World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing

Friganović, Adriano; Bloomer, Melissa; Northam, Holly; Kalauz, Sonja; Zellinger, Mary; Lopez, Violeta; Fulbrook, Paul

doi:10.1891/1748-6254.10.3.80

Cited by 5 publications

(10 citation statements)

References 6 publications

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“…In 2016, the World Federation of Critical Care Nurses released a position statement on Culturally Sensitive Critical Care Nursing, which provides guidelines for the provision of culturally sensitive nursing care . The central principles include that patients and their families have the right to receive culturally sensitive care and to have their individual cultural differences acknowledged and encouraged . The World Health Organization similarly acknowledge s that spiritual care, which is often complex and multidimensional, is integral to good end‐of‐life care .…”

Section: Introductionmentioning

confidence: 99%

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Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

Mutair

Ammary

Brooks

et al. 2019

Nursing in Critical Care

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Background: The death of a child is regarded as one of the most devastating events for a family. Families are reliant on nurses to not only provide end-of-life care but also to support and care for grieving families in a way that is sensitive to their cultural and religious needs and preferences.Aims: The aim of this study was to explore the perceived impact and influence of cultural diversity on how neonatal and paediatric intensive care nurses care for Muslim families before and after the death of infants/children.Design: A qualitative descriptive approach was used in this study, conducted in Saudi Arabia.Methods: Semi-structured interviews were used to gather data from a convenience sample of registered nurses working in neonatal and paediatric intensive care, with experience in providing end-of-life care. Interviews were conducted between July and November, 2018. Interviews were audio-recorded and transcribed for analysis. Results: Thirteen registered nurses participated; all were born overseas, identified with various faiths and spoke English in the workplace. A respect for diversity and care of the family was prioritized yet impacted by communication challenges. Caring and respect was demonstrated by facilitating important cultural and religious practices important in the Muslim faith. Self-care was identified as important, transcending the culturally diverse nature of the nursing workforce.Conclusions: Significant challenges exist for a culturally diverse nursing workforce in providing care to a Saudi Muslim population of infants/children and families, before and after a death. Their overriding commitment to respect for others, and an openness to cultural diversity and difference, aided in overcoming the inherent challenges in providing culturally sensitive end-of-life care that meets the needs of Muslim families. These findings provide valuable insights for intensive care clinicians in other countries to address challenges associated with cultural diversity. K E Y W O R D S bereavement, cultural diversity and family needs in intensive care unit, end-of-life care, neonatal intensive care, paediatric intensive care

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Section: Introductionmentioning

confidence: 99%

“…The World Health Organization similarly acknowledge s that spiritual care, which is often complex and multidimensional, is integral to good end‐of‐life care . Hence, clinicians are encouraged to consider how a person's culture, which can include their religion, values, beliefs and traditions, may impact their care needs …”

Section: Introductionmentioning

confidence: 99%

Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

Mutair

Ammary

Brooks

et al. 2019

Nursing in Critical Care

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“…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. 28 Given that the risk of health disparities is greater for minority racial groups, 15,27 these findings suggest there is much work to do to improve culturally sensitive care as part of neonatal care.…”

Section: Discussionmentioning

confidence: 99%

“…26,27 Neonatal nurses must also acknowledge that it is their duty to seek out such information, educate themselves, and apply this knowledge with respect and compassion. 26 However, this is only possible when there is strong leadership and organizational support, underpinned by policy, resources, and an organizational commitment to professional development. 36 Person-centered care, cultural competence, and cultural sensitivity must also be embedded within undergraduate and postgraduate curricula framework.…”

Section: Discussionmentioning

confidence: 99%

Competing Tensions

Carew,

Redley,

Bloomer

2024

Advances in Neonatal Care

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Background: Family-centered care is founded upon collaboration between parents and healthcare professionals, caring for a child and parents as one entity. The unfamiliar neonatal environment and complexity of care can make family-centered care challenging. Purpose: To explore neonatal nurses' perceptions of family-centered care and parents' cultural needs. Methods: This was a qualitative descriptive study using interviews to gather data from registered nurses, and analyzed using inductive content analysis. Results: Ten neonatal nurses participated in online interviews, lasting an average of 25 minutes. Parents' cultural needs were poorly understood and assumed synonymous with family-centered care. While all acknowledged the importance of family-centered care, most described tasks to parent–infant bonding, rather than a broader embodiment of family-centered care. In time of uncertainty, emergent clinical priorities took priority over a family-centered approach to care. Cultural care was poorly understood, and care tasks associated with supporting parent–infant bonding suggest further work is necessary to promote embodiment of family-centered care beyond individual tasks. While emergent clinical priorities and neonate well-being will always be the priority, finding a way to respond that concords with the ethos of family-centered care is also essential. Implications for Practice and Research: Clear and consistent leadership is needed to demonstrate greater embodiment of family-centered care, which includes cultural care for parents. Strong leadership and targeted education are key to supporting this change. Further research is warranted to examine and observe practice, in particular how parents' cultural needs are assessed and integrated into family-centered care in neonatal settings.

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“…Cultural sensitivity is, therefore, the extent to which ethnic or cultural characteristics, experiences, norms, values, behavioural patterns and beliefs of the target population as well as relevant historical, environmental, and social forces are incorporated into the design, delivery, and evaluation of targeted health programs [ 44 ]. In 2016, the World Federation of Critical Care Nurses made a declaration about culturally sensitive practice [ 45 ]. Its recommendations, whilst directed at critical care nurses, are applicable to many settings.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of programs to promote cardiovascular health of Indigenous Australians: a systematic review

Mbuzi

Fulbrook

Jessup

2018

Int J Equity Health

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BackgroundIndigenous Australians carry a greater burden of cardiovascular disease than other Australians. A variety of programs has been implemented with the broad aim of improving Indigenous cardiovascular health, however, relatively few have been evaluated rigorously. In terms of effectiveness, understanding how to best manage cardiovascular disease among this population is an important priority. The review aimed to examine the evidence relating to the effectiveness of cardiovascular programs for Indigenous Australians.MethodsPubMed, CINAHL, PsycINFO, Scopus and Web of Science databases were systematically searched for relevant studies, limited to those published in English between 2008 and 2017. All studies that used experimental designs and reported interventions or programs explicitly aimed at improving Indigenous cardiovascular health were considered for inclusion. Methodological quality of included studies was appraised using design-specific Joanna Briggs Institute critical appraisal checklists. Data were extracted using the Joanna Briggs Institute data extraction form and synthesised narratively.ResultsEight studies met the inclusion criteria and were assessed to be of varying methodological quality. Common features of effectiveness of programs were integration of programs within existing services, provision of culturally appropriate delivery models with a central role for Indigenous health workers, and provision of support processes for communities such as transportation. It was noted however, that the programs modelled the interventions based on mainstream views and lacked strategies that integrated traditional knowledge and delivery of health care.ConclusionsVery few cardiovascular healthcare programs designed specifically for Indigenous Australians, which had undergone rigorous study, were identified. Whilst the majority of included articles were assessed to be of satisfactory methodological quality, the nature of interventions was diverse, and they were implemented in a variety of healthcare settings. The limited evidence available demonstrated that interventions targeted at Indigenous cardiovascular health and related risk factors can be effective. The results indicate that there are opportunities to improve cardiovascular health of Indigenous people at all stages of the disease continuum. There is a need for further research into evidence-based interventions that are sensitive to Indigenous culture and needs.Trial registrationRegistered with PROSPERO International: CRD2016046688.

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World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing

Cited by 5 publications

References 6 publications

Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

Supporting Muslim families before and after a death in neonatal and paediatric intensive care units

Competing Tensions

Effectiveness of programs to promote cardiovascular health of Indigenous Australians: a systematic review

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