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The independent variables, dependent variables, and demographic control variables underwent a Pearson coefficient correlation to examine their relationships. Table 4.1 displays the means, standard deviations, and correlation values of these variables. The results of the correlation analysis show that with the exception of gender and the prior cultural exposure sub-dimension of language study, all of the independent variables and control variables are significantly related to the respondents’ ICS scores.

48 Table 4.1

Correlation Results

Variable Mean SD 1 2 3 4 5 6 7 8 9 10

1 ICS Total Score 3.857 .590 -

2 Background

Settinga .686 .466 .236** -

3 Prior Cultural

Exposure 2.064 .605 .528*** .243** - 4 Cultural

Experiences 2.393 .837 .573*** .208* .912*** - 5 Cross Narrative

Experience 1.421 .717 .294** .108 .641*** .357*** -

6 Language Study 2.047 .649 .163 .251** .669*** .425*** .363*** -

7 Genderb .769 .423 .087 -.118 .026 .051 .040 -.082 -

8 Intended Work

Settingc .868 .340 .316*** .367*** .242** .213* .185* .154 -.098 -

9 Age 30.983 10.022 .336*** .149 .154 .263** -.040 -.059 .052 .031 -

10 Education 1.802 .737 .263** .132 .334*** .312*** .201* .217* -.041 .094 .330*** -

aCoding: 0 = rural, 1 = non-rural

bCoding: 0 = male, 1 = female

cCoding: 0 = rural, 1 = non-rural

* p < .05 **p < .01 ***p < .001

49

Hypothesis Testing

Hypotheses H1, H3, and H4 use categorical variables to measure the independent variables.

Because of this, these hypotheses were tested using a T-test to compare means between groups.

Hypotheses H2, H2-1, H2-2, and H2-3 use continuous variables and were tested through hierarchical regression by applying the following formula where the values b1, b2, and b3 are the partial regression coefficients and the intercept b0 is the regression constant.

( ) ( ) ( )

The main level hypothesis H2was tested separately from its sub-hypotheses. The results of the hypothesis testing for H2 and forH2-1, H2-2, and H2-3are displayed in tables 4.4 and 4.5 respectively.

This study sought to investigate the connection, if any, between a nursing student’s background setting and their ICS scores. Therefore to test for this relationship the following hypothesis was stated:

H1: Students from an urban or metropolitan background have higher levels of ICS than students from rural areas.

The T-test conducted for H1 compared non-rural and rural background settings means against ICS levels. There was a significant difference in the ICS means between non-rural (M=3.951, SD=0.534) and rural (M=3.651, SD=0.659) responses: t(119)=-2.655, p<.01. These results are displayed in Table 4.2 and show that students from non-rural background settings are indeed different in their ICS levels from students of rural background. Specifically, the results suggest that nursing students from urban and metropolitan areas have higher levels of ICS.

Therefore it is suggested that background setting does have some effect on ICS levels thereby supporting H1.

The next categorically based hypothesis of this study looks at the effects of gender on ICS scores. The following hypothesis was stated to test for this relationship:

50

H3: Female students have a higher ICS levels than their male counterparts.

The T-test for H3 compared gender means against ICS. There was not a significant difference in the ICS means between male (M= 3.763, SD= .654) and female (M= 3.884, SD= .570) responses: t(119)= -.954, p>.05. These results indicate that gender is not significant in predicting ICS scores. Table 4.2 displays the results of this t-test. This finding does not support the hypothesis that females will score higher in ICS scales than males.

The final T-test compared the means of the intended work setting variable to test relationship, if any, between a nursing student’s intended work setting and their ICS scores. To test this connection the following hypothesis was stated:

H4: Students intending to work in urban areas or large cities have higher levels of ICS than students seeking employment in rural areas.

There was a significant difference in the ICS means between non-rural (M= 3.929, SD=

0.526) and rural (M= 3.380, SD= .766) responses: t(119)= -2.770, p<.05. These results are displayed in Table 4.2. The results of this test indicate that the difference between students intending to work in non-rural areas over rural areas is significant. Simply put, students intending to work in urban and metropolitan areas will score higher on ICS scales thereby support H4.

51 Table 4.2.

T-test Results for Independent Variables' Effects on ICS

Variable Category Means t df p

The second hypothesis for this study uses a continuous variable to measure prior cultural exposure. This hypothesis was tested using the previously stated hierarchical regression formula.

In the first model education and age are controlled for and the independent variables are included in the second model. Because background setting, gender, and intended work setting are categorical variables they were coded with dummy variables to perform this test. Table 4.3 shows the regression results for prior cultural exposure. When predicting ICS scores it was found that prior cultural exposure (β = 0.424, p < .001) was a significant predictor. This indicates that students with prior cross cultural experience will score higher on ICS scales thus supporting H2. It should be noted that the regression results also indicate that intended work setting is a significant predictor of ICS scores (β = 0.202, p < .05) thus further supporting the t-test findings for H4.

52 Table 4.3.

Results of Hierarchical Regression Analysis on Predictors of ICS

Variable Standardized Coefficients

cIntended Work Setting 0.202*

F 9.517*** 12.212***

This study also sought to test new scales for assessing prior cultural exposure and to test them on a dimensional level for predictive qualities against ICS scores. Hypotheses H2-1, H2-2, and H2-3 represent these scales. Table 4.4 presents the results for these hypotheses. As expected the results show that there is a very strong and significant relationship between cultural immersion experience and ICS scores (β=0.461, p<.001). Cross-narrative experience and language study did not show strong predictive relationships with ICS scores: (β=0.127, p>.05) and (β=-.114, p>.05) respectively. It should be noted that in table 4.2 cross narrative experience is correlated with ICS scores with a high significance score (r=.294, p<.01). This correlation was

53

explored further by testing cross narrative experience as a moderator but the results were not significant.

Table 4.4.

Results of Hierarchical Regression Analysis on Prior Exposure Dimensional Level Predictors of ICS

Variable Standardized Coefficients

Model 1 Model 2

Education 0.171 0.035

Age 0.280** 0.183**

aBackground Setting 0.063

Prior Exposure - Immersion Experience 0.461***

Prior Exposure - Narrative Experience 0.127

Prior Exposure - Language Study -0.114

bGender 0.067

cIntended Work Setting 0.187**

F 9.517*** 10.712***

∆F 9.517*** 9.706***

R2 0.139 0.433

∆R2 0.139 0.294

Adjusted R2 0.1242 0.393

aCoding: 0 = rural, 1 = non-rural

bCoding: 0 = male, 1 = female

cCoding: 0 = rural, 1 = non-rural

*p < .05

**p < .01

***p < .001

54

This study involved seven hypotheses. The results of the hypotheses testing show that four hypotheses were supported by the findings. Table 4.5 shows the results of the hypothesis testing.

Table 4.5.

Results of Hypotheses Testing

Hypothesis Results

H1: Students from an urban or metropolitan background have higher levels

of ICS than students from rural areas. Accepted

H2: Prior cultural exposure has a positive influence on students’ levels of

ICS. Accepted

H2-1: Cultural immersion experience has a positive influence on

students’ levels of ICS. Accepted

H2-2: Cross-narrative experience has a positive influence on students’

levels of ICS. Rejected

H2-3: Language study has a positive influence on students’ levels of ICS. Rejected

H3: Female students have a higher ICS levels than their male counterparts. Rejected H4: Students intending to work in urban areas or large cities have

higher levels of ICS than students seeking employment in rural areas.

Accepted

Post Hoc Analysis of New ICS Dimensions

The published ICS scale used in this study did not retain its original factor structure but instead reduced to three dimensions. Because of this structure change a post hoc analysis was conducted on the new ICS dimensions and the independent variables to explore their relationships. Table 4.6 shows the results of the independent t-tests for the dichotomized independent variables and the new ICS dimensions.

55 Table 4.6.

T-test Results for Independent Variables' Effects on New ICS Dimensions

Respect for Cultural Differences

Note. Standard Deviations appear in parentheses next to the means (continued)

56

Note. Standard Deviations appear in parentheses next to the means

The results of Table 4.6 do not reveal any significant or unexpected relationships between the dichotomized independent variables and the new ICS dimensions. The results showed that students from non-rural backgrounds would have higher scores across all dimensions than students from rural backgrounds. Likewise, students intending to work in non-rural areas also had higher scores in all dimensions than their counterparts. Gender did not show any significant effects on scores for any dimension.

Just as was done for the hypothesis test, hierarchical regression was used to explore the relationship between the continuous variable of prior cultural exposure and the new ICS dimensions. Table 4.7 displays the results of the regression. The strongest predictor for all of the new ICS dimensions was prior exposure. Prior exposure showed to have the strongest effect on scores within the interaction presence dimension (β=.424, p<.001). It should be noted that intended work setting also showed some predictive power in this dimension as well (β=.251, p<.01). No other significant or unexpected relationships arose from the regression results.

57 Table 4.7.

Results of Hierarchical Regression Analysis on Predictors of ICS

Variable

Respect for Cultural Differences

Interaction Surety Interaction Presence

Model 1 Model 2 Model 1 Model 2 Model 1 Model 2

Education 0.113 -0.005 .258** .116 .135 .024*

Age .228* .191* .256** .236** .290** .266**

aBackground Setting 0.05 .006 .016

bPrior Exposure .352*** .398*** .424***

cGender .190* -.013 .015

Intended Work Setting 0.149 .152 .251**

F 5.269** 7.525*** 12.560*** 10.966*** 8.661*** 12.685***

∆F 5.269** 8.025*** 12.560*** 8.560*** 8.661*** 12.944***

R2 0.082 0.284 .176 .366 .128 .400

∆R2 0.082 0.202 .176 .190 .128 .272

Adjusted R2 0.066 0.246 .162 .333 .113 .369

aCoding: 0 = rural, 1 = non-rural

bCoding: 0 = Male, 1 = Female

cCoding: 0 = rural, 1 = non-rural

*p < .05

**p < .01

***p < .001

58

59

CHAPTER V DISCUSSION AND CONCLUSIONS

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