Exploring Ethical, Cultural, and Transnational Competence Among International Healthcare Management Students: An Australian Perspective.

IF 3.4 Q1 HEALTH POLICY & SERVICES
Journal of Healthcare Leadership Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI:10.2147/JHL.S506361
Matylda Howard, Kuan Liung Tan, Rasika Jayasekara
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引用次数: 0

Abstract

Introduction: Healthcare leaders face complex ethical challenges that can impact patient care and organizational integrity. For international healthcare management students pursuing leadership roles in Australia, these challenges are heightened by ethical, cultural, and transnational differences. This exploratory study examined the challenges faced by these students to establish foundational understanding of the competencies needed for effective ethical decision-making, cultural integration, and transnational readiness in diverse healthcare environments.

Methods: Using a composite theoretical framework incorporating Cultural Relativism, Ethical Climate Theory, Institutional Theory, and Transnationalism, a 35-item instrument was adapted from three validated sources. A cross-sectional survey of 35 international postgraduate health services management students collected quantitative and qualitative data. Quantitative data were summarized using descriptive statistics, while thematic analysis, informed by the Gioia methodology, was applied to qualitative responses.

Results: Key ethical challenges identified included healthcare inequity, resource allocation, and patient safety. Effective leadership practices emphasized fostering supportive work environments and promoting diversity. Participants demonstrated strong cultural competence, particularly in cultural awareness and cross-cultural communication, but highlighted the need for enhanced preparation in ethical decision-making and navigating transnational healthcare systems.

Conclusion: The findings underscore the importance of transnational training programs that integrate cultural orientation, healthcare-specific language support, and ethical decision-making simulations. The Ethical, Cultural, and Transnational framework developed in this study provides a practical guide for embedding these competencies into leadership curricula, equipping international students to navigate the complexities of globalized healthcare systems effectively.

探索国际医疗保健管理学生的伦理、文化和跨国能力:澳大利亚视角。
简介:医疗保健领导者面临复杂的道德挑战,这些挑战可能影响患者护理和组织完整性。对于在澳大利亚追求领导角色的国际医疗保健管理学生来说,这些挑战因伦理、文化和跨国差异而加剧。这项探索性研究考察了这些学生所面临的挑战,以建立对有效的道德决策、文化整合和跨国准备在不同医疗保健环境中所需的能力的基本理解。方法:采用文化相对主义、伦理气候理论、制度理论和跨国主义的复合理论框架,从三个经过验证的来源改编了一个35项的工具。对35名国际卫生服务管理研究生进行横断面调查,收集定量和定性数据。定量数据采用描述性统计进行总结,而根据焦亚方法进行的专题分析则用于定性答复。结果:确定的主要伦理挑战包括医疗保健不公平、资源分配和患者安全。有效的领导实践强调培育支持性的工作环境和促进多样性。与会者表现出很强的文化能力,特别是在文化意识和跨文化交流方面,但强调需要加强在伦理决策和跨国医疗保健系统导航方面的准备。结论:研究结果强调了跨国培训项目整合文化导向、医疗保健特定语言支持和伦理决策模拟的重要性。本研究开发的伦理、文化和跨国框架为将这些能力嵌入领导力课程提供了实用指南,使国际学生能够有效地驾驭全球化医疗体系的复杂性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Healthcare Leadership
Journal of Healthcare Leadership HEALTH POLICY & SERVICES-
CiteScore
5.40
自引率
2.30%
发文量
27
审稿时长
16 weeks
期刊介绍: Efficient and successful modern healthcare depends on a growing group of professionals working together as an interdisciplinary team. However, many forces shape the delivery of healthcare; changes are being driven by the markets, transformations in concepts of health and wellbeing, technology and research and discovery. Dynamic leadership will guide these necessary transformations. The Journal of Healthcare Leadership is an international, peer-reviewed, open access journal focusing on leadership for the healthcare professions. The publication strives to amalgamate current and future healthcare professionals and managers by providing key insights into leadership progress and challenges to improve patient care. The journal aspires to inform key decision makers and those professionals with ambitions of leadership and management; it seeks to connect professionals who are engaged in similar endeavours and to provide wisdom from those working in other industries. Senior and trainee doctors, nurses and allied healthcare professionals, medical students, healthcare managers and allied leaders are invited to contribute to this publication
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