Registered nurses' cultural orientation competence for culturally and linguistically diverse nurses in the hospital setting: A cross-sectional study

AIMS

To explore registered nurses' cultural orientation competence profiles for providing culturally and linguistically diverse (CALD) nurses with orientation in the hospital setting, and to identify which factors are associated with cultural orientation competence profiles.

DESIGN

A descriptive, explorative cross-sectional study.

METHODS

Data were collected from December 2020 to January 2021 using the Preceptors' Orientation Competence Instrument (POCI) and Preceptors' Cultural Orientation Competence Instrument (POCCI). A total of 844 registered nurses from one university hospital district in Finland participated, reflecting a response rate of 10%. A K-means cluster algorithm was employed to identify different cultural orientation competence profiles.

RESULTS

The cluster analysis identified three cultural orientation competence profiles (A, B and C). Nurses in Profile A evaluated their cultural orientation competence the highest, with members of profiles B and C demonstrating the second highest and lowest, respectively, cultural orientation competence scores. Several factors were associated with cultural orientation competence profiles, namely, orientation education and student mentoring education, support from managers and colleagues, motivation, willingness to act as a preceptor, time to provide orientation, sufficient clinical and theoretical nursing skills and current work title.

CONCLUSION

Cultural diversity and acceptance of it can be enhanced by building accepting culture towards new incomers and offering continuing education to improve the cultural competence of staff, which can further benefit patient care of CALD patients. Orientation practices can be improved by rewarding staff and building collaborative teamwork culture.

IMPLICATIONS FOR PROFESSION AND/OR PATIENT CARE

Organizations can strengthen nurses' cultural orientation competence; for example, by providing adequate orientation education and allocating more time to the orientation process.

REPORTING METHOD

The STROBE criteria were used to report the results of the observations critically.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

Need for closure and ethnic identification: The varied roles of cultural intelligence in a multiethnic group society

Multiethnic group countries are distinctive in that ethnic identification/loyalty and national identification/loyalty sometimes contend. In addition, the different ethnic groups that make up these countries though interdependent compete for relevance. Such a mode of social relationship creates uncertainty and heightens the consciousness of group survival. These characteristics make African countries rich sites for the investigation of intergroup relations. Given this context, the need for closure and cultural intelligence were examined in relation to ethnic identification. Data were collected via the use of questionnaires from a sample of undergraduate students drawn from different ethnic groups. Findings show that the need for closure and cultural intelligence are directly related to ethnic identification. Also, cultural intelligence was a significant moderator of the relationship between need for closure and ethnic identification. Findings suggest that cultural intelligence may encourage an open-mindedness which could help promote successful social interactions in multigroup countries. In addition, the results of this study support theoretical and empirical positions that have advanced group interdependence as a potent tool for intergroup cooperation.

Cultural Competence of Mental Health Nurses in Israel

Israel's diverse culture presents challenges to the nation's health care system; lack of culturally appropriate care adversely affects overall quality of care. Therefore, cultural competence needs strengthening, especially among mental health nurses, for whom communication is the essence of treatment. The current study aimed to examine and evaluate the degree of cultural competence of mental health nurses in Israel. We sought to determine whether demographic variables, such as age, sex, and other characteristics, have effects on cultural competence. This study used a structured self-report questionnaire to survey 107 Israeli mental health nurses about their perceptions of their own cultural competence. Most participants attributed great importance to sociocultural aspects of patient care (mean score = 4, SD = 0.628) and were knowledgeable, but a majority (mean score = 3, SD = 0.83) reported difficulties implementing their knowledge during treatment. Cultural knowledge and awareness correlated with personal characteristics, such as sex and country of origin. There were gaps between cultural knowledge and the ability to apply existing knowledge in practice. A need exists not only for ongoing training in and maintenance of cultural knowledge, but also for tools to implement culturally appropriate care. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Attitudes of polish nurses towards representatives of certain religions

Background

The verification of attitudes of nurses towards people of different religions is essential when it comes to anticipating opportunities for cooperation in the field of provision of healthcare. The purpose of the study was to evaluate the attitudes of Polish nurses, on the example of nurses living in the Lesser Poland region (southern Poland) towards representatives of certain religions.

Methods

The study was cross-sectional and was carried out using both the diagnostic survey and method of estimation. The selection of the study group was purposeful. The research tools used in the study include the Bogardus’ Social Distance Scale adapted by Jasińska-Kania and Staszyńska; Social Dominance Orientation (SDO) by Sidanius and Pratto; Social Approbation Questionnaire by Drwal and Wilczyńska and Author’s questionnaire. A significance level of 0.05 was assumed in the analyzes. The research was carried among 1271 professionally active nurses.

Results

The respondents showed the least significant social distance towards the Orthodox and Protestants and the most significant towards the Muslims. There was a considerable dependence when it comes to the level of the social distance of the respondents shown on sociodemographic variables and frequency of contact with Others, provision of healthcare to people of different religions, and training on transcultural nursing. The relationship between SDO and the modified Bogardus Scale has been shown. All subscales of the Social Dominance Orientation (SDO) correlated significantly and negatively with the Bogardus scale.

Conclusions

The study outcomes show that there is a need to train nurses on transcultural nursing.