Nursing: Research and Reviews (Dec 2021)
Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design
Abstract
Kumlachew Mulatie Berie, Mohammed Hassen Salih, Hailemichael Kindie Abate Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara Regional State, EthiopiaCorrespondence: Hailemichael Kindie AbateDepartment of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, PO Box 196, Gondar, Amhara Regional State, EthiopiaTel +251 965321790Email [email protected]: Cultural competence comprises understanding the values, beliefs, traditions, and customs of diverse groups. Nurses working with a culturally diverse population are fronting challenges principally due to the coexistence of multicultural and multiethnic societies.Objective: To assess cultural competency nursing care and its associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia, 2021.Methods: Institution-based mixed method study design was conducted at selected referral hospitals in Amhara Regional state Ethiopia from April 1 to May 30, 2021. A simple random sampling technique was used to select 543 participants for quantitative and purposive sampling for qualitative study. Data were collected using a self-administered Nurse Cultural Competence Scale Questionnaire, and semi-structured questions for in-depth interviews. Data were entered into Epi data version 4.6 and exported to SPSS version 25 analysis. Descriptive statistics independent t-test and one-way analysis of variance with multiple linear regression analysis were used for data analysis. Qualitative data were analyzed using thematic analysis using open code software.Results: A total of 543 participants were involved in this study making a response rate of 95.02% and seven participants for qualitative until data saturation was involved. More than half (54.5%) were female. The overall cultural competence nursing care of mean score was 3.39 (0.61) out of a total possible score ranging from 1 to 5 which indicates a moderate level of cultural competency. The language barriers, lack of organizational support, cultural difference, and health care provider-related factors were the main identified themes in qualitative results.Conclusion and Recommendation: The overall cultural competence was at a moderate level, among four subscales cultural sensitivity was the highest. The language barrier and lack of training were the major barriers to culturally competent nursing care.Keywords: culture, cultural competence, nursing care, cultural diversity, Ethiopia
