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Cultural Competence in Nursing

Table 5 Summary of the Interventions: Pedagogical Approach

Item Berlin et al. Chapman et al. Majumdar et al. McElmurry et al.

(2010) (2014) (2004) (2009)

Teaching and A participatory Cultural aware- Unclear Spanish lan-
learning method learning ap- ness training Unclear guage skills and
cultural compe-
proach, link- Not reported tency training
ing theory to for healthcare
practice, case providers
methodology,
specific study Not reported
derived from
previous re-
search

Key theoretical Campinha-
construct and Bacote’s cultural
principles competence
model

increased patient self-care behaviours, and improved blood glucose
control.
– Majumdar et al. (2004) No statistically significant differences in mean
scores were found between patients in the control and experimen-
tal groups in relation to ‘client satisfaction,’ ‘mental health,’ ‘physical
health,’ and ‘activities of daily living.’ In addition, patients of mostly
European and British origin who received care from providers trained
in cultural sensitivity had a higher level of social functioning and im-
proved overall functional capacity without a significant increase in
healthcare expenditures, after 1.5 years.

The two other studies used in our study did not describe patient outcomes.
They mainly described improvements in cultural competency among nurses.

– Berlin et al. (2010). The authors report the training may have had pos-
itive effects on the nurses’ working conditions as they rated it to have
impacted their ability to cope with the demands of their work tasks in
the health services. These effects are presumed to contribute to im-
proved quality health services, with a reduced risk of healthcare dis-
parities among the children of immigrant parents.

– Chapman et al. (2014). This study shows that cultural awareness train-
ing, given in staggered sessions over six weeks, changed the percep-
tion of emergency healthcare workers towards Aboriginal and Torres
Strait Islander people, but did not affect their attitude to them.

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