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A survey of cultural competence of critical care nurses in KwaZulu-Natal

机译：夸祖鲁-纳塔尔省重症监护护士的文化能力调查

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BACKGROUND: Nurses are primary caregivers and have a key role in providing care in a culturally diverse healthcare system, such as in South Africa (SA). Nurses need cultural competence in the management of patients within this cultural context. A healthcare system staffed by a culturally competent workforce can provide high-quality care to diverse population groups, contributing to the elimination of health disparities. OBJECTIVE: To describe the self-rated levels of cultural competence of nurses working in critical care settings in a selected public hospital in SA. METHODS: A quantitative descriptive survey was conducted with nurses from eight critical care units in a public hospital in KwaZulu-Natal Province, using the Inventory to Access the Process of Cultural Competency - Revised (IAPCC-R) cultural competence questionnaire. RESULTS: The overall cultural competence score for the respondents was 70.2 (standard deviation 7.2) out of a possible 100, with 77 (74%) of the respondents scoring in the awareness range, 26 (25%) in the competent range, and only 1 in the proficient range. Nurses from non-English-speaking backgrounds scored significantly higher in cultural competence than English-speaking nurses. CONCLUSION: In addressing the many faces of cultural diversity, healthcare professionals must realise that these faces share a common vision: to obtain quality healthcare services that are culturally responsive and culturally relevant to the specific cultural group.
机译：背景：护士是主要的护理人员，并且在不同文化的医疗体系（例如南非（SA））中，在提供护理方面起着关键作用。在这种文化背景下，护士在管理患者方面需要文化能力。由具有文化背景的劳动力组成的医疗保健系统可以为各种人群提供高质量的护理，从而有助于消除健康差异。目的：描述在SA选定公立医院中在重症监护环境中工作的护士的文化能力的自我评价水平。方法：使用访问“文化能力修订过程”（IAPCC-R）文化能力调查表的清单，对夸祖鲁-纳塔尔省一家公立医院的八个重症监护室的护士进行了定量描述性调查。结果：受访者的整体文化能力得分是70.2（标准差7.2），满分为100，其中77（74％）的受访者在意识范围内得分，26（25％）的能力范围内1在熟练范围内。非英语背景的护士在文化能力方面的得分明显高于英语的护士。结论：在应对文化多样性的许多方面时，医疗保健专业人员必须认识到这些面孔具有共同的愿景：获得高质量的医疗服务，这些服务应在文化上具有响应性，并在文化上与特定文化群体相关。

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