Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross‐sectional descriptive study

Author:

Kim Na Rae1ORCID,Lee Ja‐yin2ORCID,Park Jiyoung34ORCID,Lau Siew Tiang4ORCID

Affiliation:

1. Busan Paik Hospital Busan South Korea

2. College of Nursing Yonsei University Seoul South Korea

3. College of Nursing, Institute for Health Science Research Inje University Busan South Korea

4. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore

Abstract

AbstractActive migration and globalization have led to increased opportunities for critical care nurses to care for patients from diverse racial and cultural backgrounds. This study thus aimed to identify the individual, interpersonal, and organizational factors affecting cultural competence levels among neonatal intensive care unit (NICU) nurses based on an ecological model. This was a cross‐sectional descriptive study that included 135 NICU nurses in South Korea. A hierarchical multiple linear regression analysis was conducted using the proposed ecological model, and a regression model for each of the four subdomains of cultural competence was constructed and compared. NICU nurses' cultural competencies were influenced not only by the “necessity of multicultural education” and “ethnocultural empathy” at the individual level but by the “hospital's readiness and support for cultural competencies” at the organizational level. To promote the cultural competence of nurses in critical care settings, environmental and organizational support should be improved, along with developing strategies that focus on nurses' individual characteristics. It is also necessary to investigate the “intersectionality” of the effects of individual and environmental factors on cultural competence.

Publisher

Wiley

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