Development of a self-directed workplace learning program to enhance cultural competence for the registered nurses from the international hospitals in Thailand

Oct 15, 2026

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Thailand’s rise as a medical hub in Asia has increased the number of foreign patients, placing registered nurses at the center of culturally responsive care. This research develops and evaluates a self-directed workplace learning program to promote cultural competence among registered nurses in international hospitals. Using a Research and Development approach in two phases, it first creates the program framework and materials, then tests its impact. Results show improved cultural competence in attitudes, knowledge, and skills after the program trial.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Introduction

Conceptual Framework of the Study

Methodology

Research Finding

Research Discussion

Research Suggestion

References

Asian Journal of Education and Training Vol. 9, No. 4, 98-107, 2023 ISSN(E) 2519-5387 DOI: 10. 20448/edu. v9i4 .5077 © 2023 by the author; licensee Asian Online Journal Publishing Group Development of a self-directed workplace learning program to enhance cultural competence for the registered nurses from the international hospitals in Thailand Dech-siri Nopas Division of Lifelong Learning Promotionfor Social Development, Department of Vocational Education, Faculty of Education, Kasetsart University, Bangkok, Thailand. [Email:](Email: dechsiri.n@ku.th)[ ](Email: dechsiri.n@ku.th)[dechsiri.n@ku.th](Email: dechsiri.n@ku.th) Abstract Thailand is now a medical center in Asia. There has been an increase in the number of foreign patients receiving medical services in Thailand. The employees in the healthcare industry, like the registered nurse, are the center of the relationship with that service. The vital learning promotion course for these registered nurses dealing with patients of various nationalities is cultural competence promotion. With the nature of the learning style of the registered nurse, they need more flexibility and respond to their learning nature. Ultimately, the enhancement of cultural competency learning still needs to be achieved. Therefore, this research study aimed to 1) develop a self-directed learning program in the workplace to promote cultural competence for registered nurses in international hospitals and 2) study the effect of implementing a self-directed workplace learning program to promote cultural competency. The researcher adopted a Research and Development methodology divided into two phases. The first phase is to develop a self-directed workplace learning program to enhance cultural competency. The second phase is to study the effect of implementing a self-directed learning program. The findings revealed that: 1) a draft of a self directed workplace learning program to enhance cultural competence consisting of concepts and principles, the primary goal of the program, the guideline for promoting cultural competence learning based on the idea of self-directed workplace learning, the learning program, the learning facilitators of the program, the learning spaces are locations or areas within an organization, the international hospital's networks and the learning resources include information sources from diverse places. Plus, 2) registered nurses had better levels of cultural competency learning in attitudes, knowledge, and skills than before participating in the program trial and had improved scores in all areas. Keywords: Andragogy, Cultural competence, Non-formal education, Registered nurse, Self-directed workplace learning program, Training. Citation | Nopas, D.- siri (2023). Development of a self-directed workplace learning program to enhance cultural competence for the registered nurses from the international hospitals in Thailand. Asian Journal of Education and Training, 9(4), 98–107. 10.20448/edu.v9i4.5077 History: Received: 2 August 2023 Revised: 28 September 2023 Accepted: 10 October 2023 Published: 20 October 2023 Licensed: This work is licensed under a Creative Commons Attribution 4.0 License Publisher: Asian Online Journal PublishingGroup Funding: This research is supported by Kasetsart University Research and Development Institute, Thailand (Grant number: YF(KU)27.65). Institutional Review Board Statement: The Ethical Committee of the Kasetsart University Research Ethics Committee, Thailand has granted approval for this study on 29 May 2023 (Ref. No. COE66/062). Transparency: The author confirms that the manuscript is an honest, accurate, and transparent account of the study; that no vital features of the study have been omitted; and that any discrepancies from the study as planned have been explained. This study followed all ethical practices during writing. Competing Interests: The author declares that

FAQs

What problem does the study address for registered nurses in Thailand?

The study targets the need for registered nurses to strengthen cultural competence as Thailand serves increasing numbers of foreign patients.

What did the researchers develop and how was it implemented?

They developed a self-directed workplace learning program based on concepts and principles of self-directed workplace learning, including learning facilitators, spaces, networks, and diverse learning resources.

What effect did the program have on nurses’ cultural competence?

After participating in the trial, registered nurses showed better cultural competence levels in attitudes, knowledge, and skills, with improved scores across all areas.

Oct 15, 2026

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