Cultural sensitivity in paediatric nursing care: a concept analysis using the Hybrid method

Abstract

Background Cultural sensitivity is a core concept to establish awareness and knowledge about various ethnicities, cultures, genders and additional diversity characteristics to understand individual's requests and respond appropriately to them. A need for further development of the concept is warranted, especially in the context of paediatric nursing. Aims The purpose of this paper was to determine the main elements of cultural sensitivity in the context of paediatric nursing in Iran. Methods The Hybrid method was implemented consisting of three phases: theoretical, fieldwork and final analysis. In the theoretical phase, articles from 2007 to 2017 were reviewed for relevance. In the phase of fieldwork, 25 nurses and nine parents were interviewed to explore the aspects of cultural sensitivity in paediatric nursing. The interviews were transcribed, and content analysis was conducted. In the final phase, an overall analysis of the two previous phases was performed. Results In the theoretical phase, the following attributes were determined: cultural encounter and awareness, acceptance of cultural diversity and designing programmes in accordance with family culture. The fieldwork phase explored three themes of intercultural encounters, intercultural communication and adapting the care plan with family culture. The final synthesis yielded that sensitivity to family requests and beliefs, effective intercultural communication and integration of family culture with the care plan are the main elements of cultural sensitivity in Iranian paediatric nursing. Conclusion With a deeper understanding of the term cultural sensitivity, nurses will have a foundation to improve paediatric nursing care and align the care plan with the patient's culture to provide trust, child/parent participation, secure care, effective communication and satisfaction. Since the concepts are the building blocks that underpin theory, the present concepts identified can help to serve as the foundation for the development of a theoretical model.

Competing Tensions

“…Culturally sensitive care is multifaceted and unique to each person's cultural identity, and in neonatal care settings, this might include being sensitive and adaptive to cultural differences, customs, traditions, and even dietary needs. 14 But being able to provide for parents' cultural needs requires health professionals to have an awareness of their own cultural beliefs, values, and attitudes first. [25][26][27] Of note, research conducted in Saudi Arabia, where the neonatal nursing workforce was culturally diverse, demonstrated that knowledge deficits in relation to parents' cultural needs can be overcome by prioritizing respect for others, an openness to cultural diversity and difference.…”

“…3 The provision of culturally sensitive care is impeded when nurses have limited understanding of parental cultural needs. 14 Two studies demonstrate deficits in nursing knowledge in relation to cultural competence. A US survey of obstetric and neonatal nurses reported moderately high levels of cultural competence; however, scores for culturally competent behaviors were moderate, suggesting room for improvement in the provision of culturally sensitive care.…”

Cultural alienation: A concept analysis

“…A combination of key terms cultural and alienation was imputed to get a current consensus regarding the concept. Previous concept analyses on cultural competence, cultural sensitivity, and cultural humility 14–16 have been published; however, none have explored the concept of cultural alienation explicitly. Inclusion criteria were full text, peer‐reviewed, English language, and published within 5 years.…”

Kultūrinė Kompetencija Teikiant Pacientams Slaugos Paslaugas

“…Kultūrinio jautrumo bruožai yra žinios, dėmesys, supratimas, pagarba ir intervencijų optimizavimas, atsižvelgiant į pacientų kultūrinius poreikius. Kultūrinis jautrumas padeda slaugytojams suprasti, kaip pacientų požiūris ir pažiūros veikia jų elgesį Aghajari ir kt., 2019, Iranas [21] Tai sąvoka, apibrėžianti žmonių priėmimo tokių, kokie jie yra, savybę, su bendru požiūriu į nuolatinį tobulėjimą, leidžianti žmogui atskirti ir priimti skirtingas kultūras Perng, Watson, 2012, Taivanas [14] Tai slaugytojų supratimas apie kliento įsitikinimus, jo kultūros vertinimas ir pagarba jos įtakai kliento elgesiui…”