Perceptions of nurses on the scope of culturally competent care in critical care: A qualitative study

• Published in: Nursing in critical care 2024-09, Vol.29 (5), p.997-1004
• Main Authors: Červený, Martin, Balounová, Lucie, Kratochvílová, Inka, Doležalová, Jitka, Tóthová, Valérie
• Format: Article
• Language: English
• Subjects: Adult; Attitude of Health Personnel; Critical Care; Critical Care Nursing; Cultural competence; Cultural Competency; cultural diversity; Culturally Competent Care; Female; Humans; Intensive Care Units; Interviews as Topic; Male; Middle Aged; Nurses; Nursing care; Perception; prejudice; Qualitative Research
• ISSN: 1362-1017; 1478-5153; 1478-5153
• DOI: 10.1111/nicc.13034

Background The cultural competence of nurses is crucial in providing nursing care for patients from different cultures. The absence of cultural competence can negatively impact the entire course of care; however, implementing cultural competence in critical care unit can be complicated. Aim This study aimed to determine nurses' perceptions regarding cultural competence in critical care units. Study Design This study used a qualitative design with semi‐structured interviews with nurses (n = 10) working in critical unites. Data were collected from February to June 2022 and then categorized and evaluated. Atlas.ti was used for the inductive thematic content analysis. Results Three key areas identified were as follows: (1) nurses and culturally competent care in critical care, (2) cultural challenges in practice and (3) suggestions for improving culturally competent care. The participants expressed that culturally competent care in critical care units has specific limitations because of the nature of the intensive care units (ICUs). Additional learning included opportunities to improve culturally competent care, such as raising cultural awareness, developing language skills and promoting culturally competent care. Conclusions Providing culturally competent care in critical care units is an understudied area. Identifying barriers and cultural challenges is one strategy nurses can use to improve culturally competent ICU care. Relevance to Clinical Practice Creating cultural awareness by training nurses in their own culture, in cultural diversity, and in overcoming prejudices and stereotypes is an essential step towards increasing cultural competence. Understanding nurses' perceptions on this topic can provide valuable insights into the challenges and opportunities for providing culturally sensitive care in a critical care setting.