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Cultural Competence in Nursing Care for Migrants: An Integrative Review
Jina Mariont Velasco Arias1, Aida Maris Peres1, Carlos Alberto Cortés Bustamante1
1Postgraduate Program in Nursing, Health Sciences Sector, Federal University of Paraná, Curitiba, PR, Brazil.
International Nursing Review
|February 7, 2026
Summary
Nurses need cultural competence to care for diverse migrant populations. Respect, education, and institutional support are key facilitators, while language barriers and lack of training hinder effective implementation.
Area of Science:
- Nursing Science
- Transcultural Nursing
- Healthcare Management
Background:
- Global migration increases healthcare diversity, necessitating nurses' cultural competence for equitable patient care.
- Existing evidence on factors influencing nurses' cultural competence implementation is fragmented.
- Addressing cultural competence is crucial for safe and effective care of migrant populations.
Purpose of the Study:
- To synthesize scientific evidence on factors influencing nurses' implementation of cultural competence.
- To identify facilitators and barriers in providing culturally competent care to migrant populations.
Main Methods:
- Integrative literature review following Joanna Briggs Institute (JBI) methodology and PRISMA guidelines.
- Systematic search of CINAHL, MEDLINE, Scopus, and Web of Science (2014-2024).
- Inclusion of 14 peer-reviewed primary studies appraised using JBI Qualitative Checklist and classified by evidence levels.
Main Results:
- Facilitators include respect for cultural differences, multicultural exposure, and continuing education.
- Barriers comprise language difficulties, limited cultural knowledge, and insufficient structured training.
- All studies were Level VI evidence, indicating good methodological coherence.
Conclusions:
- Cultural competence is a dynamic, context-dependent process influenced by experience, education, and organizational support.
- Sustained education, experiential learning, and institutional commitment are vital for effective implementation.
- Findings inform strategies and policies to enhance culturally competent nursing care in multicultural settings.
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