Effect of Cultural Marginality Theory-Based Education on Intercultural Adaptation and Psychological Well-Being of Foreign Nursing Students

Study Overview
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Brief Summary
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In this study, between 1 - 31 December 2022, who met the inclusion and exclusion criteria, a total of 66 foreign nursing students who are with 1st year foreign students starting the Nursing Department of Ondokuz Mayıs University and Mersin University.

Detailed Description
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The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group. In the first session to the students in the experimental group and to the students in the control group after the post-tests, the training booklet, which consists of information about the educational content in the program, will be given online in pdf format in color and with pictures.

Official Title
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The Effect of Cultural Marginality Theory-Based Education on Intercultural Adaptation and Psychological Well-Being of Foreign Nursing Students: A Randomized Controlled Study

Conditions
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Culture Shock, Adaptation, Emotional, Psychological Well-being

Intervention / Treatment
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* Other: The Cultural Marginality Theory-Based Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Agreeing to participate in the research Speaks and understands Turkish Over 18 years old Those who have not a physical or mental illness that may prevent them from participating in the research A foreign national, 1st year nursing student at the relevant universities at the time of the research Exclusion Criteria: Not agreeing to participate in the research Not speaks and understands Turkish Who are under the age of 18 Those who have a physical or mental illness that may prevent them from participating in the research Those who have not a foreign national, 1st year nursing student at the relevant universities at the time of the research

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study was planned as a prospective, two-armed (1:1), randomized controlled experimental study. This randomized controlled trial will be reported according to the CONSORT guidelines.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group. | Other: The Cultural Marginality Theory-Based Education<br>* The Cultural Marginality Theory-Based Education program will be held in a face-to-face classroom environment for the students in the experimental group. This training program has been developed based on the concepts of Cultural Marginality Theory. The content and topics of the sessions in the program are arranged according to the conceptual structure and flow of the theory. The training program was created in a certain flow, based on the concepts of recognizing intercultural conflict (2 sessions), marginal living (2 sessions) and alleviating cultural tension (2 sessions). There are 6 sessions in the program and the frequency of sessions is 2 times a week, and each session lasts approximately 45 minutes. The training program will be applied to 33 foreign nursing students in the experimental group.<br>|
| No Intervention: Control group<br>There will be no training or intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CROSS CULTURAL ADAPTABILITY INVENTORY (CCAI) | The Turkish adaptation of the inventory developed by Kelley and Meyers in 1992 was made in 2009 by Karaeminoğulları, Doğan and Bozkurt. The Intercultural Adaptation Inventory consists of 49 items and is 6-point Likert type. A high score from the inventory indicates cultural compatibility, and a low score indicates incompatibility with the culture. The inventory assesses individuals' levels of intercultural activity and their abilities regarding individual awareness against the characteristics of the culture they live in. These dimensions are emotional flexibility (18 items), flexibility/openness (15 items), perceptual sensitivity (10 items), and personal autonomy (7 items). The Cronbach alpha internal consistency coefficient of the Intercultural Adaptation Inventory is 0.84. | Change from before education up to after education (three weeks) | 
| THE PSYCHOLOGICAL WELL-BEING SCALE (PWS) | The scale developed by Diener et al. (2010) was developed to measure socio-psychological well-being, complementing existing well-being measures. The Turkish adaptation of the scale was carried out by Telef in 2013. The Single Factor Psychological Well-Being Scale consists of 8 items and is in 7-point Likert type. All items are expressed positively. Scores from the scale range from 8 to 56. The higher the score obtained from the scale, the higher the level of psychological well-being is calculated. The Cronbach alpha internal consistency coefficient of the scale is 0.80. | Change from before education up to after education (three weeks) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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randomized controlled trial, foreign nursing student, psychological well-being, intercultural adaptation, cultural marginality