Transcultural Self-Efficacy among Nurses Providing HIV/AIDS Care in Public Health Centers in Cimahi, Indonesia: A Comparative Cross-Sectional Study
DOI:
https://doi.org/10.31674/mjn.2026.v18i02.010Abstract
Background: Transcultural self-efficacy is relevant to HIV/AIDS nursing because culturally sensitive issues such as stigma, disclosure, sexuality, religion, family involvement, and treatment decisions are routinely encountered in care. Objectives: This study assessed transcultural self-efficacy among nurses providing HIV/AIDS services in Public Health Centers (PHCs) in Cimahi, Indonesia, and compared scores across demographic and professional characteristics. Methods: A comparative cross-sectional design used total sampling of the full accessible population of 61 eligible nurses from 13 PHCs. The bilingual 83-item Transcultural Self-Efficacy Tool (TSET) assessed cognitive, practical, and affective domains on a 1-10 scale. Domain and overall scores were analyzed as continuous variables. Because the overall score was non-normally distributed, Mann-Whitney U and Kruskal-Wallis tests were used, with Holm adjustment across eight profile comparisons. Results: Mean scores were 8.21 (SD=1.95) for cognitive, 7.86 (SD=2.28) for practical, 7.66 (SD=2.28) for affective, and 7.89 (SD=2.12) overall. The overall median was 8.57 (IQR 7.21-9.51; 95% CI for the mean 7.35-8.44). Corrected item-total correlations for the 83-item scale ranged from 0.820 to 0.976, and overall Cronbach's alpha was 0.998. After Holm adjustment, differences remained significant for education (Mann-Whitney U=211.5; adjusted p=0.0049) and work experience (H=14.48; adjusted p=0.041), but not for workplace or other demographic characteristics. Conclusion: Among this local census of PHC nurses, transcultural self-efficacy was highest in the cognitive domain and lowest in the affective domain. Education and work-experience groups differed, although the work-experience pattern was non-linear. Findings should be interpreted as local, exploratory group differences rather than causal or nationally representative effects.
Keywords:
HIV/AIDS Care, Indonesia, Primary Health Care, Self-Efficacy, Transcultural NursingDownloads
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