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

Beata Dobrowolska, Aleksandra Gutysz-Wojnicka, Dorota Ozga, Eva Barkestad, Julie Benbenishty, Kristijan Breznik, Bojana Filej, Darja Jarosova, Boris Miha Kaučič, Ivana Nytra, Barbara Smrke, Renata Zelenikova, Bronagh Blackwood

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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.

Original languageEnglish
Article number102892
JournalIntensive and Critical Care Nursing
Early online date11 Jun 2020
Publication statusPublished - Oct 2020

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