Purpose:This study assessed the effectiveness of three teaching methods for developing cultural competency based upon Leininger's theoretical framework with nursing students in China:case studies,traditional didactic learning,and self-directed learning.These methods were used in transcultural nursing teaching practices to identify the method that resulted in the greatest improvements in the nursing students understanding and clinical application of transcultural nursing.Methods:The Transcultural Nursing Questionnaire(TNQ) was used for pre-and post-test comparisons of all participants in four areas of cultural knowledge and the Evaluation of Transcultural Nursing Competency(ETNC) was applied via role-play to evaluate the cultural competency of 120 of the 305 participants from three general hospitals in the PuDong New District,Shanghai,China.Individual transcultural nursing courses that focused on case study,traditional didactic or self-directed methods persisted for four months in three hospitals.Results:Statistical analyses of the cognitive scores of the participants in the transcultural nursing courses revealed a significant difference(P 0.05).Conclusion:The results revealed that the case study,traditional didactic and self-directed method effectively improved the transcultural nursing cognitive levels of the nursing students.The case study method appeared to be the most effective approach based upon the TNQ pre-and post-tests and the ETNC cultural competency scores.
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