The experience of nurses in care for culturally diverse families: A qualitative meta-synthesis

Abstract

Objective: to understand the experience of nurses in care delivery to culturally diverse families. Method: qualitative meta-synthesis. Exhaustive search in seven databases, three repositories and a manual search in references without time limit, in English, Spanish and Portuguese, resulting in 1609 potentially relevant studies. These were assessed based on the title, summary and full text, determining the final inclusion of 14 studies. Two independent reviewers used the Critical Appraisal Skills Programme (CASP) to assess the quality. The interpretative synthesis implied permanent contrast and consensus among the authors, revealing four categories and one meta-theme. Results: "taking care of a culturally diverse family, the experience of crossing a tightrope". Conclusion: the experience of nurses in care delivery to culturally diverse families is demanding and challenging because it imprints a constant tension among barriers, cultural manifestations and the ethical responsibility of care, incipiently revealing elements of cultural competency. The omission of information in the participants' reports in the studies represents a limitation. The findings offer a baseline for professionals and organizations to focus their intervention efforts on the continuing barriers in care delivery to culturally diverse families and strengthens the need for cultural competency training for nurses.

Exploring the cultural competency of Expatriate Nurses working in Saudi Arabia

“…The cultural competency study results reflected that nurses are more competent and have an exponential interest in increasing their knowledge with the more excellent attitude of caring for patients working in diverse cultural backgrounds (18) . This report is in line with similar studies among nurses in the same country, with a mean value of 3.15.…”

“…To disseminate the beliefs, values, and perceptions are unique to the specific culture (1) . Today's healthcare trend leans toward being more inclusive of personal and cultural preferences that demand a knowledgeable, genuine, and relevant response from caregivers (2) . The crux that emphasizes competent care's dimension is recognizing beliefs and culture before caring for others.…”

Transformation in nursing education in India: Current issues

“…Hence, there is a need of understanding this cultural diversity due to increased immigration and globalization to make sure evolving society will be satisfied with care. 24 Diversity can also act as an opportunity for nurses, where working with different cultural backgrounds people and looking for their perspectives can be an educational venture for nursing students and nurses. This saves time and energy and helps to learn the needs of a patient in a clearer way by assessing and interpreting conveyed regards from patients.…”

The Cultural Competency Scale for Clinical Pediatric Nurse (Ccs-Cpn) in Indonesia: Scale Development and Psychometric Evaluation

“…Thus, research in the context of cultural competence for child care is required. Barrier to perform cultural encounter included 1) communication difficulties (language differences, confidentiality, and cultural identity in communication related to gender or relating to attitudes in the families), and 2) the institutional aspects that affect the delivery of excellent care to the family are respected section of the external bad distinctions tiers, determined by shortfall of space in care areas to house all family members, restriction of resources to offer food and accommodation to all family members and restricted time of the nurses to take care of the family (Murcia & Lopez, 2016). In addition, this study was conducted in Indonesia; thus, nurses probably perform only nursing assessment in this dimension.…”