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

doi:10.1016/j.iccn.2020.102892

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

Wellcome Wolfson Institute for Experimental Medicine

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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.

Original language	English
Article number	102892
Journal	Intensive and Critical Care Nursing
Volume	60
Early online date	11 Jun 2020
DOIs	https://doi.org/10.1016/j.iccn.2020.102892
Publication status	Published - Oct 2020

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The degree of European ICU nurses' cultural competency: an international cross-sectional survey
Copyright 2020 Elsevier Ltd. This manuscript is distributed under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Accepted author manuscript, 582 KBLicence: CC BY-NC-ND
European intensive care nurses' cultural competency: An international cross-sectional survey
Copyright 2020 Elsevier. This manuscript is distributed under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Accepted author manuscript, 582 KBLicence: Unspecified

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Dobrowolska, B., Gutysz-Wojnicka, A., Ozga, D., Barkestad, E., Benbenishty, J., Breznik, K., Filej, B., Jarosova, D., Kaučič, B. M., Nytra, I., Smrke, B., Zelenikova, R., & Blackwood, B. (2020). European intensive care nurses' cultural competency: An international cross-sectional survey. Intensive and Critical Care Nursing, 60, [102892]. https://doi.org/10.1016/j.iccn.2020.102892

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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.",

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Dobrowolska, B, Gutysz-Wojnicka, A, Ozga, D, Barkestad, E, Benbenishty, J, Breznik, K, Filej, B, Jarosova, D, Kaučič, BM, Nytra, I, Smrke, B, Zelenikova, R & Blackwood, B 2020, 'European intensive care nurses' cultural competency: An international cross-sectional survey', Intensive and Critical Care Nursing, vol. 60, 102892. https://doi.org/10.1016/j.iccn.2020.102892

TY - JOUR

T1 - European intensive care nurses' cultural competency: An international cross-sectional survey

AU - Dobrowolska, Beata

AU - Gutysz-Wojnicka, Aleksandra

AU - Ozga, Dorota

AU - Barkestad, Eva

AU - Benbenishty, Julie

AU - Breznik, Kristijan

AU - Filej, Bojana

AU - Jarosova, Darja

AU - Kaučič, Boris Miha

AU - Nytra, Ivana

AU - Smrke, Barbara

AU - Zelenikova, Renata

AU - Blackwood, Bronagh

PY - 2020/10

Y1 - 2020/10

N2 - 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.

AB - 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.

U2 - 10.1016/j.iccn.2020.102892

DO - 10.1016/j.iccn.2020.102892

M3 - Article

C2 - 32536518

VL - 60

JO - Intensive and Critical Care Nursing

JF - Intensive and Critical Care Nursing

SN - 0964-3397

M1 - 102892

ER -

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

Abstract

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