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Factors influencing general practice nurse's implementation of culturally responsive care, using normalization
S Oakley1, M Manning2, A Macfarlane3
1Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland.
Journal of Advanced Nursing
|July 15, 2024
Summary
General practice nurses (GPNs) in Ireland are committed to culturally responsive care but face barriers like insufficient training and resources. Addressing individual, organizational, and structural factors is crucial for integrating this care into daily practice.
Area of Science:
- Nursing
- Public Health
- Health Services Research
Background:
- Culturally responsive care is essential for addressing the needs of culturally and linguistically diverse (CaLD) patients.
- General practice nurses (GPNs) play a vital role in delivering primary healthcare services.
- Understanding the factors influencing the provision of culturally responsive care is critical for improving health equity.
Purpose of the Study:
- To explore the levers and barriers influencing the provision of culturally responsive care by GPNs in Ireland.
- To apply Normalization Process Theory to understand how GPNs integrate culturally responsive care into their practice.
- To identify individual, organizational, and structural factors impacting the normalization of culturally responsive care.
Main Methods:
- A cross-sectional survey using a participatory co-designed, adapted version of the Normalization of Complex Interventions Measure (NoMAD) tool.
- Convenience sample of 122 GPNs in general practice services in Ireland.
- Data analyzed using descriptive and analytical statistics (Pearson correlations) and content analysis.
Main Results:
- GPNs expressed familiarity with, and commitment to, culturally responsive care.
- Barriers to implementation included insufficient education/training, lack of resources/support, and weak organizational leadership.
- GPNs reported difficulties in adapting practices to meet the needs of CaLD patients.
Conclusions:
- GPNs acknowledge the importance of culturally responsive care but lack the full confidence and capacity to integrate it into daily practice.
- Normalization Process Theory provides a framework for understanding the complexities of implementing and sustaining culturally responsive care.
- Addressing micro- (individual), meso- (organizational), and macro- (structural) level factors is necessary to normalize culturally responsive care in general practice.
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