title: Impact of nurses' cross-cultural competence on nursing intellectual capital from a social cognitive theory perspective.
abstract: OBJECTIVE
  To understand the relationships among certain key factors such as organizational climate, self-efficacy and outcome expectation on registered nurses, with regard to the development of registered nurses' cross-cultural competence. The focus is specifically on the use of a social cognitive framework for nurses for providing intercultural nursing care to international patients. This study also aims to examine the relationship between nurses' cross-cultural competence and nursing intellectual capital.
  
  
  BACKGROUND
  Given the influence of globalization on healthcare services, healthcare providers need to have enough cross-cultural competence to effectively care for patients from different cultures. Thus, the development of cross-cultural competence in nursing care has become an important issue.
  
  
  METHODS
  A quantitative method and a cross-sectional design were employed in this study.
  
  
  METHODS
  Data were collected from 309 RN working in 16 healthcare institutions in Taiwan from May to August 2013. Structural equation modelling, in combination with the smart partial least squares method, was used to measure the relationships in the research model.
  
  
  RESULTS
  The results show that outcome expectation has a stronger impact on nurses' cross-cultural competence than self-efficacy. In addition, it was found that the cross-cultural competence of nurses has a positive impact on nursing intellectual capital.
  
  
  CONCLUSIONS
  Nursing supervisors should promote a higher level of outcome expectation on nurses to enhance the improvement of their cross-cultural competence. Raising the cross-cultural competence of nurses will aid in the accumulation of nursing intellectual capital.
authors.affiliation: Department of Health-Business and Administration, Fooyin University, Kaohsiung City, Taiwan.|Department of Planning, Fooyin University Hospital, Pingtung County, Taiwan.
authors.forename: Hsien-Cheng
authors.initials: HC
authors.lastname: Lin
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003071:Cognition / Q000502:physiology*; D003430:Cross-Sectional Studies; D054521:Cultural Competency / Q000523:psychology*; D036262:Empirical Research; D005260:Female; D006801:Humans; D008297:Male; D024802:Nurse's Role / Q000523:psychology*; D009726:Nurses / Q000523:psychology / Q000592:standards; D009742:Nursing Theory; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013624:Taiwan; D055815:Young Adult
keywords: cross-cultural competence; nursing intellectual capital; social cognitive theory