Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study

Background: Nurse educators must be culturally sensitive to teach cultural care to nursing students effectively. Objective: To explore the factors associated with cultural sensitivity and global nursing education among nurse educators. Methods: This was a cross-sectional exploratory study. Participa...

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Main Authors: Akiko Kondo, Congcong Wang, Kazuko Naruse, Kosuke Niitsu, Dingyi Long
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:International Journal of Nursing Studies Advances
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666142X24000985
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author Akiko Kondo
Congcong Wang
Kazuko Naruse
Kosuke Niitsu
Dingyi Long
author_facet Akiko Kondo
Congcong Wang
Kazuko Naruse
Kosuke Niitsu
Dingyi Long
author_sort Akiko Kondo
collection DOAJ
description Background: Nurse educators must be culturally sensitive to teach cultural care to nursing students effectively. Objective: To explore the factors associated with cultural sensitivity and global nursing education among nurse educators. Methods: This was a cross-sectional exploratory study. Participants were nurse educators with registered nurse licenses in Japan whose email addresses were available on their university homepage and who agreed to participate in the survey (N = 850). Data were collected between October and November 2023, using Google Forms. The survey included demographics, language, cultural interaction, intercultural sensitivity, and 11 categories of global nursing education. Hierarchical logistic regression and Structural Equation Modeling (SEM) were used in the analyses. Results: Most of the participants were women (84.5 %). Over half of them had a PhD (60.8 %), but 6.4 % had obtained degrees in foreign countries. In the final logistic regression model, frequent participation in cross-cultural interactions and higher intercultural sensitivity were associated with global nursing teaching. In SEM, among participants who taught global nursing (n = 328), being a professor, living in a foreign country for at least six months, and having higher intercultural sensitivity were directly related to teaching four or more global nursing categories. Levels of non-native language proficiency and the number of friends from different cultures were positively associated with intercultural sensitivity. Conclusions: Higher intercultural sensitivity is necessary for teaching global nursing. Intercultural sensitivity can be increased by living and working in foreign countries and by maintaining levels of non-native language and cross-cultural interactions.
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spelling doaj-art-c8f6bc947bca4be0b58d127ea4b4318b2025-08-20T02:05:17ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2025-06-01810027110.1016/j.ijnsa.2024.100271Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional studyAkiko Kondo0Congcong Wang1Kazuko Naruse2Kosuke Niitsu3Dingyi Long4International Nursing Development, Graduate School of Health Care Sciences, Institute of Science Tokyo (former Tokyo Medical and Dental University), 1-5-45 Yushima Bunkyo-ku Tokyo 113-8519 Japan; Corresponding author.International Nursing Development, Institute of Science Tokyo (former Tokyo Medical and Dental University), 1-5-45 Yushima Bunkyo-ku Tokyo 113-8519 JapanSchool of Nursing, Tokyo Medical University, 6-1-1 Shinjuku Shinjuku-ku Tokyo 160-8402, JapanSchool of Nursing & Health Studies, University of Washington Bothell, 18115 Campus Way NE, Bothell, WA 98011, USAInternational Nursing Development, Institute of Science Tokyo (former Tokyo Medical and Dental University), 1-5-45 Yushima Bunkyo-ku Tokyo 113-8519 JapanBackground: Nurse educators must be culturally sensitive to teach cultural care to nursing students effectively. Objective: To explore the factors associated with cultural sensitivity and global nursing education among nurse educators. Methods: This was a cross-sectional exploratory study. Participants were nurse educators with registered nurse licenses in Japan whose email addresses were available on their university homepage and who agreed to participate in the survey (N = 850). Data were collected between October and November 2023, using Google Forms. The survey included demographics, language, cultural interaction, intercultural sensitivity, and 11 categories of global nursing education. Hierarchical logistic regression and Structural Equation Modeling (SEM) were used in the analyses. Results: Most of the participants were women (84.5 %). Over half of them had a PhD (60.8 %), but 6.4 % had obtained degrees in foreign countries. In the final logistic regression model, frequent participation in cross-cultural interactions and higher intercultural sensitivity were associated with global nursing teaching. In SEM, among participants who taught global nursing (n = 328), being a professor, living in a foreign country for at least six months, and having higher intercultural sensitivity were directly related to teaching four or more global nursing categories. Levels of non-native language proficiency and the number of friends from different cultures were positively associated with intercultural sensitivity. Conclusions: Higher intercultural sensitivity is necessary for teaching global nursing. Intercultural sensitivity can be increased by living and working in foreign countries and by maintaining levels of non-native language and cross-cultural interactions.http://www.sciencedirect.com/science/article/pii/S2666142X24000985Nurse educatorsCultural sensitivityCultural competenceGlobal healthNursing education
spellingShingle Akiko Kondo
Congcong Wang
Kazuko Naruse
Kosuke Niitsu
Dingyi Long
Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
International Journal of Nursing Studies Advances
Nurse educators
Cultural sensitivity
Cultural competence
Global health
Nursing education
title Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
title_full Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
title_fullStr Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
title_full_unstemmed Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
title_short Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study
title_sort factors associated with cultural sensitivity and global nursing education among nurse educators a cross sectional study
topic Nurse educators
Cultural sensitivity
Cultural competence
Global health
Nursing education
url http://www.sciencedirect.com/science/article/pii/S2666142X24000985
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