title: Mediating Effect of School Nurses' Self Efficacy between Multicultural Attitude and Cultural Sensitivity in Korean Elementary Schools.
abstract: OBJECTIVE
  This study examined the mediating effect of school nurses' self efficacy, which is one of the significant cognitive factors influencing cultural sensitivity, on the mutual relationships between multicultural attitude and cultural sensitivity in Korean elementary schools.
  
  
  METHODS
  A cross-sectional descriptive survey design was used. Participants were 157 school nurses in elementary schools located in Gyeonggi-do, South Korea. The survey instruments included Teacher Multicultural Attitude Survey, Teacher Efficacy Scale, and Multicultural Sensitivity Scale. Data were analyzed using three regression equations to test the mediation model.
  
  
  RESULTS
  The mean score of the school nurses' cultural sensitivity was relatively low. A positive correlation among multicultural attitude, self efficacy, and cultural sensitivity was noted. Self efficacy of school nurses showed a significant mediating effect on the relationships between multicultural attitude and cultural sensitivity.
  
  
  CONCLUSIONS
  Given the meaningful influence of positive multicultural attitude on cultural sensitivity and significant mediator effect of self efficacy as a school nurse between the two variables, the strategies to cultivate a positive multicultural attitude and enhance school nurses' self efficacy in their unique role should be considered in a training program. School nurses' health care services will benefit from the improvement of cultural sensitivity toward young children from multicultural families.
authors.affiliation: College of Nursing, CHA University, Gyeonggi-do, South Korea.
authors.forename: Min Hyun
authors.initials: MH
authors.lastname: Suk
authors.affiliation: College of Nursing, Korea University, Seoul, South Korea. Electronic address: wooh@korea.ac.kr.
authors.forename: Won Oak
authors.initials: WO
authors.lastname: Oh
authors.affiliation: College of Nursing Science, Kyung Hee University, Seoul, South Korea.
authors.forename: Yeo Jin
authors.initials: YJ
authors.lastname: Im
authors.affiliation: Department of Nursing, Kosin University, Busan, South Korea.
authors.forename: Hun Ha
authors.initials: HH
authors.lastname: Cho
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D018864:Cultural Diversity; D006801:Humans; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D056910:Republic of Korea; D020377:Self Efficacy; D011795:Surveys and Questionnaires
keywords: attitude; cultural diversity; self efficacy