Author/Editor		Dobrowolska, Beata; Gutysz-Wojnicka, Aleksandra; Ozga, Dorota; Barkestad, Eva; Benbenishty, Julie; Breznik, Kristijan; Filej, Bojana; Jarošová, Darja; Kaučič, Boris Miha; Nytra, Ivana; Smrke, Barbara; Zeleníková, Renáta; Blackwood, Bronagh
Title		European intensive care nurses' cultural competency
Type		članek
Vol. and No.		, št. Vol. 60
Publication year		2020
Volume		str. 1-8
ISSN		1532-4036 - Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
Language		eng
Abstract		Objectives: To determine the level of cultural competence of European critical care nurses. Design: A multi-country survey performed in 2017 as a part of the European project Multicultural Care in European Intensive Care Units. Method: Online survey of critical care nurses in 15 European countries (n = 591) using the Healthcare Provider Cultural Competence Instrument consisting of 49 items divided into five subscales: awareness and sensitivity, behaviour, patient-centred orientation, practice orientation and self-assessment. Descriptive and correlational analyses were performed. Results: Critical care nurses scored highest for "awareness and sensitivity" (M = 5.09, SD = 0.76), and lowest for "patient-centred communication" (M = 3.26, SD = 0.94). Nurses from northern and southern Europe scored higher across all subsets of the cultural competence instrument (all subsets, p < 0.001) than nurses from central Europe. Speaking other languages significantly correlated with higher scores in all subscales (all > 0.05) except "practice orientation". Previous education on multicultural nursing significantly correlated with higher scores in all subscales (all > 0.01) except patient-centred communication; and visits to other countries was negatively correlated with all subscales (all, p > 0.001) except patient-centred communication. Conclusion: Being exposed to cultural diversity in different ways, like living in a multicultural country, speaking a second language and visiting other countries may influence development of cultural competence. Therefore, programmes which facilitate multicultural clinical practice are strongly recommended in nursing education.
Keywords		Critical care nurses Cross-sectional survey Cultural competency Europe zdravstvena nega mednarodne primerjave intenzivna nega Evropa