Page 178 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
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ina Ličen, Igor Karnjuš, Urška Bogataj, Doroteja Rebec, and Mirko Prosen

of patients from culturally diverse groups. A search was conducted using on-
line bibliographic databases such as PubMed, CINAHL and ScienceDirect. For
the search terms, a combination of the following Medical Subject Headings
(MeSH): ‘transcultural nursing,’ ‘culturally competent care,’ ‘cultural compe-
tency,’ ‘cultural diversity,’ ‘cultural competence training,’ ‘cultural sensitivity
training’ and ‘education, nursing’ was used. The search was performed using
the following keywords in English with Boolean operators ‘and’ and ‘or.’

Study Selection
A search was undertaken in each database and, to further the research’s rel-
evance, literature published between January 2000 and May 2018 was con-
sidered. A sample of 533 papers was obtained. The titles and abstracts were
screened by the authors, duplicates were removed and the inclusion criteria
(English language, full-text availability, and primary study in a peer-reviewed
journal) were applied. After the removal of duplicates, 69 articles were left, of
which a further 64 were then excluded due to inadequately meeting the in-
clusion criteria. Four studies satisfying the criteria were finally included in the
qualitative analysis.

A systematic review of literature on the effect of culturally competent nurs-
ing on the quality of care for patients from culturally diverse groups was con-
ducted according to the Preferred Reporting Items for Systematic Reviews
and Meta-Analyses (PRISMA), using the PRISMA checklist and the PRISMA
flowchart methodology (Moher, Liberati, Tetzlaff, Altman, & PRISMA Group,
2009). The PRISMA flow diagram (Figure 1) summarises the article selection
process.

Results
The final four studies identified in the current review were (listed in order of
publication): (1) (Majumdar, Browne, Roberts, & Carpio, 2004); (2) (McElmurry
et al., 2009); (3) (Berlin, Nilsson, & Törnkvist, 2010); and (4) (Chapman, Martin, &
Smith, 2014). These studies varied in their stated aims, settings, participants
and how they were described, interventions and the outcomes measured.
Data extraction included author/year, country where the research was con-
ducted, study aim, study design, and descriptions of patients involved in the
study (Table 1).

Description of the Interventions
Competence training for health professionals generally includes compo-
nents such as cultural awareness, cultural knowledge and cultural skills (Sue,

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