Dergiler / Balıkesir Sağlık Bilimleri Dergisi / 2026 / Volume: 15 Issue: 3

Investigating the Relationship Between Nurses’ Cultural Competence and Agression Levels: A Descriptive Cross-Sectional Study

Gülistan Yurdagül(OSMANİYE KORKUT ATA ÜNİVERSİTESİ)0000-0002-6941-8240
Hasan Talha Yurdakul(Edirne Sultan 1. Murat State Hospital)0000-0003-4863-5278
Sayfa
—
Yayın Tarihi
2026-10-08
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Furthermore, aggression levels were significantly associated with age, gender, educational status, working unit, duration of employment in the unit, and marital status

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: This study aimed to examine the relationship between nurses’ cultural competence and aggression levels and to evaluate whether these variables differ according to nurses’ demographic and professional characteristics.
📊
Temel Bulgular & Veri:Materials and Methods: The data for this multidisciplinary, descriptive cross-sectional study were collected from 397 nurses working in a state hospital between January 23, 2024, and April 15, 2024, using interviews.The data were collected using an Introductory Information Form including nurses’ demographic characteristics, the Cultural Competence Scale, and the Buss–Perry Aggression Scale.
💡
Sonuç & Katkı:Furthermore, aggression levels were significantly associated with age, gender, educational status, working unit, duration of employment in the unit, and marital status
🔬Tür:Research Article
📍Kapsam:2024 Verileri
⚙️Değişkenler:Cultural competence · agression · aggressive behavior

Abstract

Objective: This study aimed to examine the relationship between nurses’ cultural competence and aggression levels and to evaluate whether these variables differ according to nurses’ demographic and professional characteristics. Materials and Methods: The data for this multidisciplinary, descriptive cross-sectional study were collected from 397 nurses working in a state hospital between January 23, 2024, and April 15, 2024, using interviews.The data were collected using an Introductory Information Form including nurses’ demographic characteristics, the Cultural Competence Scale, and the Buss–Perry Aggression Scale. The data were analyzed using descriptive and inferential statistical techniques with SPSS version 23. Results: A weak, negative, and statistically significant relationship was found between cultural competence and aggression levels (rs = -0.317, p < 0.001). The total mean score of the cultural competence scale was calculated as 75.35±13.05. Cultural competence scores differed according to the age variable (p < 0.05). The mean total score of the Aggression Scale was 72.89 ± 15.76, and aggression levels were significantly associated with age, gender, marital status, educational level, working unit, and duration of employment in the current unit. Multiple linear regression analysis revealed that age, gender, duration of professional experience, and total cultural competence score were significant predictors of aggression levels (p < 0.05). Conclusion: The results of this study showed that there was a weak and negative relationship between nurses’ cultural competence and aggression levels. It was determined that nurses’ cultural competence levels were significantly associated with age. Furthermore, aggression levels were significantly associated with age, gender, educational status, working unit, duration of employment in the unit, and marital status

🔖

Bu Makaleye Atıf Yap

Yurdagül, G., Yurdakul, H. T. (2026). Investigating the Relationship Between Nurses’ Cultural Competence and Agression Levels: A Descriptive Cross-Sectional Study. Balıkesir Sağlık Bilimleri Dergisi, Volume: 15 Issue: 3. https://doi.org/10.53424/balikesirsbd.1969127

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (38)

  1. Ajuwa, M.-E. P.-E., Veyrier, C.-A., Cousin Cabrolier, L., Chassany, O., Marcellin, F., Yaya, I., & Duracinsky, M. (2024). Workplace violence against female healthcare workers: A systematic review and meta-analysis. BMJ Open, 14(8), e079396. https://doi.org/10.1136/bmjopen-2023-079396
  2. Aydogdu, A. L. F. (2022). Cultural competence of Turkish nurses and nursing students: an integrative literature review. Journal of Transcultural Nursing, 33(4), 529-541. https://doi.org/10.1177/10436596211062938
  3. Benning, S., Walden, M., Ramick, A., Lovenstein, A., Adams, G., & Decker, A. (2025). Understanding the lived experiences of nurses and care attendants in a pediatric hospital who experience patient aggression. Journal of Emergency Nursing, 51(6), 1175-1191. https://doi.org/10.1016/j.jen.2025.06.010
  4. Berşe, S., Tosun, B., Dirgar, E., & Yava, A. (2025). Cultural intelligence and migration intentions among nursing and midwifery students in southeastern region of Turkey: A correlational study. Journal of Advanced Nursing, 81(4), 1914-1923. https://doi.org/10.1111/jan.16463
  5. Bilik, Ö. (2015). Aci̇l hemşi̇reli̇ği̇ni̇n görünmeyen yüzü: İ̇nsan olarak ben neler yaşiyorum? Journal of Anatolia Nursing and Health Sciences, 18(2), 155-161. https://doi.org/10.17049/ahsbd.78986
  6. Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63(3), 452-459. https://doi.org/10.1037//0022-3514.63.3.452
  7. Cai, D., He, W., & Klug, D. (2021). Cultural competence among nurses and its influencing factors: A cross-sectional study. Nursing & Health Sciences, 23(2), 411-418. https://doi.org/10.1111/nhs.12821
  8. Cicolini, G., Della Pelle, C., Comparcini, D., Tomietto, M., Cerratti, F., Schim, S. M., Di Giovanni, P., & Simonetti, V. (2015). Cultural competence among italian nurses: A multicentric survey. Journal of Nursing Scholarship, 47(6), 536-543. https://doi.org/10.1111/jnu.12165
  9. Demirtas-Madran, H. A. (2012). Reliability and validity studies of Turkish version of buss-perry aggression questionnaire. Turkish Journal of Psychiatry. https://doi.org/10.5080/u6859
  10. Demirtaş Madran, H. (2020). Cinsiyet ve saldırganlık ilişkisi: görgül ve kuramsal çalışmalara güncel bir bakış. Türk Psikoloji Yazıları, 23. https://doi.org/10.31828/tpy1301996120191112m000020
  11. Diblasi, T., & Kassinove, H. (2022). An exploratory analysis of components of revenge experiences. Journal of Aggression, Maltreatment & Trauma, 31(7), 873-887. https://doi.org/10.1080/10926771.2021.2013376
  12. Dugré, J. R., & Potvin, S. (2023). Neural bases of frustration-aggression theory: A multi-domain meta-analysis of functional neuroimaging studies. Journal of Affective Disorders, 331, 64-76. https://doi.org/10.1016/j.jad.2023.03.005
  13. Esen, H., & Aykal, G. (2020). Sağlık kurumlarında yaşanan şiddetin değerlendirilmesi: Eğitim ve araştırma hastanesi örneği. Sağlık Akademisyenleri Dergisi, 7(1), 1-9.
  14. Fabry, L., McDermott, S., & Wilford, B. (2024). Culturally competent care for diverse populations: a review of transcultural nursing education. Advanced Emergency Nursing Journal, 46(3), 274. https://doi.org/10.1097/TME.0000000000000526
  15. Gözüm, S., Tuzcu, A., & Kirca, N. (2016). Validity and reliability of the turkish version of the nurse cultural competence scale. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, 27(5), 487-495. https://doi.org/10.1177/1043659615582089
  16. Gürkan, Ö. C. (2016). Hemşirelik öğrencilerinin saldırganlık eğilimleri ve i̇lişkili faktörler. Psikiyatri Hemşireliği Dergisi, 7(2), 87-93. https://doi.org/10.5505/phd.2016.19870
  17. Kayalı, S., Durmuş, M. K., Aren, A., Akça, Ö., & Tan, Y. M. (2018). Acil tıp kliniğinde çalışan sağlık personelinin sosyo-demografik özelliklerinin öfke tarzları ve saldırganlık düzeyleri üzerine etkisi. İstanbul Medical Journal, 19, 18-21.
  18. Keller, A. R., Kanaley, R. L., Starr, T., Strollo, B., Scharf, M., Massachi, S., Angell, L., Clough, C. D., & Schriefer, J. (2022). Mitigating pediatric inpatient aggression: A quality improvement initiative. Hospital Pediatrics, 12(5), 499-506. https://doi.org/10.1542/hpeds.2021-006431
  19. Kılınç, M., & Uludağ, A. (2017). Sağlık çalışanlarının empatik eğilim düzeyinin saldırgan davranış düzeyleri ile ilişkisi. Gaziantep Üniversitesi Sosyal Bilimler Dergisi, 16(3), 809-825.
  20. Kim, N. R., Lee, J.-Y., Park, J., & Lau, S. T. (2024). Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross-sectional descriptive study. Nursing & Health Sciences, 26(2), e13115. https://doi.org/10.1111/nhs.13115
  21. Korkmaz, M., Aydin Avci, İ., Duman Kirmaci, N., Korkmaz, D., & Soyanit, Ş. (2022). Bir üniversite hastanesinde çalışan hemşirelerin kültürel yeterlilikleri ve etkileyen faktörlerin değerlendirilmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(4), 1474-1483. https://doi.org/10.37989/gumussagbil.1094276
  22. Liu, J., Gan, Y., Jiang, H., Li, L., Dwyer, R., Lu, K., Yan, S., Sampson, O., Xu, H., Wang, C., Zhu, Y., Chang, Y., Yang, Y., Yang, T., Chen, Y., Song, F., & Lu, Z. (2019). Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occupational and Environmental Medicine, 76(12), 927-937. https://doi.org/10.1136/oemed-2019-105849
  23. Manderscheid, A., McKay, A., Slager, D., Butler, A., Hubner, J., Bekker, P., & Sabo, R. (2023). Activating the American Association of Colleges of nursing essentials through competency-based leadership in graduate student organizations. Journal of Nursing Education, 62(10), 580-583. https://doi.org/10.3928/01484834-20230731-01
  24. Mitchell, M., Newall, F., Bernie, C., Brignell, A., & Williams, K. (2024). Simulation-based education for teaching aggression management skills to healthcare providers in acute healthcare settings: A systematic review. International Journal of Nursing Studies, 158, 104842. https://doi.org/10.1016/j.ijnurstu.2024.104842
  25. Mohamed, A. F. H., & Modanloo, S. (2025). Re-thinking the concept of cultural competency in nursing care of older adults. The Canadian Journal of Nursing Research, 57(1), 140-146. https://doi.org/10.1177/08445621241272673
  26. Osmancevic, S., Steiner, L. M., Großschädl, F., Lohrmann, C., & Schoberer, D. (2025). The effectiveness of cultural competence interventions in nursing: A systematic review and meta-analysis. International Journal of Nursing Studies, 167, 105079. https://doi.org/10.1016/j.ijnurstu.2025.105079
  27. Perng, S., & Watson, R. (2012). Construct validation of the nurse cultural competence scale: A hierarchy of abilities. Journal of Clinical Nursing, 21(11-12), 1678-1784. https://doi.org/10.1111/j.1365-2702.2011.03933.x
  28. Powell, N., Ford, L., Rochinski, D., & McEvoy, V. (2023). The lived experience of workplace violence among emergency nurses. Journal of Emergency Nursing, 49(3), 425-430. https://doi.org/10.1016/j.jen.2022.11.004
  29. Raveel, A., & Schoenmakers, B. (2019). Interventions to prevent aggression against doctors: A systematic review. BMJ Open. https://doi.org/10.1136/bmjopen-2018-028465
  30. Sadeghi, N., Azizi, A., Tapak, L., & Oshvandi, K. (2022). Relationship between nurses’ cultural competence and observance of ethical codes. Nursing Ethics, 29(4), 962-972. https://doi.org/10.1177/09697330211072365
  31. Sagarra-Romero, L., Ramón-Arbués, E., Huércanos-Esparza, I., Kalkan, I., Kömürcü, N., Vanceulebroeck, V., Dehaes, S., Coelho, M., Casa-Nova, A., & Antón-Solanas, I. (2024). Cultural competence of undergraduate student nurses: A multicenter study *. Revista Latino-Americana de Enfermagem, 32, e4230. https://doi.org/10.1590/1518-8345.7070.4230
  32. Tanriverdi, G. (2017). Suggestion of a new nursing model: Environment focused cultural competency model. Journal of Human Sciences, 14(4), 4658-4670.
  33. Thompson, S. L., Zurmehly, J., Bauldoff, G., & Rosselet, R. (2022). De-escalation training as part of a workplace violence prevention program. The Journal of Nursing Administration, 52(4), 222-227. https://doi.org/10.1097/NNA.0000000000001135
  34. Tolentino Diaz, M. Y., Barbato, D., & Marceca, M. (2023). Self-perceived cultural competence: A cross-sectional study about nurses’ awareness and behavior. Annali Di Igiene: Medicina Preventiva E Di Comunita, 35(2), 127-135. https://doi.org/10.7416/ai.2022.2525
  35. Tosunöz, İ. K., Öztunç, G., Eskimez, Z., & Demirci, P. Y. (2019). Hemşirelik öğrencilerinin şiddet eğilimlerinin belirlenmesi. Cukurova Medical Journal, 44(2), 471-478.
  36. Wilson, L., Wilkinson, A., & Tikao, K. (2022). Health professional perspectives on translation of cultural safety concepts into practice: A scoping study. Frontiers in Rehabilitation Sciences, 3, 891571. https://doi.org/10.3389/fresc.2022.891571
  37. Woon, C. (2023). A literature review: Violence and aggression in neuroscience nursing. The Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses, 55(2), 60-64. https://doi.org/10.1097/JNN.0000000000000692
  38. Yılmaz, M., & Kuğuoğlu, S. (2024). Sağlık hizmeti sunumunda kültürel yeterlilik modeli: Campinha-bacote. TOGÜ Sağlık Bilimleri Dergisi, 4(2), 249-257.