Cultural Competence of North Carolina Nurses

Lampley, Tammy M.; Little, Kimberly E.; Beck-Little, Rebecca; Xu, Yu

doi:10.1177/1084822307311946

Cited by 18 publications

(7 citation statements)

References 16 publications

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“…Furthermore, the higher scores observed in older nurses (40+ years) in our study may reflect a greater number of years of work experience [ 20 ], as well as more participation in transcultural educational training [ 22 – 25 ] and more time caring for patients from diverse ethnicities. These factors have been found in numerous studies to predict and correlate with better cultural competence [ 26 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of the critical cultural competence of registered nurses in Canada

2017

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BackgroundCultural diversity often leads to misunderstandings, clashes, conflicts, ethnocentrism, discrimination, and stereotyping due to the frequent intersection of many variables, such as differences in traditions, behaviours, ethical and moral perspectives, conceptions of health and illness, and language barriers. The root of the issue is related to the way people conceptualise differences and the unique cultural and historical circumstances that have shaped different groups’ heritages. In this study, therefore, we aimed to investigate the perceptions of critical cultural competence (CCC) of registered nurses working in various hospitals across the province of British Columbia, Canada.MethodData were collected using Almutairi’s Critical Cultural Competence Scale (CCC Scale) with a random sample of 170 registered nurses. This scale measures four essential multidimensional components of the CCC model: critical awareness, critical knowledge, critical skills, and critical empowerment. Data were analysed using descriptive and inferential statistics (Kruskal-Wallis test).ResultsThe data revealed that participants’ perceptions of CCC were positive with a mean score of 5.22 out of 7.00 for the total number of items (n = 43) and a standard deviation of 0.54. The mean scores for the CCC subscales ranged from 4.76 (for critical skills) to 5.42 (for critical empowerment). The results indicated a statistical difference in CCC perceptions based on participants’ age and country of birth with p = 0.05 < 0.05 and 0.029 < 0.05, respectively.ConclusionNurses’ age (experience) and country of birth may influence their perceptions of CCC as gaining cultural competence requires exposure to caring for patients from various cultures and countries, and is associated with cultural knowledge and awareness. Therefore, this finding reveals that healthcare organizations must provide ongoing cultural education programs to increase their nursing staff’s level of cultural competence so they are better able to deal with the difficulties that might arise during cross-cultural interactions.

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Section: Discussionmentioning

confidence: 99%

Perceptions of the critical cultural competence of registered nurses in Canada

2017

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“…All of these experiences in the development of cultural competence have been reported to be effective in increasing cultural sensitivity and awareness of students. However, quantitative fi ndings have indicated baccalaureate students, although aware of their cultural differences, are not reaching levels of competence or profi ciency in giving culturally diverse care (Fitzgerald et al, 2010;Kardong-Edgren & Campinha-Bacote, 2008;Lampley et al, 2008;Reeves & Fogg, 2006;Sargent et al, 2005), suggesting that integrated cultural experience with greater cultural knowledge may not necessarily lead to more culturally competent care.…”

Section: Conclusion Limitations and Recommendationsmentioning

confidence: 99%

Attitudes of Prejudice as a Predictor of Cultural Competence Among Baccalaureate Nursing Students

Dunagan¹,

Kimble²,

Gunby³

et al. 2014

J Nurs Educ

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The purpose of this study was to explore the relationship between attitudes of prejudice and cultural competence among nursing students. Using a mixed-methods design, a convenience sample of students (N = 129) currently enrolled in a baccalaureate nursing program was recruited via Web networking. Data regarding attitudes of prejudice, cultural competence, prior cultural experience, and integration of cultural competence were obtained via a Web-based survey. Multiple linear regression was used to predict cultural knowledge, attitudes, and consciousness. Although all three regression models were statistically significant, the significant predictors varied within each model. Greater prejudice was a significant predictor of less culturally competent attitudes toward providing nursing care. Existing prejudice among nursing students needs to be addressed to help promote positive cultural attitudes and, ultimately, cultural competent nursing care.

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“…However, the opposite result was reported in the study of Schim et al (2006). Race/ethnicity was only significant when computed with cultural competence entirely (Almutairi et al, 2017;Lampley, Little, Beck-Little, & Xu, 2008). Thus, further studies are required to achieve generalization which is specific to CCB.…”

Section: Discussionmentioning

confidence: 88%

Behavior, Awareness and Sensitivity of Healthcare Providers in a Multicultural Environment

Abalos-Fabia

Khadrawi

Ellasus

2019

Nurs. Med. J. Nursing

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Background: The healthcare workforce of Saudi Arabia is characterized by diverse cultural backgrounds as a consequence of employment of expatriate workers from various countries. The heterogeneity of both providers of health services and clients resulted to cultural barriers that affected the delivery care. It is paramount to evaluate the cultural competence of the healthcare providers (HCPs) to maintain quality holistic care. Objective: The primary objective of this study was to assess the cultural diversity experience, cultural competence behavior (CCB) and cultural awareness and sensitivity (CAS) of HCPs in a hospital setting of Saudi Arabia. Methods: This was a cross-sectional study involving survey of HCPs from medical, nursing and laboratory technology disciplines using the Cultural Competence Assessment (CCA) tool. Results: There were a total of 104 HCPs who completed the survey. The characteristics of the respondents resulted to a mean age of 38.7 ±10.4 who were predominantly Asians and nurses. The majority had working experience of 10 years and below, with more than half who had prior diversity trainings. Reported cultural diversity experience included all HCPs caring for Arab Middle Easterners and Asians and encountering at least one or more special population groups. There was an overall high cultural competence (5.28 ±0.46), high CCB (5.84 ±0.56) but only moderately high CAS (4.72 ±0.35). Significant differences were only identified between CCB scores and three demographic variables (racial/ethnic identification, area of discipline and years of experience). No significant result was found between CAS scores and demographic variables as well as between CCB and CAS scores. Conclusions: In spite of high CCB, the HCPs responded with lower CAS scores. Interventions should be initiated to increase CAS such as cultural diversity training and availability of cultural care resources.

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Cultural Competence of North Carolina Nurses

Cited by 18 publications

References 16 publications

Perceptions of the critical cultural competence of registered nurses in Canada

Perceptions of the critical cultural competence of registered nurses in Canada

Attitudes of Prejudice as a Predictor of Cultural Competence Among Baccalaureate Nursing Students

Behavior, Awareness and Sensitivity of Healthcare Providers in a Multicultural Environment

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