Aim
Training for the development of cultural competence is often not part of the professional training of nurses within the European Economic Area. Demographic changes in society and the cultural ...diversity of patients require nurses and other medical staff to provide the highest quality healthcare to patients from different cultural backgrounds. Therefore, nurses must acquire the necessary cultural knowledge, skills, and attitudes as part of their training and professional development to provide culturally competent care to achieve this objective.
Objective
This review aims to summarize existing methods of developing cultural competence in nurses working in clinical practice.
Design
A scoping review of the literature.
Method
The following databases were used: PubMed, ScienceDirect, ERIH Plus, and Web of Science using keywords; study dates were from 2011 to 2021.
Results
The analysis included six studies that met the selection criteria. The studies were categorized as face-to-face, simulations, and online education learning methods.
Conclusion
Educational training for cultural competence is necessary for today’s nursing. The training content should include real examples from practice, additional time for self-study using modules, and an assessment of personal attitudes toward cultural differences.
This study aimed to compare the level of cultural competence among nurses working in clinical practice in Slovakia and the Czech Republic.
Demographic changes have greatly affected the health sector ...in Slovakia and the Czech Republic. By identifying the level of nurses' cultural competence, many of the complications encountered in caring for patients from different cultures can be avoided. However, few studies have explored the cultural competence of nurses in clinical practice in these countries.
This study was cross-sectional, descriptive, and comparative. It followed the STROBE checklist and used the Cultural Competence Assessment Tool questionnaire to collect data. Descriptive and inferential statistical tests were utilized for data analysis, using SASD 1.5.8 and IBM SPSS Statistics version 28.0.0.
The sample comprised 424 nurses, with 202 from the Czech Republic and 222 from Slovakia, primarily female. Most nurses in both countries have not received cultural diversity training. Nevertheless, nurses in both countries indicate the necessity of conducting a cultural impact assessment of patients' health. Cultural diversity training significantly increases the level of cultural competence in nurses.
Lower cultural competence scores can negatively impact nursing care for patients from different cultures, leading to additional cultural challenges.
The findings highlight the need for enhanced cultural competence among nurses. Nurses need to learn and utilize cultural information to help maximize healthcare for patients from different cultures. By providing nurses with cultural knowledge and skills, they will be able to deliver more effective and culturally competent care to patients from varied cultural backgrounds.
(1) Background: The use of standardized tools is regarded as the basis for an evidence-based assessment. The tools enable monitoring of complex events and the effectiveness of adopted interventions. ...Some healthcare facilities use standardized tools such as the Morse Fall Scale, but many use non-standardized tools created based on patient needs. Our study question was, why are non-standardized tools used when standardized tools are more beneficial and can be statistically evaluated and compared to other results; (2) Methods: We used a quantitative, non-standardized questionnaire to survey 1200 nurses, which was representative sample for the entire Czech Republic. All questionnaires were assessed in two phases (a) the frequency evaluation and descriptive analysis, and (b) hypotheses testing and correlation analyses; (3) Results: We found that the Conley Scale, Barthel test, and IADL test were preferred by many nurses. Furthermore, we found that nurses using standardized assessment scales noticed risk factors significantly more frequently but regarded the increased complexity of care to be psychologically demanding. (4) Conclusions: In patients with physical disabilities, both types of tools (internal non-standardized and standardized) are used to assess the risk of falls and independence; nurses generally welcomed the increase use of standardized tools in their facilities.
The submitted study analyses the legislative and organisational-political framework in building up a health system in Czechoslovakia, specifically in the historical lands (Bohemia, Moravia, Silesia) ...in the first decade of its existence using unpublished and published sources and academic publications. Not only did the Czechoslovak health system build on its predecessor in the Habsburg Monarchy, but in addition almost immediately following the establishment of the new state in 1918, adopted legislation began the construction of a modern and respected healthcare system in terms of both organisation and funding.
Missed and unfinished nursing care in hospitals depends on the quality of human resources. This paper aims to analyze the influence of selected work characteristics on missing and incomplete nursing ...care in inpatient wards of Czech hospitals. The relationship between the rate of missed and unfinished nursing care and selected work characteristics was studied using the Czech version of the standardized questionnaire, the MISSCARE Survey. The study was conducted from September 26, 2021, to October 15, 2021. Controlled interviews with 1,205 nurses working in ward blocks in Czech hospitals were used. The research results showed statistically significant connections between selected work characteristics and missed and unfinished nursing care. Nurses with the highest level of education (Master, Ph.D.), nurses with specialized education, nurses with the lowest number of working hours (less than 30 hours per week), and nurses with the highest number of years of work experience (21 years and over) show a significantly lower rate of missed nursing care. Nurses from surgical departments, specialist nurses, and nurses with the highest education (Master, Ph.D.) report statistically significantly lower unfinished care levels. In contrast, nurses from regional/district hospitals, practical nurses/nursing assistants, and nurses with the lowest education (secondary school of nursing) report significantly higher unfinished nursing care levels. The information obtained can be used to improve nursing processes in the identified weak parts, strategic planning of nursing care, and sufficient personnel.
AcknowledgmentsI would like to express my gratitude to co-authors and other members of the research team – Hana Hajduchová, Chloubová Ivana, Hana Kubešová, Josef Malý, Martin Doseděl, Ondřej Tesař, and Kateřina Malá-Ládová, without whose support the article could not have been published.Supported by the Ministry of Health of the Czech Republic, grant no. NU20-09-00257. All rights reserved.
Aim: The paper surveys empirical research on the use of evaluation tools with the purpose of evaluating symptoms and changes in climacteric women in the Czech Republic and other countries. In order ...to evaluate the range of individual symptoms, a great number of standardized questionnaires and measuring scales have been created, which are logically designed for clear statistic evaluation, and are used on a global scale to measure the severity of disorders, or quality of life of women. Design: A literature review. Methods: In outline, the article is an overview making use of content analysis of studies published in scientific databases, e.g. EBSCO, PubMed, ProQuest, and ScienceDirect, during the years 2012 to 2018. The overview focuses on articles dealing with the use of evaluation tools in connection with menopause. After screening for eligibility, 25 articles were eventually analyzed. Results: Following analysis of the results of foreign empirical research, it was apparent that the most common evaluation tool for defining the types and level of symptoms in climacteric women was the Menopausal Rating Scale. Besides this tool, other tools, such as the Greene Climacteric Scale, the Kuperrman index, the Menopause-Specific Quality of Life Questionnaire, the Womenʼs Health Questionnaire, and the Utian Quality of life Scale were used in this field. Two studies focusing on the Czech Republic were analyzed. The standardized tool used in these cases was the Menopausal Rating Scale. Conclusion: A number of foreign studies have been conducted regarding climacteric women monitoring symptoms and changes in psychological condition and behaviour, and changes in their cognitive and emotional states, or evaluating their quality of life. However, only two such studies have been undertaken in the Czech Republic.
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.
Goals: This study aims to identify sociodemographic predictors of breastfeeding and evaluate the effect of nursing interventions on nutritional strategies in premature infants (0-6 months).Methods: A ...prospective monocentric longitudinal study focused on the nutritional management of 201 preterm infants. Monitoring was performed for two years at specific time intervals.Results: The mother's nationality influences the child's nutrition in the first weeks but this influence decreases with the child's age. The mother's education has a significant effect on nutritional choices. Higher education correlates with using different nutritional combinations. Strong predictors of breastfeeding include the first latch, skin-to-skin contact, and orofacial stimulation.Conclusion: The study identified vital factors influencing the nutrition of preterm infants. These findings enable better targeting of measures and support better health and development of such children. The results provide a scientific basis for the development of nutritional strategies and interventions.
Theoretical frameworks and models provide a roadmap for clinical practice and research by explaining and predicting the processes that influence intervention outcomes. They serve as the basis for ...understanding, conceptualizing, and designing nursing and social science intervention studies. Yet what is often not clearly understood is how theory actually guides intervention development and testing. What do we really mean when we describe an intervention as theoretically driven and how does a research scientist go about making this happen? The purpose of this article is to provide an exemplar of how theory guided the development of an evidence-based nursing intervention developed to reduce sexual risk behaviors (The Health Improvement Project for Teens). This approach can be used as a guide or framework applicable to other intervention programs in development. We also discuss the need in the Czech Republic for more rapid integration of broader theoretical approaches to guide intervention development and continued focus on the development and testing of nursing interventions. While still in its initial stages of development, nurse and social scientists in the Czech Republic can quickly build rigorous interventions by expanding the use of the broad array of useful theories that can guide intervention development.
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