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护士的文化能力及其与社会人口学因素的关系:一项横断面调查。

The cultural competence of nurses and its relationship to socio-demographic factors: a cross-sectional survey.

作者信息

Urbanavičė Rita, El Arab Rabie Adel, Austys Donatas, Skvarčevskaja Marija, Istomina Natalja

机构信息

Institute of Health Sciences, Faculty of Medicine, Vilnius University, M. K. Čiurlionio g. 21, Vilnius, LT-03101, Lithuania.

Almoosa College of Health Sciences, Al Ahsa, Saudi Arabia.

出版信息

BMC Nurs. 2025 May 7;24(1):497. doi: 10.1186/s12912-025-03124-7.

DOI:10.1186/s12912-025-03124-7
PMID:40335935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060395/
Abstract

INTRODUCTION

Escalating migration flows necessitate an intensified focus on the cultural competence of nurses, as culturally competent care is critical for accurately assessing and addressing the needs of patients from diverse backgrounds. Despite its importance, the cultural competence of nurses remains suboptimal and is influenced by various socio-demographic factors.

AIM

To evaluate the cultural competence of nurses in Lithuania and examine its relationship with socio-demographic characteristics.

METHODS

A cross-sectional survey was conducted among 1,278 nurses across primary, secondary, and tertiary healthcare institutions in Lithuania's public and private sectors. Cultural competence was assessed using the Nurse Cultural Competence Scale, and statistical analyses were performed to compare competence levels and determine associations with socio-demographic factors.

RESULTS

Overall, 97.2% of nurses rated their cultural competence as moderate, with only 17.0% attaining a high level (mean score 3.51 ± 0.07; total score 102.88 ± 23.35). The highest scores were observed in the Cultural Awareness (3.94 ± 0.16) and Cultural Sensitivity (3.70 ± 0.28) subscales, while Cultural Knowledge (3.30 ± 0.23) and Cultural Skills (3.22 ± 0.28) were lower. High cultural competence was significantly associated with younger age, university education, proficiency in foreign languages, specialized training, employment in the private healthcare sector, work in urban or rural areas, shorter work experience, and clinical experience with asylum seekers and refugees (p < 0.05).

CONCLUSIONS

The findings indicate that Lithuanian nurses demonstrate moderate cultural competence, with marked deficits in theoretical knowledge and practical skills. This underscores the imperative for enhanced cultural training, indicating that cultural training is necessary to improve the cultural competence of nurses.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

引言

不断增加的移民潮使得有必要更加关注护士的文化能力,因为具备文化能力的护理对于准确评估和满足来自不同背景患者的需求至关重要。尽管其很重要,但护士的文化能力仍未达到最佳水平,且受到各种社会人口因素的影响。

目的

评估立陶宛护士的文化能力,并考察其与社会人口特征的关系。

方法

对立陶宛公共和私营部门的初级、二级和三级医疗机构中的1278名护士进行了横断面调查。使用护士文化能力量表评估文化能力,并进行统计分析以比较能力水平并确定与社会人口因素的关联。

结果

总体而言,97.2%的护士将自己的文化能力评为中等,只有17.0%达到高水平(平均得分3.51±0.07;总分102.88±23.35)。在文化意识(3.94±0.16)和文化敏感性(3.70±0.28)子量表中观察到最高得分,而文化知识(3.30±0.23)和文化技能(3.22±0.28)得分较低。高文化能力与较年轻的年龄、大学教育、外语熟练程度、专业培训、在私立医疗保健部门工作、在城市或农村地区工作、较短的工作经验以及与寻求庇护者和难民的临床经验显著相关(p<0.05)。

结论

研究结果表明,立陶宛护士表现出中等文化能力,在理论知识和实践技能方面存在明显不足。这凸显了加强文化培训的必要性,表明文化培训对于提高护士的文化能力是必要的。

临床试验编号

不适用。

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