Exploring barriers and enablers to cultural competency in lymphoedema services: a survey-based service evaluation

Lymphoedema is a chronic condition that impairs mobility, causes pain and reduces quality of life. People from ethnic minority backgrounds appear under-represented in lymphoedema services in Wales, reflecting broader health inequalities across the UK. Purpose: This service evaluation explored barriers and enablers to providing culturally competent lymphoedema care, as reported by health professionals.

An anonymous online survey was distributed to lymphoedema practitioners across the UK. The survey combined self-rating scales of cultural awareness, knowledge and skills with open-text questions. Quantitative data were analysed descriptively, and qualitative responses were examined thematically.

Fifty-eight practitioners responded. Most rated their cultural awareness, knowledge and skills above the neutral point, indicating confidence in these areas. However, free-text responses highlighted persistent challenges, including limited time, inconsistent access to training and a lack of culturally inclusive resources.

Targeted workforce development, co-produced educational materials and inclusive communication strategies can support lymphoedema nurses to deliver more equitable, culturally responsive care across the UK.