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Cultural competence and social relationships: a social network analysis
1Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.
International Nursing Review
|November 19, 2016
Summary
Cultural competence in healthcare is not a socially shared behavior among professionals. Centrality within social networks does not correlate with higher cultural competence, challenging existing assumptions in healthcare.
Area of Science:
- Healthcare Management
- Social Science Research
- Cultural Competence Studies
Background:
- Sustaining cultural competence in healthcare assumes it's a socially shared behavior among professionals, an assumption previously untested.
- Heterogeneous implementation of cultural competence in healthcare services, particularly in continental Europe, is linked to poor consideration of organizational aspects.
Purpose of the Study:
- To investigate if cultural competence is a socially shared behavior among healthcare professionals.
- To determine if healthcare professionals with central positions in social networks exhibit higher cultural competence.
Main Methods:
- A social network analysis was conducted across 24 Belgian health services.
- Healthcare professionals completed a survey assessing their cultural competence and professional relationships.
- Regression models analyzed the association between individual cultural competence, their network's cultural competence, and professional centrality.
Main Results:
- No significant association was found between the cultural competence of healthcare professionals and their direct contacts (dyadic level), except for subjective exposure to intercultural situations.
- Healthcare professionals in central network positions did not demonstrate higher cultural competence than those in less central positions, again with an exception for subjective intercultural exposure.
Conclusions:
- Cultural competence is not a socially shared behavior within healthcare professional networks.
- Healthcare professional centrality does not predict higher levels of cultural competence.
- Current healthcare services have not normalized culturally competent care; policy interventions are suggested.
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