Abstract
OBJECTIVES: To examine the predictors and differences of the nurses' perceived cultural humility in clinical settings, as perceived by nursing students. DESIGN: A quantitative cross-sectional design was carried out using the consensus-based Checklist for Reporting of Survey Studies checklist. SETTINGS: A governmental and a private university. PARTICIPANTS: A non-random convenience sample of 264 nursing students from universities in Jordan was recruited. MAIN OUTCOME MEASURES: The nurses' perceived cultural humility in clinical settings. METHODS: After a pilot study to validate the adopted instrument for use in a student sample, an online survey using Google Forms was posted in August 2023. The acquired data were analysed using descriptive and inferential statistics from the Statistical Package for Social Sciences V.26. RESULTS: On a 1-5 Likert Scale, a score of less than 4 indicated low nurses' perceived cultural humility; thus, it was considered low (mean=3.51/5, SE=0.036). This cut-off was based on the scoring method employed by Sexton et al, which defined scores below 4 on a 5-point scale as low. The 95% CI for the overall mean score was 3.44 to 3.58. The highest means of the nurses' perceived cultural humility in clinical settings were that nurses are considerate (mean=3.79, SE=0.060) and they already know a lot (mean=3.73, SE=0.052). The lowest mean of the nurses' perceived cultural humility in clinical settings was that nurses are genuinely interested in learning more (mean=3.14, SE=0.073). Being trained in governmental hospitals, an average and junior nursing student predicted the nurses' perceived cultural humility in clinical settings (t-test=13.55, p=0.001, R(2) =0.082, adjusted R(2) =0.071). At 0.05, the 95% CIs for the predictors were as follows: governmental hospital (-7.35 to -1.69), graduate point average ≤2.5 (-9.12 to -2.96) and junior level (0.09 to 4.37). CONCLUSIONS: This study contributed valuable insights into nurses' cultural humility in clinical settings; further research is still needed. Low-reported nurses' perceived cultural humility calls for immediate teaching strategies to integrate cultural humility within clinical settings and create more conducive learning environments. When examining the predictors and differences of the nurses' perceived cultural humility in clinical settings, it became evident that hospitals had the most significant factor. It is essential to integrate cultural humility at an early stage of students' academic level; they will treat their patients with a culturally oriented approach and will have positive perceptions of the nurses who mentor them. Hospitals had the most significant factor, specifically the type of hospital where students were trained (governmental vs private), which strongly influenced their perceptions of nurses' cultural humility.