Page 175 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
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tural Competence in Nursing
and Its Impact on the Quality of Care
for Patients from Culturally Diverse Groups:
A Systematic Literature Review

Sabina Ličen
University of Primorska, Slovenia
sabina.licen@fvz.upr.si

Igor Karnjuš
University of Primorska, Slovenia
igor.karnjus@fvz.upr.si

Urška Bogataj
University of Primorska, Slovenia
urska.bogataj@fvz.upr.si

Doroteja Rebec
University of Primorska, Slovenia
doroteja.rebec@fvz.upr.si

Mirko Prosen
University of Primorska, Slovenia
mirko.prosen@fvz.upr.si

The growth of culturally diverse segments of the population in Slovenia means
the need for culturally competent nurses has never been greater. Cultural com-
petence has already been a topic of interest for several years among all health-
care provider groups. In Slovenia, however, the effect of culturally competent
nursing on the quality of care for patients from culturally diverse groups has
never been systematic reviewed. A review of the literature was conducted in
May 2018 to identify the evidence available on the effectiveness of culturally
competent nursing on the quality of care. Based on the research purpose,
terms combining Medical Subject Headings (MeSH), phrases, as well as free
text or keywords were searched for. The literature published between 2000
and 2018 was extracted and a sample of 533 papers was obtained. Four studies
meeting the criteria were finally included in the qualitative analysis. Two stud-
ies revealed that the effectiveness of cultural training is shown in increased
patient self-care behaviours, a higher level of social functioning and improved
overall functional capacity. The two other studies used in our study did not
describe patient outcomes as they mainly looked at improvements in cultural
competency among nurses. Our review shows several important considera-
tions for future research and supports calls for greater methodological rigour
in studies of cultural competence education for health professionals.

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