Measures of Cultural Competence in Nurses: An Integrative Review

Abstract

Background. There is limited literature available identifying and describing the instruments that measure cultural competence in nursing students and nursing professionals. Design. An integrative review was undertaken to identify the characteristics common to these instruments, examine their psychometric properties, and identify the concepts these instruments are designed to measure. Method. There were eleven instruments identified that measure cultural competence in nursing. Of these eleven instruments, four had been thoroughly tested in either initial development or in subsequent testing, with developers providing extensive details of the testing. Results. The current literature identifies that the instruments to assess cultural competence in nurses and nursing students are self-administered and based on individuals' perceptions. The instruments are commonly utilized to test the effectiveness of educational programs designed to increase cultural competence. Conclusions. The reviewed instruments measure nurses' self-perceptions or self-reported level of cultural competence but offer no objective measure of culturally competent care from a patient's perspective which can be problematic. Comparison of instruments reveals that they are based on a variety of conceptual frameworks and that multiple factors should be considered when deciding which instrument to use.

Ensuring equality through the acquisition of cultural competencies in nursing education: A systematic literature review

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“…In this regard, a variety of models describing cultural competence's multiple dimensions it has become a focus of attention over the past several decades (Loftin et al, 2013). Teaching and learning strategies about culturally competent practice in nursing educations are essential to ensure a culturally competent health care workforce (Shattell et al, 2013).…”

School Nurse Cultural Competence Needs Assessment

“…S chool nursing has a long history of addressing the cultural and social determinants impacting the health of students, families, and communities (California Institute Nursing Health Care, 2013;Loftin, Hartin, Branson, & Reyes, 2013). A person's culture (beliefs and values) influences their understanding and treatment of their health.…”

“…A person's culture (beliefs and values) influences their understanding and treatment of their health. The influence of culture in the context of health care delivery in the United States continues to be critical as minorities are projected to comprise 57% of the U.S. population by 2060 (Loftin et al, 2013). …”

A Rubric to Assess Civil Engineering Students' Grand Challenge Sustainable Entrepreneurship Projects

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