European intensive care nurses' cultural competency: An international cross-sectional survey.

Autor: Dobrowolska B; 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., Gutysz-Wojnicka A; 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., Ozga D; Department of Emergency Medicine, Faculty of Medicine, the University of Rzeszów, Pigonia 6 Street, 35-310 Rzeszów, Poland. Electronic address: gdozga@poczta.fm., Barkestad E; Department of Anaesthesia and Intensive Care Danderyd Hospital, 18882 Stockholm, Sweden., Benbenishty J; Hadassah Hebrew University Medical Center, Jerusalem, Israel. Electronic address: julie@hadassah.org.il., Breznik K; 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., Filej B; College of Nursing in Celje, Celje, Mariborska cesta 7, 3000 Celje, Slovenia., Jarosova D; 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., Kaučič BM; Vice-dean for Education, College of Nursing in Celje, Mariborska cesta 7, 3000 Celje, Slovenia. Electronic address: miha.kaucic@vzsce.si., Nytra I; 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., Smrke B; College of Nursing in Celje, Mariborska cesta 7, 3000 Celje, Slovenia., Zelenikova R; Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Syllabova 19, 708 00 Ostrava, Czech Republic. Electronic address: renata.zelenikova@osu.cz., Blackwood B; Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, Northern Ireland, UK. Electronic address: b.blackwood@qub.ac.uk.
Jazyk: angličtina
Zdroj: Intensive & critical care nursing [Intensive Crit Care Nurs] 2020 Oct; Vol. 60, pp. 102892. Date of Electronic Publication: 2020 Jun 12.
DOI: 10.1016/j.iccn.2020.102892
Abstrakt: 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.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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