness toward caring for patients from diverse sociocultural backgrounds. Health Equity, 1(1): 43-49. https://doi.org/10.1089/heq.2016.0010   [Google Scholar] PMid:28905046 PMCid:PMC5586003
  18. Nair L and Adetayo OA (2019). Cultural competence and ethnic diversity in healthcare. Plastic and reconstructive surgery. Global Open, 7(5): e2219. https://doi.org/10.1097/GOX.0000000000002219   [Google Scholar] PMid:31333951 PMCid:PMC6571328
  19. Osmancevic S, Großschädl F, and Lohrmann C (2023). Cultural competence among nursing students and nurses working in acute care settings: A cross-sectional study. BMC Health Services Research, 23: 105. https://doi.org/10.1186/s12913-023-09103-5   [Google Scholar] PMid:36726095 PMCid:PMC9890795
  20. Paatela S, Pohjamies N, Kanste O, Haapa T, Oikarainen A, Kääriäinen M, and Mikkonen K (2024). Registered nurses' cultural orientation competence for culturally and linguistically diverse nurses in the hospital setting: A cross‐sectional study. Journal of Advanced Nursing, 80(2): 707-720. https://doi.org/10.1111/jan.15829   [Google Scholar] PMid:37583124
  21. Pericak A, Hogg CW, Skalsky K, and Bourdeanu L (2020). What influences work engagement among registered nurses: Implications for evidence‐based action. Worldviews on Evidence‐Based Nursing, 17(5): 356-365. https://doi.org/10.1111/wvn.12469   [Google Scholar] PMid:33090622
  22. Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, and Weaver SJ (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4): 433–450. https://doi.org/10.1037/amp0000298   [Google Scholar] PMid:29792459 PMCid:PMC6361117
  23. Rosengarten L (2024). Teamwork in nursing: Essential elements for practice. Nursing Management, 31(2): e1850. https://doi.org/10.7748/nm.2019.e1850   [Google Scholar] PMid:31468828
  24. Salas E, Sims DE, and Burke CS (2005). Is there a “big five” in teamwork? Small Group Research, 36(5): 555-599. https://doi.org/10.1177/1046496405277134   [Google Scholar]
  25. Sandhya Negi SN, Harleen Kaur HK, Singh GM, and Sanchita Pugazhendi SP (2017). Quality of nurse patient therapeutic communication and overall patient satisfaction during their hospitalization stay. International Journal of Medical Science and Public Health, 6(4): 675–679. https://doi.org/10.5455/ijmsph.2017.0211522112016   [Google Scholar]
  26. Schaufeli WB, Bakker AB, and Van Rhenen W (2009). How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 30(7): 893-917. https://doi.org/10.1002/job.595   [Google Scholar]
  27. Schmidt M, Steigenberger N, Berndtzon M, and Uman T (2023). Cultural diversity in health care teams: A systematic integrative review and research agenda. Health Care Management Review, 48(4): 311-322. https://doi.org/10.1097/HMR.0000000000000379   [Google Scholar] PMid:37615941
  28. Scott PN, Davis A, Gray LE, Jeffs DA, and Lefler LL (2020). Imperatives for integrating culture of health concepts into nursing education. Journal of Nursing Education, 59(11): 605-609. https://doi.org/10.3928/01484834-20201020-02   [Google Scholar] PMid:33119771
  29. Sharifi N, Adib-Hajbaghery M, and Najafi M (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99: 103386. https://doi.org/10.1016/j.ijnurstu.2019.103386   [Google Scholar] PMid:31404821
  30. Shen Z (2015). Cultural competence models and cultural competence assessment instruments in nursing: A literature review. Journal of Transcultural Nursing, 26(3): 308-321. https://doi.org/10.1177/1043659614524790   [Google Scholar] PMid:24817206
  31. Smiley RA, Lauer P, Bienemy C, Berg JG, Shireman E, Reneau KA, and Alexander M (2018). The 2017 national nursing workforce survey. Journal of Nursing Regulation, 9(3): S1-S88. https://doi.org/10.1016/S2155-8256(18)30131-5   [Google Scholar]
  32. Soleimani M and Yarahmadi S (2023). Cultural competence in critical care nurses and its relationships with empathy, job conflict, and work engagement: A cross-sectional descriptive study. BMC Nursing, 22: 113. https://doi.org/10.1186/s12912-023-01285-x   [Google Scholar] PMid:37046274 PMCid:PMC10091659
  33. Stubbe DE (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1): 49-51. https://doi.org/10.1176/appi.focus.20190041   [Google Scholar] PMid:32047398 PMCid:PMC7011228
  34. Torabinia M, Mahmoudi S, Dolatshahi M, and Abyaz MR (2017). Measuring engagement in nurses: The psychometric properties of the Persian version of Utrecht work engagement scale. Medical Journal of the Islamic Republic of Iran, 31(1): 83-89. https://doi.org/10.18869/mjiri.31.15   [Google Scholar] PMid:28955665 PMCid:PMC5609325
  35. Watt K, Abbott P, and Reath J (2016). Developing cultural competence in general practitioners: An integrative review of the literature. BMC Family Practice, 17: 158. https://doi.org/10.1186/s12875-016-0560-6   [Google Scholar] PMid:27846805 PMCid:PMC5111200
  36. Zhao Y, Su J, Ma D, Li H, Li Y, Zhang X, Li Z, and Sun J (2021). The role of teamwork in the implicit rationing of nursing care: A systematic mixed methods review. Journal of Nursing Management, 29(5): 890-904. https://doi.org/10.1111/jonm.13231   [Google Scholar] PMid:33306210