Organisational cultural competence needed to care for foreign patients: A focus on nursing management

J Nurs Manag. 2019 Jan;27(1):197-206. doi: 10.1111/jonm.12665. Epub 2018 Sep 10.

Abstract

Aim: This study aimed to explore the organisational level of the cultural competence needed to care for foreign patients from the Korean clinical registered nurses' perspective.

Background: Owing to the increasing foreign resident population in Korea, health care organisations face challenges arising from cultural differences. However, there is a lack of research on the impact of these changes on nursing care and management.

Method: Participants were 16 clinical registered nurses from six general hospitals. Data were collected through individual in-depth and focus group interviews. Transcribed data were analysed by deductive content analysis.

Results: Data were classified into three categories: information, resources and incentives. Information included a systematic staff training programme and clear practice guidelines. Resources included convenient and credible interpretation services and adequate tools and materials, and incentives were referred to managerial support.

Conclusion: Korean registered nurses perceived a lack of organisational support for caring for foreign patients. System-wide support and active unit-level intervention of nursing managers are essential for successful transformation towards a culturally competent organisation.

Implication for nursing management: Registered nurses should play leadership roles to establish a dedicated nursing team or committee to create a supportive working environment and implement a monitoring system so that their organisations move towards greater cultural competence.

Keywords: cultural competence; deductive content analysis; nurses; organisational support; qualitative research.

MeSH terms

  • Adult
  • Cultural Competency / psychology*
  • Culturally Competent Care / methods
  • Culturally Competent Care / standards*
  • Emigrants and Immigrants / psychology*
  • Female
  • Focus Groups / methods
  • Humans
  • Interviews as Topic / methods
  • Male
  • Nurses / psychology
  • Nurses / standards*
  • Nurses / statistics & numerical data
  • Qualitative Research
  • Republic of Korea

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