Efficiency of the Bibliotherapy Method in Developing Cultural Intelligence and Competencies of Nurses

NCT06265961 | Completed

• 1 other identifier: 02.01.2024_39
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to evaluate the effectiveness of the developmental bibliotherapy method in developing the cultural intelligence and competence of nurses. The study will be carried out in an embedded intervention research model using a combination design (Quantitative + Qualitative) in the intervention design, which is one of the advanced mixed methods designs. In the embedded mixed research model where the quantitative approach is dominant, randomized controlled experimental research and qualitative research will be conducted simultaneously. 1.1. Research questions for the qualitative phase 1.1.1. Research questions for the exploratory phase Q1. How successful are nurses in distinguishing the cultural differences of the individuals they care for? Q2. What are nurses\' views on cross-cultural nursing care? Q4. How do nurses approach the culturally-based behaviors of the individuals they care for? Q5. What are the cultural experiences that nurses have with the individuals they care for? 1.1.2. Research questions for the integrative phase Q1. What are the contributions of the books read to the cultural intelligence and competence of nurses? Q2. What are the contributions of the stories read to the cultural intelligence and competence of nurses? Q3. What are the contributions of the watched movie to the cultural intelligence and competence of nurses? 1.1.3. Research questions for the explanatory phase Q1. What effect did bibliotherapy practice have on nurses\' cultural intelligence? Q2. What impact did bibliotherapy practice have on nurses\' cultural competence? 1.2. Research hypotheses of the quantitative phase

1. 1.H1. Bibliotherapy intervention will increase the cultural intelligence levels of the nurses in the study group.
2. 2.H1. The cultural intelligence levels of the nurses in the study group will be higher than the nurses in the control group.
3. 3.H1. Bibliotherapy intervention will increase the cultural competence of the nurses in the study group.
4. 4.H1. The cultural competence of the nurses in the study group will be higher than the nurses in the control group.

Conditions

Cultural Competency

Outcome Measures

Primary Outcomes (2)

• Cultural intelligence

  In order to reveal the cultural intelligence of individuals, Ang. The "Cultural Intelligence Scale", developed by et al. in 2007 and whose Turkish validity and reliability study was conducted by İlhan and Çetin in 2017, will be used. Scale; It consists of a total of 20 items under 4 sub-dimensions named "metacognition", "cognition", "motivation" and "behavior" and has a 5-point Likert-type rating as strongly agree (5) - strongly disagree (1). The lowest score that can be obtained from the scale is 20 and the highest score is 100. High score from the scale; It means that the ability to exhibit appropriate behavior when interacting with people from different cultures, to enjoy intercultural interaction, to have self-confidence in interacting with different cultures, to acquire information about different cultures and to adjust the information acquired according to the requirements of the culture in which it interacts are developed.

  From enrollment to the end of the study at 12 weeks

• Cultural competence

  In order to determine the cultural competence levels of nurses, the Nurse Cultural Competence Scale, developed by Perng and Watson in 2012 and whose Turkish validity and reliability study was conducted by Gözüm et al. in 2016, will be used. Scale; It consists of a total of 20 items under 3 sub-dimensions named "cultural skill", "cultural knowledge" and "cultural sensitivity" and has a 5-point Likert type rating as strongly agree (1) - strongly disagree (5). A minimum of 20 and a maximum of 100 points can be obtained from the scale. Increasing scores from the scale indicate that the level of cultural competence has increased.

  From enrollment to the end of the study at 12 weeks

Study Arms (2)

Education group

ACTIVE COMPARATOR

Among the nurses who meet the inclusion criteria (N = 30), 15 nurses will be assigned to the education group after the randomization process at the beginning of the study.

Other: Education

Bibliotherapy group

ACTIVE COMPARATOR

Among the nurses who meet the inclusion criteria (N = 30), 15 nurses will be assigned to the bibliotherapy group after the randomization process at the beginning of the study.

Other: Education; Other: Bibliotherapy

Interventions

Education OTHER

In line with the Papadopoulos Tilki Taylor cultural competence development model used in the research, a training presentation titled "overview and basic concepts of intercultural nursing" will be held at the beginning of the intervention in order to increase the cultural knowledge levels of nurses. In order to test the effectiveness of the bibliotherapy method, training will be given online via Google Meet to both groups (both study and control) at the beginning of the research.

Bibliotherapy group; Education group

Bibliotherapy OTHER

The intervention consists of 1 online intercultural nursing training, 2 book and 2 short story reading activities and 1 film evaluation to be carried out over a 3-month period. After the training, the nurses in the study group will be asked to read the introductions of the books on the reading list and choose 2 books that they feel close to and that they have not read before. Participants will complete readings and assignments (evaluation form, reflective thought essay) asynchronously in time periods convenient to them. In addition to books, a supporting film will be used to raise awareness. At the end of the movie, they will be asked to write on their notes how they can relate to intercultural nursing, how they can behave when faced with similar situations, and what differences there are between their ideas about intercultural nursing before and after the movie.

Bibliotherapy group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being a graduate nurse
• Having at least 5 years of working experience
• Working in any health institution in Eskişehir, Turkey
• Being interested and willing to read books

You may not qualify if:

• Not giving verbal and written consent to participate in the research.
• Working in a unit that provides outpatient treatment
• Having received post-graduate training in cross-cultural nursing

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead

Study Sites (1)

Eskisehir Osmangazi University

Eskişehir, Odunpazarı, 26040, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Educational Status; Bibliotherapy

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Pınar Duru, Ph.D.

  Eskisehir Osmangazi University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Dr.

Model Details: Mixed methods research is defined as "a research approach used in the field of health, social and behavioral sciences in which the researcher collects both quantitative and qualitative data to understand the research problems, integrates two data sets, and then draws conclusions using the advantages of integrating these two data sets." The study will be carried out in an embedded intervention research model using a combination design (Quantitative + Qualitative) in the intervention design, which is one of the advanced mixed methods designs. In the embedded mixed research model where the quantitative approach is dominant, randomized controlled research and qualitative research will be conducted simultaneously.

Study Record Dates

• First Submitted: February 10, 2024
• First Posted: February 20, 2024
• Study Start: March 1, 2024
• Primary Completion: May 1, 2024
• Study Completion: May 31, 2024
• Last Updated: February 27, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)