Cultural Competence of Nurses in the Field of Public Health: A Meta-Synthesis
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Aug 15, 2018
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Lucero López Díaz
http://orcid.org/0000-0002-2157-763X
Saidy Eliana Arias Murcia
http://orcid.org/0000-0002-7015-8079
Villerland Rodríguez Gómez
http://orcid.org/0000-0002-1960-482X
Liliana Marcela Reina Leal
http://orcid.org/0000-0003-4982-939X
Estefani Celen Benavides Quiñones
http://orcid.org/0000-0002-0182-2693
Deicy Carolina Hernández Murillo
http://orcid.org/0000-0001-6792-4329
Eliana Andrea Olaya Campos
http://orcid.org/0000-0001-6792-4329
http://orcid.org/0000-0002-2157-763X
Saidy Eliana Arias Murcia
http://orcid.org/0000-0002-7015-8079
Villerland Rodríguez Gómez
http://orcid.org/0000-0002-1960-482X
Liliana Marcela Reina Leal
http://orcid.org/0000-0003-4982-939X
Estefani Celen Benavides Quiñones
http://orcid.org/0000-0002-0182-2693
Deicy Carolina Hernández Murillo
http://orcid.org/0000-0001-6792-4329
Eliana Andrea Olaya Campos
http://orcid.org/0000-0001-6792-4329
##plugins.themes.bootstrap3.article.details##
Abstract
Objective: To explore the experiences and life events regarding the cultural competence in the public health practice. Methods: A qualitative meta-synthesis covering the databases Medline, OvidNursing, OvidJournal, Embase and BVS-LILACS, including papers in English, Spanish and Portuguese between 2009 and 2014. Ten studies were included and assessed by using the Critical Appraisal Skills Programme in Spanish (CASPe). The three stages of the meta-aggregation programme were applied to do the obtaining and synthesis of findings. Results: the findings were aggregated in six categories and two types of results: 1) paradoxes
when providing public health care to people from different culture and 2) going beyond the barriers – the daring by the public health nurses. Conclusion: the nurses experienced and expressed their cultural competence from the paradoxical situation produced when encountering another culturally different people. They showed a stance open to both understand and make sense of the other’s culture, even though it was hard to produce culturally competent interventions.
Keywords
Review, Cultural competence, Croos-cultural nursing, Public health, Public health nurses, health care with cultural competenceRevisión, competencia cultural, enfermería transcultural, salud pública, enfermeras de salud pública, atención en salud con competencia culturalrevisão, competência cultural, enfermagem transcultural,, saúde pública, enfermeiras de saúde pública, atenção em saúde com competência cultural
References
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Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22364067
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67(7):1632-42. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21466579
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lud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/PDSP.pdf
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20. Cuthill F. Understanding the ways in which health visitors manage anxiety in cross-cultural work: a qualitative study. Prim Health Care Res Dev [Internet]. 2014 [acceso: 8 de febrero de 2015]; 15(04):375-85. Disponible
en: http://www.ncbi.nlm.nih.gov/pubmed/23988115 21. Degni F, Suominen S, Essén B, El Ansari W, Vehviläinen-Julkunen K. Communication and cultural issues in providing reproductive health care to immigrant women: Health care providers’ experiences in meeting Somali women living in Finland. J Immigr Minor Heal. 2012; 14(2):330-43.
22. Farley R, Askew D, Kay M. Caring for refugees in general practice: perspectives from the coalface. Aust J Prim Health [Internet]. 2014 [acceso: 8 de febrero de 2015]; 20(1):85. Disponible en: http://www.publish.csiro.au
/?paper=PY12068 23. Holmes SM. e clinical gaze in the practice of migrant health: Mexican migrants in the United States. Soc Sci Med [Internet]. Elsevier Ltd; 2012 [acceso: 8 de febrero de 2015]; 74(6):873-81. Disponible en: http://dx.doi.org/10.1016/j.socscimed.2011.06.067
24. Lindsay S, King G, Klassen AF, Esses V, Stachel M. Working with immigrant families raising a child with a disability: challenges and recommendations for healthcare and community service providers. Disabil Rehabil [Internet]. 2012 [acceso: 8 de febrero de 2015]; 34(23):2007-17. Disponible en: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.667192
25. Omu O, Reynolds F. Health professionals’ perceptions of cultural influences on stroke experiences and rehabilitation in Kuwait. Disabil Rehabil [Internet]. 2012 [acceso: 15 de febrero de 2015]; 34(2):119-27.
Disponible en: http://informahealthcare.com/doi/abs/10.3109/09638288.2011.591883
26. Pesut B, Robinson C a, Bottorff JL. Among neighbors: An ethnographic account of responsibilities in rural palliative care. Palliat Support Care [Internet]. 2014 [acceso: 15 de febrero de 2015]; 12(02):127-38. Disponible
en: http://www.journals.cambridge.org/abstract_S1478951512001046
27. McKenzie H, Kwok C, Tsang H, Moreau E. Community nursing care of Chinese-Australian cancer patients: a qualitative study. Cancer Nurs [Internet]. 2015 [acceso: 15 de febrero de 2015]; 38(4):E53-60. Disponible en: htt
p://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00002820-900000000-99501
28. Almond P, Lathlean J. Inequity in provision of and access to health visiting postnatal depression services. J Adv Nurs [Internet]. 2011 [acceso: 15 de febrero de 2015]; 67(11):2350-62. Disponible en: http://doi.wiley.com/
10.1111/j.1365-2648.2011.05669.x
29. Starr S, Wallace DC. Self-reported cultural competence of public health nurses in a Southeastern U.S. public health department. Public Health Nurs [Internet]. 2009 [acceso: 26 de septiembre de 2014]; 26(1):48-57. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19154192
30. Spence D. Prejudice, paradox, and possibility: nursing people from cultures other than one’s own. J Transcult Nurs [Internet]. 2001 [acceso: 15 de febrero de 2015]; 12(2):100-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11989226
31. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Serv Res [Internet]. BMC Health Services Research; 2014 [acceso: 15 de febrero de
2015]; 14(1):99. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3946184&tool=pmcentrez&rendertype=abstract
32. Taylor RA, Alfred M V. Nurses’ perceptions of the organizational supports needed for the delivery of culturally competent care. West J Nurs Res [Internet]. 2010 [acceso: 8 de febrero de 2015]; 32(5):591-609. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20693336
47(6):536-43. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/26444447
2. Plaza del Pino FJ, Soriano Ayala E. Formación de los profesionales de enfermería: Cuidar en la sociedad multicultural del siglo XXI. Index de Enfermería [Internet]. 2009 [acceso: 15 de febrero de 2015]; 18(3):190-4. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962009000300011&lng=es&tlng=es
3. Horvat L, Horey D, Romios P, Kis-Rigo J. Cultural competence education for health professionals. Cochrane Database Syst Rev. [Internet]. 2014 [acceso: 8 de febrero de 2015]; 5(5): CD009405. Disponible en: http://w
ww.ncbi.nlm.nih.gov/pubmed/24793445
4. Gallagher RW, Polanin JR. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students. Nurse Educ Today [Internet]. 2015 [acceso: 8 de febrero de 2015]; 35(2):333-40. Disponible en: http://www.sciencedirect.com/science/article/pii/S0260691714003451
5. Beach MC, Price EG, Gary TL, Robinson K a, Gozu A, Palacio A, et al. Cultural competency: a systematic review of health care provider educational interventions. Med Care. 2005; 43(4):356-73.
6. Le H, Wong S, Iikar T, Keenan H, King GL, Hsu WC. Characterization of factors affecting attainment of glycemic control in Asian Americans with diabetes in a culturally specific program. Diabetes Educ [Internet]. 2013
[acceso: 15 de febrero de 2015]; 39(4):468-77. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23771 841
7. Salto LM, Cordero-MacIntyre Z, Beeson L, Schulz E, Firek A, De Leon M. En Balance participants decrease dietary fat and cholesterol intake as part of a culturally sensitive Hispanic diabetes education program. Diabetes Educ [Internet]. 2008 [acceso: 15 de febrero de 2015]; 37(2):239-53. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21343598 8. Sequist TD, Fitzmaurice GM, Marshall R, Shaykevich S, Marston A, Safran DG, et al. Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial. Ann Intern Med; 2010; 152(1):40-6.
9. Sundararajan V, Reidpath DD, Allotey P. Ethnicity, discrimination and health outcomes: a secondary analysis of hospital data from Victoria, Australia. Divers Equal Heal Care [Internet]. 2007 [acceso: 8 de febrero de 2015];
4(1):21-32. Disponible en: http://diversityhealthcare.imedpub.com/ethnicity-discrimination-and-health-outc omes-a-secondary-analysis-of-hospital-data-from-victoria-australia.pdf
10. Owiti JA, Ajaz A, Ascoli M, de Jongh B, Palinski A, Bhui KS. Cultural consultation as a model for training multidisciplinary mental healthcare professionals in cultural competence skills: preliminary results. J Psychiatr
Ment Health Nurs [Internet]. 2014 [acceso: 2015 Feb 8]; 21(9):814-26. Disponible en: http://doi.wiley.com/10.1111/jpm.12124
11. Johnstone MJ, Kanitsaki O. Health care provider and consumer understandings of cultural safety and cultural competency in health care: an Australian study. J Cult Divers. 2007; 14(2):96-105.
12. orlby R, Jorgensen S, Ayanian JZ, Sequist TD. Clinicians’ views of an intervention to reduce racial disparities in diabetes outcomes. J Natl Med Assoc [Internet]. 2011 [acceso: 15 de febrero de 2015]; 103(9-10):968-77.
Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22364067
13. Coffman MJ. Cultural caring in nursing practice: a meta-synthesis of qualitative research. J Cult Divers [Internet]. 2004 [acceso: 15 de febrero de 2015]; 11(3):100-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15689144
14. Arias-Murcia S, López L. La experiencia de enfermeras cuidando a familias culturalmente diversas: Una metasíntesis cualitativa. Rev Latino-Am Enferm. 2016; 24:e2718.
15. Hannes K, Lockwood C. Pragmatism as the philosophical foundation for the Joanna Briggs meta-aggregative approach to qualitative evidence synthesis. J Adv Nurs [Internet]. 2011 [acceso: 8 de febrero de 2015];
67(7):1632-42. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21466579
16. Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública 2012-2021: La salud en Colombia la construyes tú. Bogotá D. C.: Ministerio de Salud y Protección Social; 2013. Disponible en: https://www.minsa
lud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/PDSP.pdf
17. Cohen JJ, Gabriel BA, Terrell C. e case for diversity in the health care workforce. Health Aff [Internet]. 2002 [acceso: 8 de febrero de 2015]; 21(5):90-102. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/12224912
18. Spence D. Prejudice, paradox, and possibility: nursing people from cultures other than one’s own. Massey University; 1999.
19. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement. PLoS Med [Internet]. 2009 [acceso: 8 de febrero de 2015]; 6(7):e1000097. Disponible en: http://dx.plos.org/10.1371/journal.pmed.1000097
20. Cuthill F. Understanding the ways in which health visitors manage anxiety in cross-cultural work: a qualitative study. Prim Health Care Res Dev [Internet]. 2014 [acceso: 8 de febrero de 2015]; 15(04):375-85. Disponible
en: http://www.ncbi.nlm.nih.gov/pubmed/23988115 21. Degni F, Suominen S, Essén B, El Ansari W, Vehviläinen-Julkunen K. Communication and cultural issues in providing reproductive health care to immigrant women: Health care providers’ experiences in meeting Somali women living in Finland. J Immigr Minor Heal. 2012; 14(2):330-43.
22. Farley R, Askew D, Kay M. Caring for refugees in general practice: perspectives from the coalface. Aust J Prim Health [Internet]. 2014 [acceso: 8 de febrero de 2015]; 20(1):85. Disponible en: http://www.publish.csiro.au
/?paper=PY12068 23. Holmes SM. e clinical gaze in the practice of migrant health: Mexican migrants in the United States. Soc Sci Med [Internet]. Elsevier Ltd; 2012 [acceso: 8 de febrero de 2015]; 74(6):873-81. Disponible en: http://dx.doi.org/10.1016/j.socscimed.2011.06.067
24. Lindsay S, King G, Klassen AF, Esses V, Stachel M. Working with immigrant families raising a child with a disability: challenges and recommendations for healthcare and community service providers. Disabil Rehabil [Internet]. 2012 [acceso: 8 de febrero de 2015]; 34(23):2007-17. Disponible en: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.667192
25. Omu O, Reynolds F. Health professionals’ perceptions of cultural influences on stroke experiences and rehabilitation in Kuwait. Disabil Rehabil [Internet]. 2012 [acceso: 15 de febrero de 2015]; 34(2):119-27.
Disponible en: http://informahealthcare.com/doi/abs/10.3109/09638288.2011.591883
26. Pesut B, Robinson C a, Bottorff JL. Among neighbors: An ethnographic account of responsibilities in rural palliative care. Palliat Support Care [Internet]. 2014 [acceso: 15 de febrero de 2015]; 12(02):127-38. Disponible
en: http://www.journals.cambridge.org/abstract_S1478951512001046
27. McKenzie H, Kwok C, Tsang H, Moreau E. Community nursing care of Chinese-Australian cancer patients: a qualitative study. Cancer Nurs [Internet]. 2015 [acceso: 15 de febrero de 2015]; 38(4):E53-60. Disponible en: htt
p://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00002820-900000000-99501
28. Almond P, Lathlean J. Inequity in provision of and access to health visiting postnatal depression services. J Adv Nurs [Internet]. 2011 [acceso: 15 de febrero de 2015]; 67(11):2350-62. Disponible en: http://doi.wiley.com/
10.1111/j.1365-2648.2011.05669.x
29. Starr S, Wallace DC. Self-reported cultural competence of public health nurses in a Southeastern U.S. public health department. Public Health Nurs [Internet]. 2009 [acceso: 26 de septiembre de 2014]; 26(1):48-57. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19154192
30. Spence D. Prejudice, paradox, and possibility: nursing people from cultures other than one’s own. J Transcult Nurs [Internet]. 2001 [acceso: 15 de febrero de 2015]; 12(2):100-6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11989226
31. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Serv Res [Internet]. BMC Health Services Research; 2014 [acceso: 15 de febrero de
2015]; 14(1):99. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3946184&tool=pmcentrez&rendertype=abstract
32. Taylor RA, Alfred M V. Nurses’ perceptions of the organizational supports needed for the delivery of culturally competent care. West J Nurs Res [Internet]. 2010 [acceso: 8 de febrero de 2015]; 32(5):591-609. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20693336
How to Cite
López Díaz, L., Arias Murcia, S. E., Rodríguez Gómez, V., Reina Leal, L. M., Benavides Quiñones, E. C., Hernández Murillo, D. C., & Olaya Campos, E. A. (2018). Cultural Competence of Nurses in the Field of Public Health: A Meta-Synthesis. Gerencia Y Políticas De Salud, 17(34). https://doi.org/10.11144/Javeriana.rgps17-34.ccea
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