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Intercultural palliative care: do we need cultural competence?
1Department of Ethnicity and Health, University of Central Lancashire, Preston, UK. YGunaratnam@uclan.ac.uk
International Journal of Palliative Nursing
|December 13, 2007
Summary
This study explored cultural competence in palliative care nursing for minority ethnic groups. Findings highlight the need to integrate non-rational aspects of intercultural care beyond just knowledge acquisition.
Area of Science:
- Palliative Care Nursing
- Cultural Competence in Healthcare
- Minority Ethnic Health Services
Background:
- Cultural competence is increasingly vital in healthcare policy, nurse education, and training globally.
- The application of cultural competence models in palliative care nursing is a relatively new area of focus.
- Existing models often prioritize rational knowledge and skills acquisition for practitioners.
Purpose of the Study:
- To present findings from a project aimed at increasing awareness of palliative care among minority ethnic elders and their carers.
- To enhance understanding of the specific needs of minority ethnic service users within palliative care.
- To explore nurses' experiences in delivering culturally sensitive palliative care.
Main Methods:
- A development project funded by the Department of Health.
- Focus group interviews with nurses delivering palliative care.
- Analysis of nurses' experiences with minority ethnic elders and carers.
Main Results:
- Identified complex relationships between cultural knowledge and practical application in nursing.
- Highlighted the significance of non-rational and visceral dimensions in intercultural care delivery.
- Revealed that current cultural competence approaches often marginalize these deeper aspects of care.
Conclusions:
- Recognizing marginalized experiences in intercultural nursing is crucial for developing more effective approaches.
- New strategies for intercultural nursing should better align with the ethos and values inherent in palliative care.
- Integrating experiential and non-rational elements can lead to more holistic and sensitive patient care.
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