Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Abstract

Background: Cultural competence comprises understanding the values, beliefs, traditions, and customs of diverse groups. Nurses working with a culturally diverse population are fronting challenges principally due to the coexistence of multicultural and multiethnic societies. Objective: To assess cultural competency nursing care and its associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia, 2021. Methods: Institution-based mixed method study design was conducted at selected referral hospitals in Amhara Regional state Ethiopia from April 1 to May 30, 2021. A simple random sampling technique was used to select 543 participants for quantitative and purposive sampling for qualitative study. Data were collected using a self-administered Nurse Cultural Competence Scale Questionnaire, and semi-structured questions for in-depth interviews. Data were entered into Epi data version 4.6 and exported to SPSS version 25 analysis. Descriptive statistics independent t-test and one-way analysis of variance with multiple linear regression analysis were used for data analysis. Qualitative data were analyzed using thematic analysis using open code software. Results: A total of 543 participants were involved in this study making a response rate of 95.02% and seven participants for qualitative until data saturation was involved. More than half (54.5%) were female. The overall cultural competence nursing care of mean score was 3.39 (0.61) out of a total possible score ranging from 1 to 5 which indicates a moderate level of cultural competency. The language barriers, lack of organizational support, cultural difference, and health care provider-related factors were the main identified themes in qualitative results. Conclusion and Recommendation:The overall cultural competence was at a moderate level, among four subscales cultural sensitivity was the highest. The language barrier and lack of training were the major barriers to culturally competent nursing care.

Nurses Cultural Competence in Southwest Ethiopia: A Cross-Sectional Study

“…The finding was lower when compared to a study conducted in South Korea 26 and Ethiopia 27 among nurses with a total mean of 3.07 and 3.39 respectively. The average cultural competence score among the Korean nurses was 36.84 (SD = 3.61), with an item mean of 3.07 (SD = 0.30).…”

Cultural Competence and Associated Factors Among Nurses Working in Public Hospitals of South Wollo Zone, Northeast Ethiopia: A multi-center Cross-sectional study

“…The sample size was determined using a formula for a single population mean, considering the following assumptions: a con dence level of 95% and a margin of error(d) was nearly 0.05 based on the calculation of the previous study [14] , the standard deviation ((σ = 0.61), n=543, SE= σ/ √n, 0.61/ √543=0.026177606 and σ 2 =variance of the mean). Therefore, calculated margin of error (d) → zα/2*SE= which is 0.026177606 *1.96=0.0513 ≈0.05.…”

“…However, despite these efforts, the implementation of cultural competence in nursing practice remains limited and calls for further action [18] . Despite the imperative for healthcare providers to be culturally competent in a multicultural society, there remains a scarcity of studies on the cultural competence of nurses in Ethiopia [13][14][15][16] , particularly with no documented research in the study area. Moreover, in contrast to previous studies, the current study spans across multiple hospitals and encompasses a wide geographical area, facilitating a more comprehensive inference.…”

Perspectives of culturally and linguistically diverse (CALD) community members regarding mental health services: A qualitative analysis

“…Nevertheless, significant barriers exist to engaging with mental health services (Fauk et al, 2021; Fozdar & Salter, 2019; Khatri & Assefa, 2022; Todor, 2013; Yava et al, 2021). Third, experiences for the CALD community can be improved within health facilities and through the empowerment of health professionals (Aguiar et al, 2012; Berie et al, 2021; Cross & Singh, 2012; Minas et al, 2013; Wohler & Dantas, 2017). Person‐centred approaches, community‐based services, primary health care, prevention and early intervention are recommended to improve health care in CALD communities (Fozdar & Salter, 2019).…”