PO Box 119, Clifton Hill 3068, Australia.
School of Psychology, Faculty of Health, Deakin University, Burwood 3125, Australia.
Nurse Educ Today. 2022 Nov;118:105500. doi: 10.1016/j.nedt.2022.105500. Epub 2022 Aug 8.
To assess the impact of cultural competence training for health professionals on patient outcomes.
A systematic review of cultural competence training interventions for healthcare workers including papers published January 2010 to January 2021, identified through MEDLINE, CINAHL, ERIC and APA PsychINFO. Health conditions were not specified, however, only studies reporting patient outcomes were included. Training frameworks and delivery, measures of health professional cultural competence, and patient outcomes were reviewed.
Of 7879 unique studies identified, five met inclusion criteria including two randomised control trials, two mixed method and one multi-method pre/post study. Professionals reported the training was beneficial, and some improvements in patient perceptions of health providers' cultural competence were found. However, patient health outcomes did not improve significantly in any study.
Cultural competence training is promoted to improve outcomes of patients from culturally diverse backgrounds; however, few studies assess outcomes when examining training impact. Inconsistencies in theoretical frameworks and training makes it difficult to assess the efficacy of training on patient outcomes.
Of 7879 unique studies identified, five met inclusion criteria including two randomised control trials, two mixed method and one multi-method pre/post study. Professionals reported the training was beneficial, and some improvements in patient perceptions of health providers' cultural competence were found. However, patient health outcomes did not improve significantly in any study.
Cultural competence training is promoted to improve outcomes of patients from culturally diverse backgrounds; however, few studies assess outcomes when examining training impact. Inconsistencies in theoretical frameworks and training makes it difficult to assess the efficacy of training on patient outcomes.
To ascertain the benefits of health professional cultural competence training on patient outcomes, research needs to address the issues of definition, theoretical frameworks and implementation approaches to training.
评估针对卫生专业人员的文化能力培训对患者结局的影响。
系统检索了 2010 年 1 月至 2021 年 1 月期间发表的 MEDLINE、CINAHL、ERIC 和 APA PsychINFO 中有关医护人员文化能力培训干预措施的文献，确定了文化能力培训干预措施。健康状况没有具体说明，但只包括报告患者结局的研究。审查了培训框架和交付、卫生专业人员文化能力测量以及患者结局。
在 7879 项独特的研究中，有 5 项符合纳入标准，包括 2 项随机对照试验、2 项混合方法和 1 项多方法前后研究。专业人员报告说培训是有益的，并且发现患者对卫生提供者文化能力的看法有所改善。然而，在任何研究中，患者的健康结局都没有显著改善。
文化能力培训旨在改善来自文化多元化背景的患者的结局；然而，在评估培训效果时，很少有研究评估结局。理论框架和培训的不一致使得评估培训对患者结局的效果变得困难。
为了确定卫生专业人员文化能力培训对患者结局的益处，研究需要解决定义、理论框架和培训实施方法方面的问题。
