The Level of Cultural Self-Efficacy Among a Sample of Spanish Nurses in Southeastern Spain

Abstract

A collaborative study between faculty from the United States and Spain was undertaken to investigate levels of cultural self-efficacy among a sample of Spanish nursing students and nurses. Bandura’s self-efficacy theory provided the conceptual framework for this descriptive study. The Spanish version of the Cultural Self-Efficacy Scale (CSES-S) was translated from the original developed by Bernal and Froman using the back-translation technique recommended by Brislin. The CSES-S was administered to 113 Spanish nurses and students. Alpha coefficient results for the CSES-S ranged from .90 to .95. Low to neutral levels of confidence in caring for four ethnic groups were found. Regression analyses showed significant relationships between cultural exposure and cultural self-efficacy for the practicing nurses. Results will assist this collaborative transcultural nursing research effort between the United States and Spain to develop and implement programs and experiences to increase cultural self-efficacy among Spanish nurses and improve care provided to Spain’s diverse population.

Keywords

cultural self-efficacy Spain immigration education - international educational experiences research - survey design

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References

Alpers, R. , & Zoucha, R. (1996). Comparison of cultural competence and cultural confidence of senior nursing students in a private southern university. Journal of Cultural Diversity, 3, 9-15.

Alvarez, L. (2004, March 15). Deep unease over the future gnaws at Moroccans in Spain. New York Times.

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.

Bandura, A. (Ed.). (1994). Self-efficacy in changing societies. New York: Cambridge University Press

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.

Bandura, A. , & Schunk, D. H. (1981). Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation. Journal of Personality and Social Psychology, 41, 586-598.

Beck, C. T. , Bernal, H. , & Froman, R. (2003). Methods to document semantic equivalence of a translate scale. Research in Nursing and Health, 26, 64-73.

Bernal, H. (1998, October/November). Delivering culturally competent care. Connecticut Nursing News, pp. 7-8.

10.

Bernal, H. , & Froman, R. (1987). Confidence in caring for ethnically diverse populations in a sample of community health nurses. Image: Journal of Nursing Scholarship, 19(4), 201-208.

11.

Bernal, H. , & Froman, R. (1993). Influences on the cultural self-efficacy of community health nurses. Journal of Transcultural Nursing, 4(2), 24-31.

12.

Bernal, H. , Wooley, S. , & Schensul, J. (2000). The challenge of using Likert-type scales with low literate populations. Nursing Research, 46(3), 179-181.

13.

Brislin, R. W. , Lonner, W. J. , & Thorndike, R. M. (1970). Cross cultural research methods. New York: John Wiley.

14.

Coffman, M. , Shellman, J. , & Bernal, H. (2004). Predictors of cultural self-efficacy in nurses: An integrative review of the literature. Journal of Nursing Scholarship, 36(2), 180-185.

15.

Immigration laws: February, 1998 - Number 12. Illegal immigration in Spain. (1998). Retrieved March 10, 2004, from www.migrationint.com.au/news/dublin/feb_1998-12mn.html

16.

Leininger, M. (1991). Becoming aware of types of health practitioners and cultural imposition. Journal of Transcultural Nursing, 2(2), 32-39.

17.

Migration information source. Spain: Forging an immigration policy. (n.d.). Retrieved March 10, 2004, from www.migrationinformation.org/Profiles/display.cfm/ID=97

18.

Rooda, L. (1993). Knowledge and attitudes of nurses towards culturally different patients: Implications for nursing education. Journal of Nursing Education, 32(5), 209-213.

19.

Smith, L. (2001). Evaluation of an educational intervention to increase cultural competence among registered nurses. Journal of Cultural Diversity, 8, 50-63.