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Educational interventions designed to develop nurses' cultural competence: A systematic review.

Ashlee Oikarainen1, Kristina Mikkonen2, Amanda Kenny3

  • 1Research Unit of Nursing Science and Health Management, Faculty of Medicine, P.O. Box 5000, FI- 90014, University of Oulu, Finland. Electronic address: https://twitter.com/OikarainenAsh.

International Journal of Nursing Studies
|July 19, 2019
PubMed

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Summary

Nurses need ongoing cultural competence training to provide effective care in diverse settings. Educational interventions show promise, but more high-quality research is needed to identify best practices for improving nurses' cultural competence.

Area of Science:

  • Nursing Education
  • Healthcare Diversity
  • Cultural Competence

Background:

  • Increasing cultural and linguistic diversity in healthcare necessitates enhanced cultural competency among nurses.
  • Continuing professional development is crucial for nurses to deliver culturally congruent care.

Purpose of the Study:

  • To systematically review evidence on educational interventions designed to improve nurses' self-assessed cultural competence.
  • To evaluate the effectiveness of these interventions in enhancing cultural competence.

Main Methods:

  • A systematic literature review of studies published between January 2000 and June 2018.
  • Searched four databases (PubMed, CINAHL, Medic, Eric) for quasi-experimental or randomized controlled trials.
  • Included six studies with 334 participants, primarily nurses, in various healthcare settings.
Keywords:
Cultural competenceCultureDiversityEducationInterventionNurseSystematic review

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Main Results:

  • Interventions included traditional teaching and web-based modules, ranging from 1 to 17 hours.
  • Learning methods involved lectures, discussions, case studies, reflection, and simulations.
  • Two studies showed statistically significant increases in cultural competence outcomes post-intervention; effect sizes ranged from small to very large.

Conclusions:

  • High-quality studies are needed to investigate educational interventions for nurses' cultural competence.
  • Future research should specify intervention components that effectively enhance cultural competence.