PURPOSE: This study aimed to determine the mediating effects of intercultural uncertainty and transcultural self-efficacy in the relationship between cultural competency and multicultural parent partnership (MPP) among pediatric nurses. METHODS: A cross-sectional survey involving a convenient sample of 139 nurses working in 10 pediatric hospitals in South Korea was conducted. Data collection utilized structured questionnaires to assess sociodemographic and work-related characteristics, as well as cultural competency, intercultural uncertainty, transcultural self-efficacy, and MPP data. The data were analyzed using Pearson's correlation coefficient and multiple regression analyses. RESULTS: Cultural competency showed a significant direct effect on intercultural uncertainty and transcultural self-efficacy, while intercultural uncertainty and transcultural self-efficacy had significant direct effects on MPP. Although the direct association between cultural competency and MPP was not statistically significant, cultural competency demonstrated significant indirect associations with MPP when intercultural uncertainty or transcultural self-efficacy was included in the model as a single mediator. Furthermore, cultural competency had an indirect effect on MPP through the serial mediation of intercultural uncertainty and transcultural self-efficacy. CONCLUSION: To enhance pediatric nurses' perceived MPP, it is essential to consider intercultural uncertainty and transcultural self-efficacy as key mechanisms for developing cultural competency. These findings highlight the importance of incorporating intercultural uncertainty and transcultural self-efficacy into educational programs and practice guidelines aimed at improving cultural competency among healthcare professionals caring for multicultural children and their families. IMPLICATIONS TO PRACTICE: Culturally tailored nursing education programs that reduce intercultural uncertainty and strengthen self-efficacy should be implemented to improve multicultural patient care among pediatric nurses.
Shin et al. (Tue,) studied this question.