Exploring cultural competence of nurses and associated barriers in Ethiopian tertiary hospitals: A qualitative study |
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| Affiliation: | 1. Department of Nursing, College of Public Health and Medical Science, Mettu University, Ethiopia;2. School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Ethiopia;1. Nursing Department, Fatima College of Health Sciences, United Arab Emirates;2. School of Nursing and Midwifery, University College Cork, Ireland;1. Department of Nursing, Davinchi Hospital, Daejeon, Republic of Korea;2. Department of Nursing, College of Nursing and Health, Kongju National University, Gongju, Republic of Korea;1. Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106-4904, United States of America;2. University Hospitals Seidman Cancer Center, 11100 Euclid Ave., Cleveland, OH 44106, United States of America;3. School of Nursing, University of Pittsburgh, 3500 Victoria St., Victoria Building, Pittsburgh, PA 15261, United States of America;4. UPMC Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA 15232, United States of America;1. University of Pittsburgh, School of Nursing, 3500 Victoria Street, Victoria Building, Pittsburgh, PA 15261, United States of America;2. University of Pittsburgh, Graduate School of Public Health, 130 De Soto Street Pittsburgh, PA 15261, United States of America;1. Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, China;2. Department of Propaganda and United Fronts, Jiangsu Province Hospital, Nanjing, China;3. School of Government, Nanjing University, Nanjing, China;4. Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Zhuhai, China;5. Office of Social Work, Jiangsu Province Hospital, Nanjing, China;1. Social & Economic Change Laboratory, Faculty of Management, University of British Columbia-Okanagan Campus, Kelowna, British Columbia, Canada;2. Centre for Hip Health & Mobility, Vancouver, British Columbia, Canada |
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| Abstract: | BackgroundsCultural diversities in both patients and health professionals possess difficulties in cultural care. Such cultural diversities can lead to culturally inappropriate care and health disparities. Delivering culturally competent nursing care is a powerful tool to provide care equally for all patients and eliminate health disparities among culturally diverse people. The present study aimed to explore the cultural competence of nurses and associated barriers in Ethiopian tertiary hospitals.MethodsThe study was conducted on eight purposively selected key informants from March 1 to April 30, 2018. Data was collected using semi-structured questions through face to face in-depth interview. The collected data analyzed using thematic analysis and presented in the form of text and table.ResultsEight (n = 3 females and n = 5 males) participants were involved in the study. After extensive analysis, four themes emerged: cultural competence, linguistic competence, cultural competence education and training, and barriers to cultural competence. Another six subthemes of barriers encountered by participants identified and consisted of the language barrier, trained interpreter and translator limitation, lack of knowledge of the patient's culture, lack of multicultural nursing workforce, and shortage of nursing staff, cultural and linguistic stereotypes.ConclusionsNurses less focused on cultural aspects of patients, and they focused more on biological factors and patients' disease. Interestingly, they expressed respect for the cultural and religious practice of patients and showed an interest to learn about cultural care nursing. Cultural competence of participants was hindered by several barriers that need nurses to overcome it. |
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