Understanding Cultural Competence in a Multicultural Nursing Workforce

Almutairi, Adel F.; McCarthy, Alexandra; Gardner, Glenn

doi:10.1177/1043659614523992

Cited by 89 publications

(129 citation statements)

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“…Cultural awareness, knowledge, skills, and empoawerment are integral to the provision of equitable and safe health care in today's multicultural environment [9,49,50]. Therefore, our intent in developing the CCCS is to provide a measure of critical cultural competency that can be used by researchers and policy makers to evaluate the cultural competence of healthcare providers and the effectiveness of educational and policy initiatives that aim to promote cultural competence.…”

Section: Discussionmentioning

confidence: 99%

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Almutairi

Dahinten

2017

Administrative Sciences

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This paper reports on a psychometric study conducted to explore the factor structure and refine the Critical Cultural Competence Scale (CCCS). Critical Cultural Competence (CCC) functions to promote the safety, equity, and well-being of patients, their families, and health care professionals. The development process of this measurement scale was systematic and iterative, and included generating a pool of potential items based on the theoretical definitions of CCC. In this study, conducted with a sample of 170 registered nurses from British Columbia, Canada, we used Principal Component Analysis (PCA) to explore the factor structure of the initial set of 84 items as a final step in developing the CCCS. The final version of the measure consists of 43 items, and the PCA results supported a four-factor solution consistent with the theoretical underpinnings of the scale. Future research is recommended to further assess the construct validity of this newly created scale.

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Section: Discussionmentioning

confidence: 99%

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Almutairi

Dahinten

2017

Administrative Sciences

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“…(2015)YYYYYYYUYYHigh2 Connor and Miller (2014)YYYYYNYYYYHigh3 Estacio and Saidy‐Khan (2014)YYYYYYYUYYModerate4 Kishi et al. (2014)YYYYYYYYYYHigh5 Xiao et al.…”

Section: Table A1 Critical Appraisal Of the Included Studies (N = 17)unclassified

Foreign educated nurses’ work experiences and patient safety—A systematic review of qualitative studies

2018

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AimThe aim of this systematic review was to identify the evidence contributed by qualitative research studies of foreign educated nurses’ work experiences in a new country and to link the results to patient safety competencies.DesignA systematic literature review of qualitative studies.MethodsElectronic searches in the Ovid MEDLINE, Embase, PsycINFO, Cochrane Library and Cinahl databases and additional manual searches in five scientific journals. A content analysis of 17 qualitative articles was conducted.ResultsThe analysis revealed one main theme: “Being an outsider at work” and two themes: “Cultural dissonance and Unfamiliar nursing practice. Two sub‐themes emerged from the first theme; Loneliness and discrimination” and “Communication barriers”. The second theme was based on the following two sub‐themes: “Handling work‐related stress” and “Role uncertainty and difficulties in decision‐making”. A better prepared and longer orientation period with continual clinical supervision including systematic reflection on practice experiences is needed to support foreign educated nurses in the transition period and strengthen their Patient Safety Competencies. Nurse Managers have an important role in ensuring the inclusion of foreign educated nurses and providing desirable working conditions.

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“…The latter often occurs in many countries, such as Saudi Arabia (Almutairi & Rodney, 2013). Saudi Arabia, like many other countries, is experiencing a severe shortage of registered nurses and this shortage is related to social, cultural and economic factors (Almutairi, 2012;Almutairi, McCarthy, & Gardner, 2015). In order to ensure the continuity and quality of care, Saudi Arabia conducted an active recruitment process to attract qualified, English speaking nurses to work in various hospitals in that country.…”

Section: Cultural Diversitymentioning

confidence: 99%

Fostering a supportive moral climate for health care providers: Toward cultural safety and equity

Almutairi

2015

NursingPlus Open

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a b s t r a c tIn Western forms of health care delivery around the globe, research tells us that nurses experience excessive workloads as they face increasingly complex needs in the populations they serve, professional conflicts, and alienation from leadership in health care bureaucracies. These problems are practical and ethical as well as cultural. Cultural conflicts can arise when health care providers and the populations they serve come from diverse economic, ethnic, and cultural backgrounds. The purpose in this paper is to draw from Almutairi's research with health care teams in Saudi Arabia to show the complexity of culturally and morally laden interactions between health care providers and patients and their families. Then, I will argue for interventions that promote social justice and cultural safety for nurses, other health care providers, and the individuals, families, and communities they serve. This will include addressing international implications for nursing practice, leadership, policy and research.

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Understanding Cultural Competence in a Multicultural Nursing Workforce

Abstract: The findings can inform policy, professional education, and practice in the multicultural Saudi setting.

Cited by 89 publications

References 25 publications

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Factor Structure of Almutairi’s Critical Cultural Competence Scale

Foreign educated nurses’ work experiences and patient safety—A systematic review of qualitative studies

Fostering a supportive moral climate for health care providers: Toward cultural safety and equity

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