Beata Dobrowolska1, Aleksandra Gutysz-Wojnicka2, Dorota Ozga3, Eva Barkestad4, Julie Benbenishty5, Kristijan Breznik6, Bojana Filej7, Darja Jarosova8, Boris Miha Kaučič9, Ivana Nytra10, Barbara Smrke11, Renata Zelenikova12, Bronagh Blackwood13. 1. Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, Staszica 4-6 Street, 20-081 Lublin, Poland. Electronic address: beata.dobrowolska@umlub.pl. 2. Department of Nursing, Faculty of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Żołnierska 14c Street, 10-561 Olsztyn, Poland. Electronic address: olagut@go2.pl. 3. Department of Emergency Medicine, Faculty of Medicine, the University of Rzeszów, Pigonia 6 Street, 35-310 Rzeszów, Poland. Electronic address: gdozga@poczta.fm. 4. Department of Anaesthesia and Intensive Care Danderyd Hospital, 18882 Stockholm, Sweden. 5. Hadassah Hebrew University Medical Center, Jerusalem, Israel. Electronic address: julie@hadassah.org.il. 6. Vice-dean for Education and Research, International School for Social and Business Studies, Mariborska cesta 7, 3000 Celje, Slovenia. Electronic address: kristijan.breznik@mfdps.si. 7. College of Nursing in Celje, Celje, Mariborska cesta 7, 3000 Celje, Slovenia. 8. Vice-Dean for Foreign Affairs, Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Syllabova 19, 708 00 Ostrava, Czech Republic. Electronic address: darja.jarosova@osu.cz. 9. Vice-dean for Education, College of Nursing in Celje, Mariborska cesta 7, 3000 Celje, Slovenia. Electronic address: miha.kaucic@vzsce.si. 10. Department of Intensive Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, 708 00 Ostrava, Czech Republic. Electronic address: Ivana.nytra@osu.cz. 11. College of Nursing in Celje, Mariborska cesta 7, 3000 Celje, Slovenia. 12. Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Syllabova 19, 708 00 Ostrava, Czech Republic. Electronic address: renata.zelenikova@osu.cz. 13. Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, Northern Ireland, UK. Electronic address: b.blackwood@qub.ac.uk.
Abstract
OBJECTIVES: To determine the level of cultural competence of European critical care nurses. DESIGN: A multi-country survey performed in 2017 as a part of the European project Multicultural Care in European Intensive Care Units. METHOD: Online survey of critical care nurses in 15 European countries (n = 591) using the Healthcare Provider Cultural Competence Instrument consisting of 49 items divided into five subscales: awareness and sensitivity, behaviour, patient-centred orientation, practice orientation and self-assessment. Descriptive and correlational analyses were performed. RESULTS: Critical care nurses scored highest for 'awareness and sensitivity' (M = 5.09, SD = 0.76), and lowest for 'patient-centred communication' (M = 3.26, SD = 0.94). Nurses from northern and southern Europe scored higher across all subsets of the cultural competence instrument (all subsets, p < 0.001) than nurses from central Europe. Speaking other languages significantly correlated with higher scores in all subscales (all > 0.05) except 'practice orientation'. Previous education on multicultural nursing significantly correlated with higher scores in all subscales (all > 0.01) except patient-centred communication; and visits to other countries was negatively correlated with all subscales (all, p > 0.001) except patient-centred communication. CONCLUSION: Being exposed to cultural diversity in different ways, like living in a multicultural country, speaking a second language and visiting other countries may influence development of cultural competence. Therefore, programmes which facilitate multicultural clinical practice are strongly recommended in nursing education.
OBJECTIVES: To determine the level of cultural competence of European critical care nurses. DESIGN: A multi-country survey performed in 2017 as a part of the European project Multicultural Care in European Intensive Care Units. METHOD: Online survey of critical care nurses in 15 European countries (n = 591) using the Healthcare Provider Cultural Competence Instrument consisting of 49 items divided into five subscales: awareness and sensitivity, behaviour, patient-centred orientation, practice orientation and self-assessment. Descriptive and correlational analyses were performed. RESULTS: Critical care nurses scored highest for 'awareness and sensitivity' (M = 5.09, SD = 0.76), and lowest for 'patient-centred communication' (M = 3.26, SD = 0.94). Nurses from northern and southern Europe scored higher across all subsets of the cultural competence instrument (all subsets, p < 0.001) than nurses from central Europe. Speaking other languages significantly correlated with higher scores in all subscales (all > 0.05) except 'practice orientation'. Previous education on multicultural nursing significantly correlated with higher scores in all subscales (all > 0.01) except patient-centred communication; and visits to other countries was negatively correlated with all subscales (all, p > 0.001) except patient-centred communication. CONCLUSION: Being exposed to cultural diversity in different ways, like living in a multicultural country, speaking a second language and visiting other countries may influence development of cultural competence. Therefore, programmes which facilitate multicultural clinical practice are strongly recommended in nursing education.
Authors: Aleksandra Gutysz-Wojnicka; Dorota Ozga; Eva Barkestad; Julie Benbenishty; Bronagh Blackwood; Kristijan Breznik; Bojana Filej; Darja Jarošová; Boris Miha Kaučič; Ivana Nytra; Barbara Smrke; Renáta Zeleníková; Beata Dobrowolska Journal: Int J Environ Res Public Health Date: 2022-01-10 Impact factor: 3.390