Jehad O. Halabi

Introduction: Transitioning from academic education to clinical practice is challenging for newly graduated nurses. This study evaluated a 12-month culturally tailored internship on professional competence, self-efficacy, and perceived health among newly graduated Saudi nurses. Methods: A longitudinal design with repeated measures was used to recruit 147 female Saudi newly graduated nurses who completed an internship program at two tertiary hospitals. Data were collected at beginning, 8 months, and completion of the program. The Nurse Professional Competence Scale–Short Form, General Self-Efficacy Scale, and self-reported health measures were used. Statistical analyses were conducted using analysis of variance (ANOVA) with post hoc comparisons. Results: Significant improvements were found in professional competence, especially in leadership, documentation, and administrative skills. Value-based care competence remained high. Self-efficacy and perceived health were also improved. Discussion: Culturally tailored internship programs are effective in enhancing newly graduated nurses’ professional competence and perceived health. Such internship programs may effectively help to enhance training for practice-ready nurses.

Members of the Transcultural Nursing Society (TCNS) mobilized a Migration Special Interest Group (MigSIG) to address the rising reports of human rights abuses and lack of basic resources for migrants worldwide. Migrants are some of the most vulnerable populations. This paper outlines the role of nurses as a “voice” or advocate for the most vulnerable. The paper identifies the challenges health providers face in caring for migrants and offers resources, strategies, and toolkits for nurses and providers who care for and intersect with those who migrate.

Introduction: Despite significant initiatives to address adverse social determinants, excess burden of disease and mortality persist among diverse minorities and socially disadvantaged groups. Recent changes to diversity, equity, inclusion, and belonging programs have affected organizational efforts to increase participation of underrepresented groups. Methods: White Paper synthesizes initiatives designed to achieve health and health care equity and provides evidence from studies of different approaches. Results: Distinct differences in approaches and outcomes were found specific to mitigating health disparities from health care inequities. Individual- and organizational-level approaches tend to mitigate inequities in health care delivery but are insufficient in eradicating adverse social determinants of poor health among socially disadvantaged groups. Discussion: Organizational leaders and health care professionals are called upon to engage in multidisciplinary and multisectoral collaboration to influence public policies at the highest level of government and private stakeholders. Culturally competent approaches are envisioned to target individual-, organizational-, and community/societal-level changes.

Introduction: As part of its mission to advance Transcultural Nursing worldwide, the Transcultural Nursing Society Scholars upholds the central role of the discipline and cultural competence in advocacy, empowerment, and transformation of the life conditions of disadvantaged populations. This White Paper affirms the Scholars’ core belief in the value of Transcultural Nursing and culturally competent care in addressing social determinants to promote health equity. Methods: The Scholars Education Interest Group proposes recommendations for changes in education, practice, and research undergirding the discipline and expand cultural competence to directly address social structural and historical forces that perpetuate health vulnerability in diverse populations. Results: Collaborative leadership between the TCNS Scholars, Board of Trustess and members should develop initiatives to foster implementation of the recommendations and promote global dissemination of exemplars in education, research and practice. Discussion: Collaborative implementation of recommendations will generate evidence of health equity outcomes through TCN and culturally competent care.

Introduction: The Kingdom of Saudi Arabia (KSA) plans to become self-sufficient, generating a national nursing workforce. The study’s purpose was to assess nurses’ self-reported professional competence and illuminate experiences of the quality of nursing care and patient safety. Methodology: A cross-sectional design with 469 nurses working in different units from two public hospitals and Regions of the KSA participated. The Nurse Professional Competence Scale short version including six professional areas of nursing care was used. Results: There are significant relationships between self-reported professional competence and the quality of nursing care, patient safety, nurse’s characteristics, and workplace. Discussion: Registered nurses’ professional competence is related to the clinical areas in which they work and the nature of their involvement in patient care. The Nurse Professional Competence Scale can identify professional competence areas for further development, which is important for culturally congruent health care in KSA for their transformation process.

Introduction: Nurses in the Kingdom of Saudi Arabia (KSA) represent a multicultural workforce who are educated in different countries from around the world. The purpose was to assess professional competence among a multicultural workforce of registered nurses in KSA in relation to individual and work-related factors. Method: The Nurse Professional Competence Scale was used in a cross-sectional design. Results: Registered nurses (N = 541) reported highest scores for “nursing care,” and “value-based nursing care,” and lowest scores for “care pedagogics,” and “development, leadership, and organization of nursing care.” All CAs achieved 0.80 or more Cronbach’s alpha. Known-group validity was verified by comparing nurse managers and staff nurses competence in organization, administration, and leadership of nursing care (p = .000). Discussion: There is room for competence development in care pedagogics, and development, leadership, and organization of nursing care. Assessing registered nurses competence is of importance for planning and implementing cultural congruent nursing care.