Cultural Discovery in Nursing Practice: The Experience of Nurses Who Work with Vietnamese
Review TypeNone: Degree-based Submission
Repository Posting Date2020-01-10T19:10:57Z
Author DetailsDr. Evelyn Labun, DNSc
Lead Author Sigma AffliationXi Lambda
Level of EvidenceGrounded Theory
Research ApproachQualitative Research
CINAHL HeadingsTranscultural Nursing; Life Experiences; Cultural Sensitivity; Registered Nurses; Vietnamese; Transcultural Nursing--Evaluation; Life Experiences -- Evaluation; Cultural Sensitivity--Evaluation
The purpose of this investigation was to generate a substantive theory of cultural discovery among nurses who work with Vietnamese. A grounded theory approach involving dimensional analysis was employed. A purposive sample of 27 registered nurses with experiences working with Vietnamese in acute care, community, and clinic settings was interviewed using a semi-structured format. Data were analyzed for dimensions as well as conditions, context, action strategies, and consequences. The theory of cultural discovery described how nurses learn to see their Vietnamese clients, how they saw a common humanity with others, and how they learn to see health. Nurses who made cultural discoveries were able to connect with their clients. The conditions for connection included using prior knowledge, learning to know the Vietnamese, taking extra care when providing care, and being able to develop a shared brokering relationship with interpreters. Taking extra care included being respectful in a culturally appropriate way, doing a bit more then the usual nursing care, and developing partnerships with clients. Shared brokering included working with interpreters as translators as well as using their expertise as cultural professionals. Nurses' experiences of cultural discovery affected their world view and taught them how to provide sensitive care for people who were different from themselves. Nurses learned to see their own culture and redefine what was important. Sensitive care involved learning how much to push a particular health approach, using resources in an effective way, building bridges with their Vietnamese clients and dealing with glitches in the health system. A consequence of the nurses' care was that Vietnamese were helped to take charge of their own health care needs. Nurses who were not connecting with their clients provided standard care that did not reflect the sensitivity nurses learned through cultural discovery. The findings of this study offer a theory of cultural discovery for nurses who work with Vietnamese. The theory has implications for nurse educators, practitioners, researchers, and managers working in multicultural settings.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9728365; ProQuest document ID: 304418553. The author still retains copyright.
Advisor(s)Hatton, Diane C.
Degree GrantorUniversity of San Diego
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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