Cultural competency of Nurses in a Multi-Cultural Healthcare System in Two Regions of Ghana

Abdul-Karim Abubakari , Janet Gross , Seth Kofi Boateng , Rockson Ansong
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Abstract

Background

Cultural competency (CC) is imperative in Ghana where a growing multicultural society prevails. Despite Ghana’s increasing multicultural society, cultural competency is poorly understood or appreciated.

Purpose

The study aimed to determine the self-assessed CC of nurses from the Western and Ashanti Regions’ using the validated Central Vancouver Island Multicultural Society’s Cultural Competence checklist.

Method

From October to December 2022, an institutional-based cross-sectional study in eight hospitals involving nurses was conducted using a two-stage sampling technique. Simple random sampling and stratified proportional sampling techniques were deployed to select the study hospitals and 759 participants respectively. Data were entered into a spreadsheet and exported to S.P.S.S version 23. Binary and multivariable logistic regressions were used to establish the associations between dependent and independent variables. Outcome variables with a P-value < 0.05 were deemed statistically significant.

Results

A majority of respondents were females (61.4 %; n = 466). The levels of the constructs for CC ranged from high to very high except for Cultural Encounters which was moderate: Cultural Awareness (Mean = 3.43 SD = 0.56), Cultural Skills Mean = 3.65 SD = 0.65), Cultural Knowledge (Mean = 3.53 SD = 0.54), Cultural Encounters (Mean = 3.35 SD = 0.68), Cultural Desire (Mean = 3.49 SD = 0.68), and overall CC score (Mean = 3.49 SD = 0.46). Nurses’ Cultural Skills were inversely associated with traveling outside of Ghana.

Conclusion

Nurses self-rated overall cultural competence as high. However, moderate Cultural Encounters are concerning as Cultural Encounters are the pivotal construct of CC that provides the foundation for the nurses’ journey toward cultural competency. Modification in training is urgently required to increase opportunities for nurses to experience Cultural Encounters.

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加纳两个地区多元文化医疗系统中护士的文化能力
背景在多元文化日益盛行的加纳,文化胜任能力(CC)势在必行。尽管加纳的多元文化社会在不断发展,但人们对文化胜任力的理解和认识却很不够。研究旨在使用经过验证的温哥华岛中部多元文化协会文化胜任力检查表,确定西部和阿散蒂地区护士自我评估的 CC。采用简单随机抽样和分层比例抽样技术,分别抽取了研究医院和 759 名参与者。数据被输入电子表格并导出到 S.P.S.S 23 版。二元和多变量逻辑回归用于确定因变量和自变量之间的关联。结果大多数受访者为女性(61.4%;n = 466)。除 "文化接触 "为中等水平外,CC 构建的水平从高到非常高不等:文化意识(平均值 = 3.43 SD = 0.56)、文化技能(平均值 = 3.65 SD = 0.65)、文化知识(平均值 = 3.53 SD = 0.54)、文化接触(平均值 = 3.35 SD = 0.68)、文化渴望(平均值 = 3.49 SD = 0.68)和 CC 总分(平均值 = 3.49 SD = 0.46)。护士的文化技能与加纳境外旅行成反比。然而,护士的文化际遇中等,这令人担忧,因为文化际遇是护士文化胜任力的关键因素,是护士实现文化胜任力的基础。迫切需要对培训进行修改,以增加护士体验文化接触的机会。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
期刊最新文献
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