Teixeira Gisela, Picoito Ricardo, Gaspar Filomena, Lucas Pedro
Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1600-190 Lisboa, Portugal.
Centro de Inovação e Investigação Clínica e Núcleo de Investigação e Formação em Enfermagem da Unidade Local de Saúde Lisboa Ocidental, 1449-005 Lisboa, Portugal.
Healthcare (Basel). 2024 Dec 3;12(23):2430. doi: 10.3390/healthcare12232430.
Cultural competence is central to ensuring effective culturally congruent care to patients and fostering positive work environments, particularly in multicultural settings.
This study aimed to analyse the relationship between cultural competence, the nursing work environment, and the delivery of culturally congruent care in multicultural units of a healthcare organisation in Portugal.
This was a quantitative, descriptive, and cross-sectional study, targeting nurses from multicultural units. Data were collected using both online and paper-based questionnaires, which included the Cultural Competence Questionnaire for Help Professionals, the Nursing Work Index-Revised Scale (NWI-R-PT), and a single question assessing nurses' perceptions of the adequacy of the culturally congruent care they provide.
A moderate, positive correlation was identified between cultural competence and the Fundamentals for Nursing, while the nursing work environment was influenced by organisational support, professional category, and unit type.
The findings suggest that enhancing cultural knowledge and technical skills and reinforcing management support may positively impact culturally congruent care delivery in multicultural settings.
This study contributes to nursing knowledge by highlighting the complex interactions between cultural competence and the work environment in Portuguese multicultural healthcare units. Future research should explore the impact of transcultural nursing leadership on multicultural work environments and in the delivery of culturally congruent care.
文化胜任力对于确保为患者提供有效的文化匹配护理以及营造积极的工作环境至关重要，尤其是在多元文化环境中。
本研究旨在分析葡萄牙一家医疗机构多元文化科室中文化胜任力、护理工作环境与文化匹配护理提供之间的关系。
这是一项针对多元文化科室护士的定量、描述性横断面研究。通过在线问卷和纸质问卷收集数据，问卷包括帮助专业人员文化胜任力量表、修订后的护理工作指数量表（NWI-R-PT），以及一个评估护士对其所提供的文化匹配护理充分性认知的单一问题。
文化胜任力与护理基本要素之间存在中等程度的正相关，而护理工作环境受组织支持、专业类别和科室类型的影响。
研究结果表明，增强文化知识和技术技能以及加强管理支持可能会对多元文化环境中文化匹配护理的提供产生积极影响。
本研究通过突出葡萄牙多元文化医疗科室中文化胜任力与工作环境之间的复杂相互作用，为护理知识做出了贡献。未来的研究应探讨跨文化护理领导力对多元文化工作环境以及文化匹配护理提供的影响。
