https://doi.org/10.1177/10436596221086600
Journal of Transcultural Nursing
1–10
© The Author(s) 2022
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DOI: 10.1177/10436596221086600
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Research
Introduction
With an ever-increasing world population, migration has
become a critical problem due to globalization, natural disas-
ters, unemployment, and changes in living conditions
(Meydanlıoğlu, 2019). Today, more people live outside their
homeland to such an extent that supposing that all interna-
tional immigrants live in the same place, it would constitute
the fifth most populous country in the world (Levin Institute,
2013). It has been reported that the number of immigrants in
Turkey, one of the most affected countries by the mass migra-
tion wave, increased by 17.2% in 2019 compared with the
previous year and reached 677,042 people. The highest pro-
portion of these immigrants is from Iraq, Turkmenistan,
Afghanistan, Syria, and Iran (Turkish Statistical Institute,
2019). Considering the mass population mobility, enhanced
cultural diversity in Turkey equally increases the signifi-
cance of cultural competence in health services (Başli et al.,
2018). Culture is the most important indicator of one’s per-
ceptions of health and illness (Lehman et al., 2012). In other
words, health-seeking behaviors, health service demands,
and adherence to treatment are primarily influenced by cul-
ture (Lehman et al., 2012; Öztürk & Öztaş, 2012).
Among health professionals, nurses constitute the biggest
group that has direct contact with individuals from different
cultures (Tortumluoğlu, 2004). International Council of
Nurses (ICN, 2012) ethical code predicates that the need for
a nursing service is universal and that the nature of nursing
requires respect for human rights, cultural rights, the right to
live, and the right to choose. In addition, ICN advocates
nursing care beyond age, color, belief, culture, and respects
disabilities or illnesses, gender, sexual orientation, national-
ity, politics, race, or social status.
Nursing is basically a cultural phenomenon (ICN, 2012).
Nurses who provide culture-specific care are expected to be
culturally competent to provide holistic care (Chen &
Wang, 2015), which underlines the significance of cultural
1086600TCN XX X 10.1177/10436596221086600Journal of Transcultural NursingCoşkun Erçelik et al.
research-article 2022
1
Süleyman Demirel University Research and Application Hospital, Isparta,
Turkey
Corresponding Author:
Tuğçe Çamlica, Öğr. Gör., Health Research and Application Center,
Süleyman Demirel University Research and Application Hospital, Isparta
32260, Turkey.
Emails: tugceayar94@gmail.com; tugceayar@sdu.edu.tr; tugce.camlica@
bahcesehir.edu.tr
An Evaluation of Turkish Nurses’ Cultural
Intelligence Levels and Intercultural
Communication Apprehension
Hamide Coşkun Erçelik, MSc RN
1
, Tuğçe Çamlica, MSc RN
1
,
ve Ali Özkan, MSc RN
1
Abstract
Introduction: This study aims to discuss cultural intelligence levels and intercultural communication apprehension of nurses.
Method: This study was designed as a descriptive and cross-sectional study, and it was conducted with 252 nurses working
in a hospital in a south city of Turkey. The research data were collected via a “Personal Information Form” designed by the
researchers, “The Cultural Intelligence Scale,” and “The Intercultural Communication Apprehension Scale.”
Results: It was concluded that nurses had moderate levels of cultural intelligence and intercultural communication
apprehension, which were positively correlated (p < .001). Cultural intelligence levels and intercultural communication
apprehension were further correlated with certain variables such as age, gender, job duration, foreign language proficiency,
and their experiences in foreign countries (p < .05).
Discussion: In light of the results, it was suggested that moderate levels of intercultural communication apprehension
can be a supportive factor in developing cultural intelligence. It was also added that preventing excessive intercultural
communication apprehension and supporting nurses to improve language skills and to have abroad experience may be
beneficial in developing cultural intelligence.
Keywords
intercultural communication, communication apprehension, cultural intelligence, nurse