title: Factors Affecting Professional Autonomy of Japanese Nurses Caring for Culturally and Linguistically Diverse Patients in a Hospital Setting in Japan.
abstract: The study aimed to analyze the professional autonomy of Japanese nurses when caring for non-Japanese patients and to identify its contributing factors.
  
  
  
  A descriptive cross-sectional design was used. Participants included 238 clinical nurses working at 27 hospitals in Japan. The Intercultural Sensitivity Scale (Chen and Starosta), and the Scale for Professional Autonomy in Nursing (Kikuchi and Harada) were used to measure intercultural sensitivity and professional autonomy. Stepwise multiple regression analysis was used to identify the most significant factors affecting professional autonomy.
  
  
  
  Professional autonomy of Japanese nurses caring for non-Japanese patients was significantly lower than when caring for Japanese patients (142.84 vs. 172.85; p < .001). Contributing factors were intercultural sensitivity (p < .001), length of nurse experience (p < .05), and availability of interpretation service (p < .05).
  
  
  
  Incorporating transcultural nursing content into training programs in schools and hospitals could enhance professional autonomy of Japanese nurses by promoting intercultural sensitivity.
authors.affiliation: Oita University of Nursing and Health Sciences, Oita, Japan kuwano@oita-nhs.ac.jp.
authors.forename: Noriko
authors.initials: N
authors.lastname: Kuwano
authors.affiliation: Oita University of Nursing and Health Sciences, Oita, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Fukuda
authors.affiliation: Oita University of Nursing and Health Sciences, Oita, Japan University of Tokyo, Tokyo, Japan.
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Murashima
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D007564:Japan / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D017009:Professional Autonomy; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing / Q000379:methods*
keywords: Intercultural Sensitivity Scale; continuing education/staff development; culturally diverse patient care; intercultural sensitivity; language and communications; professional autonomy; transcultural health