Educational Needs of European Intensive Care Nurses with Respect to Multicultural Care: A Mix-Method Study

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*

*Corresponding author for this work

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The aim of the study is the analysis of educational needs of European intensive care nurses (ICNs) with regard to multicultural care. A mixed-method multinational study was performed among 591 ICNs coming from 15 European countries. An online survey was utilised with three research tools: participants’ sociodemographic details, Healthcare Provider Cultural Competence Instrument, and a tool to assess the educational needs of ICU nurses with respect to multicultural care. The highest mean values in self-assessment of preparation of ICU nurses to provide multicultural nursing care and their educational needs in this regard were detected in the case of nurses coming from Southern Europe (M = 4.09; SD = 0.43). With higher age, nurses recorded higher educational needs in the scope of multicultural care (r = 0.138; p = 0.001). In addition, speaking other languages significantly correlated with higher educational needs related to care of patients coming from different cultures (Z = −4.346; p 0.001) as well as previous education on multicultural nursing care (Z = −2.530; p = 0.011). Experiences of difficult situations when caring for culturally diverse patients in ICU were classified into categories: ‘treatment procedures and general nursing care’, ‘family visiting’, ‘gender issues’, ‘communication challenges’, and ‘consequences of difficult experiences’. The educational needs of intensive care nurses in caring for culturally diverse patients are closely related to experiencing difficult situations when working with such patients and their families.
Original languageEnglish
Article number724
JournalInternational Journal of Environmental Research and Public Health
Issue number2
Publication statusPublished - 10 Jan 2022


  • ICU
  • critical care nurses
  • multicultural care
  • educational needs
  • Europe


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