Journal of Korean Academy of Nursing

Research Paper

The Influence of Diversity Management of Nursing Organization on Organizational Commitment: Double Mediating Effect of Diversity Sensitivity Orientation and Positive Nursing Organizational Culture: Jeon, Hwi Gon , Jang, Keum Seong , Kim, Eun A; J Korean Acad Nurs 2024;54(3):403-417. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.23120

Abstract PDF: Purpose
The aim of this study was to identify the double mediating effect of effect of diversity sensitivity orientation and positive nursing organizational culture between diversity management and organizational commitment.
Methods
Participants were 245 nurses working in six tertiary hospitals located in 3 different regions. Data collection was conducted from February 13, 2023 to March 6, 2023 through online self-reported questionnaire. The data were analyzed by IBM SPSS Statistics 27 and SPSS PROCESS Macro 4.2 program.
Results
The direct effect of diversity management on organizational commitment was significant (β = .21, p < .001). The indirect effect of diversity management on organization commitment was .34 (95% confidence interval [CI] = .23~.47). The double mediating effect of diversity sensitivity orientation and positive nursing organizational culture in the relationship between diversity management and organizational commitment was .02 (95% CI = .00~.05).
Conclusion
Diversity sensitivity orientation and positive nursing organizational culture show double mediating effect on the relationship between diversity management and organizational commitment. Education program and human resource management strategy for enhancing diversity management, diversity sensitivity orientation and positive nursing organizational culture should be provided to improve organizational commitment, and which are needed active support of the association and nursing organization.

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Original Articles

Nursing Philosophy: Foucault and Cultural Diversity Issues in the Nursing Field: Chin Kang Koh; Journal of Korean Academy of Nursing 2007;37(2):208-212. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.2.208

Cultural diversity is a highly important issue in nursing education and nursing practice today. This study is a philosophical approach to the power relationship between a health care provider and a care recipient. The main purpose of this paper is to analyze the relationships between nurses and ethnic minority patients based on the discussions of some Foucauldian concepts that are related to cultural diversity. Based on the analysis, this study provides some suggestions for cultural competency in nursing practice.

Citations

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Types of Perception toward End-of-Life Medical Decision-making of Clinical Nurses: Q-Methodological Approach
Kae-Hwa Jo, Yeon Ja Kim, Ki Cheul Sohn
The Korean Journal of Hospice and Palliative Care.2012; 15(1): 18. CrossRef

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Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses: Won-Oak Oh, Eun Sook Park, Min Hyun Suk, Yeo Jin Im; J Korean Acad Nurs 2016;46(2):293-304. Published online April 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.2.293

Abstract PDF

Purpose

This methodological study was conducted to develop and psychometrically test the Transcultural Self-efficacy scale (TCSEscale) for nurses.

Methods

Initial 41 items for the TCSE-scale were generated based on extensive literature reviews and in-depth interviews with 18 nurses who had experience in caring for foreign patients. Cultural Competence and Confidence model was used as a conceptual framework. Content validity was evaluated by an expert panel. Psychometric testing was performed with a convenience sample of 242 nurses recruited from four general hospitals in the Seoul metropolitan area and Gyeonggi-do province of South Korea. To evaluate the reliability of TCSE-scale, a test-retest reliability and an internal consistency reliability were analyzed. Construct validity, concurrent validity, criterion validity, convergent validity and discriminative validity were used to evaluate the validity.

Results

The 25-item TCSE-scale was found to have three subscales-Cognitive, Practical, and Affective domain-explaining 91.5% of the total variance. TCSE-scale also demonstrated a concurrent validity with the Cultural Competence Scale. Criterion-related validity was supported by known-group comparison. Reliability analysis showed an acceptable-to-high Cronbach's alpha-.88 in total, and subscales ranged from .76 to .87. The ICC was .90, indicating that the TCSE-scale has internal consistency and stability of reliability.

Conclusion

This preliminary evaluation of the psychometric scale properties demonstrated an acceptable validity and reliability. The TCSE-scale is able to contribute to building up empirical and evidence based on data collection regarding the transcultural self-efficacy of clinical nurses. We suggest further testing of the applicability of TCSE-scale in different settings and community contexts.

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Women's Health Nursing.2024; 30(4): 318. CrossRef
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Asian Nursing Research.2018; 12(1): 69. CrossRef

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Effects of Korean Proficiency and Parent-child Cohesion on Self-esteem and Acculturation among Children from Multicultural Families: Mi Ye Kim, Ji Young Lim, Grace H. Chung; J Korean Acad Nurs 2012;42(6):879-888. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.6.879

Abstract PDF

Purpose

There is evidence that parent-child cohesion is a potentially influential factor in children's self-esteem and acculturation. However, no research to date has examined cohesion with parents as a potential pathway between Korean proficiency and self-esteem or acculturation among children from multicultural families. This study was done to address these limitations by examining whether and to what extent cohesion with parents mediated the effect of Korean proficiency on self-esteem and acculturation among children from multicultural families.

Methods

Data were collected from a sample of 138 mothers and their children living in Seoul, Daegu, Kyungi province, and Kyungpook province. Multiple regression analysis was used to examine the relationships between the variables of interest. Mediation effects of cohesion with parents were tested by following the procedure recommended by Baron and Kenny (1986).

Results

Cohesion with parents partially mediated the relationship between Korean proficiency and self-esteem. For children's acculturation, the effect of Korean proficiency was partially mediated through father-child cohesion. Mother-child cohesion completely mediated the relationship between Korean proficiency and acculturation.

Conclusion

These findings suggest that to help children from multicultural families experiencing difficulties with self-esteem or acculturation, it might be useful to develop programs that are aimed at strengthen cohesion with parents.

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Adaptation Experience to Family of Immigrant Women in Multicultural Families: Jin-Hyang Yang, Hyun-Joo Park, Song-Soon Kim, Eun-Jeong Kang, Sang-Hee Byun, Ji-Soo Bang; J Korean Acad Nurs 2012;42(1):36-47. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.36

Abstract PDF

Purpose

This study was to explore adaptation experience to family among women who immigrated for marriage. Specific aims were to identify problems immigrant women face as family members and how they interact with other family members.

Methods

Grounded theory methodology was utilized. Data were collected from iterative fieldwork with individual in-depth interviews from 6 immigrant women as key informants, and 2 of their husbands and 2 of their mothers-in-law as general informants.

Results

Through constant comparative analysis, a core category emerged as "tearing down the wall in communicating". Causal conditions were feeling frustrated in one's expectations, differences in language and life style, differences in recognition, and perceptions of discrimination and prejudice. Strategies were learning the Korean language, learning Korean culture, managing stress, mediating differences between family members, and introspecting. Intervening factors were support systems, burdens of child-rearing, and the condition of one's health. Consequences were rooting oneself in one's family and accepting one's life as it is.

Conclusion

Results of the study indicate that there is a need for nurses to understand differences in communication with family members among immigrant women and to provide information and emotional support to improve the adaptation of these women to their Korean families.

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