Academic literature on the topic 'Nursing students Victoria Cross-cultural studies'

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Journal articles on the topic "Nursing students Victoria Cross-cultural studies"

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Hallinan, Christine M., and Kelsey L. Hegarty. "Advanced training for primary care and general practice nurses: enablers and outcomes of postgraduate education." Australian Journal of Primary Health 22, no. 2 (2016): 113. http://dx.doi.org/10.1071/py14072.

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The aims of the present study were to understand enablers to participation in postgraduate education for primary care nurses (PCNs), and to explore how postgraduate education has advanced their nursing practice. Cross-sectional questionnaires were mailed out in April 2012 to current and past students undertaking postgraduate studies in primary care nursing at The University of Melbourne, Victoria, Australia. Questionnaires were returned by 100 out of 243 nurses (response rate 41%). Ninety-one per cent (91/100) of the respondents were first registered as nurses in Australia. Fifty-seven per cent were hospital trained and 43% were university educated to attain their initial nurse qualification. The respondents reported opportunities to expand scope of practice (99%; 97/98), improve clinical practice (98%; 97/99), increase work satisfaction (93%; 91/98) and increase practice autonomy (92%; 89/97) as factors that most influenced participation in postgraduate education in primary care nursing. Major enablers for postgraduate studies were scholarship access (75%; 71/95) and access to distance education (74%; 72/98). Many respondents reported an increased scope of practice (98%; 95/97) and increased job satisfaction (71%; 70/98) as an education outcome. Only 29% (28/97) cited an increase in pay-rate as an outcome. Of the 73 PCNs currently working in general practice, many anticipated an increase in time spent on the preparation of chronic disease management plans (63%; 45/72), multidisciplinary care plans (56%; 40/72) and adult health checks (56%; 40/72) in the preceding 12 months. Recommendations emerging from findings include: (1) increased access to scholarships for nurses undertaking postgraduate education in primary care nursing is imperative; (2) alternative modes of course delivery need to be embedded in primary care nursing education; (3) the development of Australian primary care policy, including policy on funding models, needs to more accurately reflect the educational level of PCNs, PCN role expansion and the extent of interprofessional collaboration that is evident from research undertaken to date. Nurses with postgraduate education have the potential to increase their scope of practice, take on a greater teaching role and provide more preventive and chronic disease services in primary care. Policies aimed at increasing access to education for nurses working in primary care would strengthen the primary care nursing profession, and enhance the delivery of primary health care services in Australia.
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An, Hyeran, Juhyun Jin, and Taehyun Kim. "Factors Affecting Cultural Competence in a Sample of Nursing Students during the Prolonged COVID-19 Pandemic in Republic of Korea: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 19, no. 22 (November 17, 2022): 15181. http://dx.doi.org/10.3390/ijerph192215181.

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Globally, foreign citizens, particularly ethnic and racial minorities, experienced discrimination and received imbalanced medical services and insufficient economic resources during the COVID-19 pandemic. This study aimed to examine the factors that affect the cultural competence of nursing students. This is descriptive cross-sectional study adheres to Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines. A convenience sample of 235 nursing students from two nursing colleges in D city completed an online Google Forms questionnaire from 9 August to 12 August 2022. The self-report questionnaire included a sociodemographic data form, a cultural intelligence scale, an ethnocentrism scale, a global competence scale, and a cultural competence scale. The mean score of cultural competence was 95.39 ± 15.64 (out of 135 points); cultural competence was significantly positively correlated with cultural intelligence and global competence (p < 0.001), and significantly negatively correlated with ethnocentrism (p < 0.001). The factors that significantly affected cultural competence were cultural intelligence (β = 0.31, p < 0.001) and global competence (β = 0.37, p < 0.001). The explanatory power of these effects was 47.3%. To improve the cultural competence of nursing students, it is necessary to develop, apply, and evaluate the results of curriculum and programs that can enhance the cultural intelligence and global competence of nursing students.
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Bønløkke, Mette, Lieneke van der Linde, and Elena De Lorenzo Urien. "Situations and strategies for cultural learning in a short exchange programme." Nordic Journal of Nursing Research 38, no. 4 (January 18, 2018): 204–11. http://dx.doi.org/10.1177/2057158517752549.

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The European Nursing Module was designed to enable nursing students to benefit from a short-term exchange, offering the opportunity to experience different societies, their culture and nursing culture. Cultural learning is essential in preparing students to co-work with patients and relatives who come from other cultural backgrounds. This descriptive study aimed to identify the situations and strategies valued by students and that contribute to professional and cultural learning during a short-term exchange programme. A online survey questionnaire was answered by 329 students attending a cross-European module. From their experience students valued highest: time to observe and understand, awareness of their own culture, a positive attitude, opportunities to compare differences and similarities, sharing and communicating. Valued stepping-stones were, to realise and respect differences and a chance to reflect. More studies are needed on the role of the observer and the impact of reflection on a short-term programme.
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C. Ermayani Putriyanti, Caecilia Titin Retnani, Masruchi, and Prihanto. "Correlation between Knowledge of Online Learning Methods and Students’ Motivation During the Covid-19 Pandemic." JURNAL KESEHATAN 11, no. 1 (June 30, 2022): 74–84. http://dx.doi.org/10.46815/jk.v11i1.81.

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The Covid 19 pandemic has many impacts on various aspects of life of the Indonesian people; one of which is education. One crucial change is in learning methods, which shifts from face to face (offline) to online learning methods). Students need to adapt to the changes because some students have never used online learning methods. The shifting learning method could affect students’enthusiasm for learning, particularly for students who have never used this method before. The objective of this study was to determine the correlation between knowledge of online learning method and learning motivation of nursing students. The research design was cross-sectional. The research respondents were 112 nursing students from four universities in Central Java and Yogyakarta, that were taken by stratified random sampling method. The inclusion criteria are Diploma 3 Nursing students, age 18-25 years old, and students who are undergoing online learning. Data were collected using google form questionnaire which has been tested for validity and reliability. The data analysis used were univariate test for respondent characteristics, and correlation test using Spearman Rho. The results show that the characteristics of respondents are mostly at the age of 18-20 years (81.25%), the educational background of high school is 64.3%, and students who are also working are 2.7%. The most widely used application for online learning is Whatsapp (87.5%). The level of student knowledge is mostly good (54.5%), whereas other 33.9% respondenst are having sufficient knowledge, and 11.6% other are lack of knowledge about online learning. While the level of learning motivation is 0% weak motivation, 33.9% moderate motivation and 59% strong motivation. The correlation between knowledge of online learning method and learning motivation is significant, as shown by the p-value of 0.001 (p<0.005). As conclusion, during the Covid 19 pandemic, students who have good knowledge of learning method have significantly strong learning motivation.
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Alexander, Suzanne, Rhonda BeLue, Ashley Kuzmik, and Marie Boltz. "The evolution of cultural competence theories in American (United States) nursing curricula: An integrative review." Journal of Nursing Education and Practice 10, no. 12 (August 25, 2020): 30. http://dx.doi.org/10.5430/jnep.v10n12p30.

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Introduction: Baccalaureate nursing students develop cultural competence through curricula of theories and frameworks which evolve to reflect new knowledge, but their synthesis and impact upon health quality outcomes is not known.Methods: A cross-platform literature review was conducted to identify innovation and use of cultural competency theories and frameworks in nursing. Optimal literature included a formal theory, pedagogy, measures, and outcomes, which were then classified and evaluated. Additional perspectives and interventions were reviewed for potential influence on curricula and impact through the lens of integrative review.Results: A shift in theory from essentialism to constructivism has occurred in undergraduate curricula. Challenges to measuring outcomes have been noted. All studies reported positive outcomes but suffer from self-selection, unvalidated instruments, and little to no longitudinal data.Conclusions: Nursing students are exposed to culturally competent care via several validated and canonical frameworks, but self-efficacy and long-term impact have not been assessed.
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Purba, Sri Dearmaita, Flora Sijabat, and Amila Amila. "PEMBELAJARAN DARING, STRES DAN ZOOM FATIGUE PADA MAHASISWA D-III KEPERAWATAN SELAMA PANDEMI COVID-19." Indonesian Trust Health Journal 5, no. 2 (November 30, 2022): 110–18. http://dx.doi.org/10.37104/ithj.v5i2.110.

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The Covid-19 pandemic that occurred in Indonesia led to the implementation of online or online learning in educational institutions so that the teaching and learning process can be carried out. In practice, online learning in universities has positive and negative impacts, especially in the health sector. The purpose of the study was to determine the effect of online learning on stress and zoom fatigue as well as the characteristics that affect D III nursing students at Sari Mutiara University, Indonesia. This research is a correlation analytic study with a cross sectional design. The sampling technique used purposive sampling with the number of respondents as many as 44 people. Data collection was carried out by distributing questionnaires through Google Forms which were sent to students by researchers via whatsapp. The bivariate test used to determine the relationship between online learning and the characteristics that affect stress and zoom fatigue is the Spearman correlation test. The results showed that there was a relationship between online learning and stress levels (p value = 0.009 ; r = 0.389). There is no relationship between age (p value = 0.327 ; r = -0.151); gender (p value = 0.851, r = 0.029); internet connection (p value = 0.276 ; r = -0.098); duration of online learning (p value = 0.369; r = -0.139) with the stress level of nursing students. There is a relationship between online learning (p value = 0.049; r = 0.299, age (p value = 0.018; r = 0.355), duration of online learning (p value = 0.037; r = 0.316) with zoom fatigue in nursing students. There is no relationship between gender (p value = 0.527, r = 0.098), internet connection (p value = 0.929; r = 0.014) and zoom fatigue in nursing students. Lecturers need to innovate/modify learning media with various applications that do not require high concentration, so that fatigue and stress on students do not occur. Abstrak Pandemi Covid-19 yang terjadi di Indonesia menyebabkan diterapkannya pembelajaran daring atau online diinstitusi pendidikan supaya proses belajar mengajar dapat dilaksanakan. Dalam pelaksanaannya pembelajaran daring di perguruan tinggi memiliki dampak positif dan negatif terutama dibidang kesehatan. Tujuan penelitian adalah untuk mengetahui pengaruh pembelajaran online terhadap stres dan zoom fatigue serta karakteristik yang mempengaruhi pada mahasiswa D-III keperawatan Universitas Sari Mutiara Indonesia. Penelitian ini merupakan penelitian analitik korelasi dengan rancangan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah responden sebanyak 44 orang. Pengumpulan data dilakukan dengan penyebaran angket melalui Google Form yang dikirim kepada mahasiswa oleh peneliti melalui whatsapp. Uji bivariat yang digunakan untuk mengetahui hubungan pembelajaran online dan karakteristik yang mempengaruhi stres dan zoom fatigue adalah uji korelasi Spearman. Hasil penelitian menunjukkan ada hubungan antara pembelajaran daring dengan tingkat stres (p value = 0,009 ; r = 0,389). Tidak ada hubungan antara usia (p value = 0,327 ; r = -0,151); jenis kelamin (p value = 0,851, r = 0,029); koneksi internet (p value = 0,276 ; r = -0,098); durasi belajar daring (p value = 0,369; r = -0,139) dengan tingkat stres mahasiswa keperawatan. Ada hubungan antara pembelajaran daring (p value = 0,049 ; r = 0,299, usia (p value = 0,018 ; r = 0,355), durasi belajar daring (p value = 0,037; r = 0,316) dengan zoom fatigue pada mahasiswa keperawatan. Tidak ada hubungan antara jenis kelamin (p value = 0,527, r = 0,098), koneksi internet (p value = 0,929 ; r = 0,014) dengan zoom fatigue pada mahasiswa keperawatan. Dosen perlu melakukan inovasi/modifikasi media pembelajaran dengan berbagai aplikasi yang tidak memerlukan konsentrasi yang tinggi, sehingga kelelahan dan stress pada mahasiswa tidak terjadi.
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Poreddi, Vijayalakshmi, Ramachandra, Reddemma Konduru, and Suresh Bada Math. "Assessing the Attitudes and Perceptions towards Nursing Profession among Nursing Students." Nursing Journal of India CIII, no. 01 (2012): 06–08. http://dx.doi.org/10.48029/nji.2012.ciii101.

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Nursing education is a challenge in a developing country like India. This cross sectional study assessed the attitudes and perceptions of nursing professionals and their desired future practices. The study was conducted using a modified version of Beliefs, Attitudes and Perceived Practice questionnaire among 129 students who were undergoing undergraduate nursing programme at a selected college of nursing in Bangalore. Data was analysed and interpreted by using descriptive and inferential statistics. Forty-four (34.1%) of the subjects agreed that they were enrolled of their own interest; 43 (33.3%) of them reported that they enrolled in nursing out of their own interest and also to improve their financial situations. Only 4 (3.1%) stated that they have to protect the rights and dignity of the patients. 45 (34.9%) of the subjects indicated that the nurse-patient relationship should be both professional and a relation of sympathy. Upon graduation 69 (53.5%) of the subjects preferred to pursue the nursing career, 36 (27.9%) in academics, 12 (9.3%) wanted to change the profession. Nearly 63 (48.8%) of the subjects agreed that social prejudice has a great influence on nursing students in choosing nursing profession as their career. An urgent need is seen in the area of educating nursing students regarding patient’s rights. There is also a need to improve the image of nurses in the society to attract more number of students into this noble profession. Counselling and introduction to nursing course should be introduced by all the universities, to develop positive attitudes towards nursing profession.
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White, Jane H., Anne Griswold Peirce, and William Jacobowitz. "The relationship amongst ethical position, religiosity and self-identified culture in student nurses." Nursing Ethics 26, no. 7-8 (October 18, 2018): 2398–412. http://dx.doi.org/10.1177/0969733018792738.

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Background/purpose: Research from other disciplines demonstrates that ethical position, idealism, or relativism predicts ethical decision-making. Individuals from diverse cultures ascribe to various religious beliefs and studies have found that religiosity and culture affect ethical decision-making. Moreover, little literature exists regarding undergraduate nursing students’ ethical position; no studies have been conducted in the United States on students’ ethical position, their self-identified culture, and intrinsic religiosity despite an increase in the diversity of nursing students across the United States. Participants and Research Context Objectives: The study’s two aims were to determine the relationship of self-identified culture, religiosity, and ethics position of undergraduate nursing student and whether students’ level of education and past ethics courses taken related to idealism. Two hundred and twelve volunteer undergraduate students participated. Research design: A descriptive cross-sectional study was designed for participants who completed the Ethical Position Questionnaire, The intrinsic subscale of the Religious Orientation Scale, and a Demographic, Cultural, Ethnicity Form. To test the five hypotheses, analyses included t-tests, correlations, and ANOVA. Ethical Considerations: The study was approved by the Institutional Review Board at Adelphi University. Results: Idealism and intrinsic religiosity were significantly related. Differences were observed for intrinsic religiosity and idealism for cultural identity and cultural dimensions such as parents’ place of birth, and if participants were US born. Students’ level of education or participation in past courses on ethics did not influence idealism. Conclusions: The study’s findings were similar to most of the research from other disciplines on culture, ethics position, and religiosity. Generic courses on ethics taken prior to clinical work may not assist nursing students in integrating principles into complex ethical dilemmas. Self-identified culture, religion, and intrinsic religiosity related to ethics position; completing ethics courses and level of education, juniors compared with seniors, did not influence idealism. Faculty should consider integrating students’ culture, religious orientation, and ethics position into teaching ethics for all levels of nursing education.
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Subedi, Suraksha, Sanjeev Kumar Shah, Monika Thapa, Purna Laxmi Maharjan, and Purna Devi Shrestha. "KNOWLEDGE AND PREVALENCE OF EATING DISORDER AMONG NURSING STUDENTS OF LALITPUR, NEPAL." International Journal of Research -GRANTHAALAYAH 6, no. 4 (April 30, 2018): 179–87. http://dx.doi.org/10.29121/granthaalayah.v6.i4.2018.1642.

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Background: Perceived socio cultural pressure to become thin has an important impact on eating disorder during adolescence, but less is known about knowledge and prevalence of eating disorders in Nepal. Adolescents face special problems that are less common during childhood. Several studies indicate that the prevalence of eating disorders has been increased among adolescents. Objectives: The aim of the study was to identify the level of knowledge, and prevalence of eating disorders (ED) among adolescents. Specific objectives: To calculate the BMI of the respondents and to associate the BMI with prevalence of eating disorder. Methods: This was a cross-sectional survey in which adolescent girls were selected through purposive non probability sampling technique. The study was based on self-reported questionnaires including eating attitudes test (EAT-26) and BMI measurement. To analyze the obtained data, to calculate the level of knowledge, prevalence and BMI the chi-square was measured. Results: According to diagnostic criteria of EAT-26, 34 students (27.2%) were at risk of ED and scored above the recommended cut-off point on EAT-26. More than fifty percent (60%) of the students had inadequate knowledge, one third (38.40%) had moderate knowledge and very minimal (1.6%) of the students had adequate knowledge regarding eating disorders. BMI calculation reveled that more than half (54.4%) had a normal BMI, one third (28%) were under weight, 16% were overweight and 1.6% were obese. Conclusions: The above results concluded that there is need to conduct structured teaching programs for improving level of knowledge regarding eating disorders and reduce the risk of eating disorders and its effects.
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Luo, Yi, Boxiong Gong, Runtang Meng, Xiaoping Cao, Shuang Tang, Hongzhi Fang, Xing Zhao, and Bing Liu. "Validation and application of the Chinese version of the Perceived Stress Questionnaire (C-PSQ) in nursing students." PeerJ 6 (March 8, 2018): e4503. http://dx.doi.org/10.7717/peerj.4503.

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ObjectiveTo translate the Perceived Stress Questionnaire (PSQ) into Chinese, validate its reliability and validity in nursing students and investigate the perceived stress level of nursing students.MethodForward- and back-translation combined with expert assessment and cross-cultural adaptations were used to construct the Chinese version of the PSQ (C-PSQ). This research adopted a stratified sampling method among 1,519 nursing students in 30 classes of Ningbo College of Health Sciences to assess the reliability and validity of the C-PSQ. Among them, we used the Recent C-PSQ (only the last month).ResultsThe C-PSQ retained all 30 items of the original scale. Principal component analysis extracted five factors that explained 52.136% of the total variance. The S-CVI/Ave was 0.913. Concurrent validity was 0.525 and 0.567 for anxiety and depression respectively. The results of the confirmatory factor analysis were as follows: χ2/df= 4.376, RMR = 0.023, GFI = 0.921, AGFI = 0.907, CFI = 0.916, RMSEA = 0.048, PNFI = 0.832, PGFI = 0.782, CN = 342 and AIC/CAIC = 0.809. The scale’s Cronbach’s alpha was 0.922, and Cronbach’s α of each dimension was 0.899 (worries/tension), 0.821 (joy), 0.688 (overload), 0.703 (conflict), 0.523 (self-realization). The correlation coefficient between the first and second test, the first and third test and the second and third test was 0.725, 0.787 and 0.731, respectively. Mean values and distribution of overall PSQ index in nursing students was 0.399 ± 0.138. Different demographic factors were significantly associated with the perceived stress of nursing students.ConclusionThe C-PSQ has an appropriate reliability and validity, which means that the scale can be used as a universal tool for psychosomatic studies. The perceived stress of nursing students was relatively high. Further studies are needed.
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Dissertations / Theses on the topic "Nursing students Victoria Cross-cultural studies"

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Du, Rand Sussara Maria. "Standards to facilitate optimal experiences of short-term study abroad nursing students at a higher education institution." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020659.

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Advances in technology have made globalization and internationalization a reality in the world. National borders are becoming more permeable and migration of goods, services, and health care workers takes place more readily. Higher Education Institutions (HEIs) have become competitors and vendors in the global knowledge economy and are expected to develop job seekers that are responsible and engaged global citizens and employees. Offering study abroad programmes is one of the ways that HEIs achieve this goal. It is estimated that in 2010, 4.7 million people studied abroad (OECD, 2012:360), and it is anticipated that this number will grow to 15 million by the year 2025 (Altbach & Knight, 2006:9). South Africa is emerging as a regional hub for study and research in sub-Saharan Africa (UNESCO: 2012b). Many organizations that train nurses are internationalizing their curriculum which effectively means that Schools of Nursing are seeking placement for students to study, gain insight into other cultures and practices, and to gain clinical experience in other countries. Students, the customers of the Higher Education Institutions, often pay large sums of money to undertake these study abroad programmes and therefore expect good quality learning experiences in return. The aim of this qualitative, contextual, exploratory, and descriptive study was to explore and describe the expectations and experiences of international nursing students and faculty members at a Higher Educational Institution in South Africa in order to develop standards that will enable HEIs to optimize the experiences of short-term study abroad nursing students. An in-depth contextual investigation was conducted on globalization and internationalization, as well as the higher education and health systems of three countries to understand the context of the study abroad programmes. Qualitative data was gathered from students and faculty members using focus groups and individual interviews to establish their expectations and experiences of the programme. Thematic synthesis was carried out on the contextual data and the qualitative data. Thereafter, thematic synthesis analysis was conducted using both sets of results to develop standards that can be used to optimize the experience of short-term study abroad nursing students at a HEI. A total of 35 standards were developed around the following main themes: the objectives of study abroad programmes should be stated clearly before arrival and include the expectations of the global, national, and local communities, the higher education institution and the staff and students; study abroad programmes should be managed in an ethical manner and in an enabling environment, as part of their strategic goals and plans of a HEI; students should be exposed to a variety of experiences and differences between the sending and hosting countries during their study abroad programmes; Standards to Facilitate Optimal Experiences of Short-term Study Abroad Nursing Students at a HEI; study abroad programmes should be evaluated at different intervals and levels to ensure quality of the programmes and to ensure that the objectives/outcomes are met. A limitation of the study was the sampling of the clinical mentors which did not include representatives from the overseas universities. It is recommended that the standards that were developed in this study be introduced and tested in HEIs and that more research be conducted on different levels and groups with regard to study abroad programmes in future.
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Mafanya, Busisiwe Benedicta. "Exploring the extent of cultural sensitivity among the nursing students doing the four year diploma at Addington hospital in KwaZulu-Natal province." Thesis, 2000. http://hdl.handle.net/10413/5438.

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This study was undertaken to explore the extent of cultural sensitivity among the nursing students of Kwa Zulu - Natal Province. A qualitative. ethnographic, explorative design was utilized. A quantitative approach was also used. Subjects were second, third and fourth year students registered for the four year Comprehensive Diploma in Nursing leading to registration as a Nurse (General, Psychiatry, Community Health) and Midwife. To ensure measures of trustworthiness, Guba's model in (Krefting 1991) was implemented. Narrative statements in the form of scenarios and questionnaires were employed to explore, to examine and to describe the extent to which the nursing students are sensitive towards cultures of groups that are different from theirs. The data was analyzed based on the developmental stages of cultural sensitivity by (Bennett 1986). Tesch's method was used to analyze the qualitative data and the Statistical Analysis System (SAS) was used to analyze the quantitative data. Based on the findings. the following conclusions were drawn:- Some students were unable to acknowledge variations that exist among cultures. Problems emanating from cultural differences still exist between nurses and patients due to the ethnocentric views held by some nurses. The study revealed that the students were at varying stages of levels of development of cul tural sensitivity, which means that they ranged from lack of cultural sensitivity to cultural sensitivity. Nursing students, therefore. need more preparation by their program in order to provide culturally congruent nursing care to all.
Thesis (M.Cur.)- University of Natal, Durban, 2000.
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Esterhuizen, Johanna Maria. "The professional development of Black South Africa nurses 1908-1994 : a historical perspective." Diss., 2014. http://hdl.handle.net/10500/13178.

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The early professional history of black South African nurses has not been the principal focus of local historians. Consequently, a qualitative historical inquiry was conducted into the available literature on the economic, social, political and cultural factors that influenced the professional development of black South African nurses from 1908–1994. Non-probability, purposive sampling assisted in assembling a corpus of historically rich data for analysis using time-specific a priori codes. The findings revealed that; culturally, black South African nurses had to adapt to a Western-dominated scientific health view; educationally, they had to master specialised formal Western terminology presented in a ‘foreign’ language (English) and, socio-politically, they had to adapt to being regarded as an elitist middle-class in the black community while remaining marginalised in the white-dominated workplace. Recommendations include expanding the historical research base, designing more effective strategies for promoting cultural sensitivity, and prioritising the focus on teaching and student retention.
Health Studies
M.A. (Health Studies)
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Books on the topic "Nursing students Victoria Cross-cultural studies"

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Silverman, Daniel A. Queen Victoria's baggage: The legacy of building dysfunctional organizations. Lanham: University Press of America, 1999.

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Silverman, Daniel A. Queen Victoria's Baggage. University Press of America, 1999.

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