Culturally Congruent Care in Nursing Practice: A Concept Analysis

International Journal of Nursing and Health Science

© 2022 by SSRG - IJNHS Journal

Volume 8 Issue 3

Year of Publication : 2022

Authors : Abdulkarim O. Agga, Keith Lester Lavin, Ramon B. Aringo Jr.

10.14445/24547484/IJNHS-V8I3P106

How to Cite?

Abdulkarim O. Agga, Keith Lester Lavin, Ramon B. Aringo Jr., "Culturally Congruent Care in Nursing Practice: A Concept Analysis," SSRG International Journal of Nursing and Health Science, vol. 8,  no. 3, pp. 32-39, 2022. Crossref, https://doi.org/10.14445/24547484/IJNHS-V8I3P106

Abstract:

Culturally congruent care is an application of the nurse's ability to provide care to their patients with the highest consideration for their overall well-being, including culture, beliefs, and religion. It includes the utmost genuine openness and sensitivity towards patients' preferences related to their culture and alike. The primary purpose of this concept analysis is to specifically discuss the concept of providing culturally congruent care in the nursing practice. This study utilized the eight stages of Walker and Avant's approach to concept analysis. The concept was further understood as case studies were presented. During the process, it was found out that the concept has the following defining attributes; (1) Cultural Humility, (2) Intercultural Sensitivity, and (3) Cultural Competence. The consequence of these analyses included the patient, nurses, and the health care organizations. The concept's development may constantly change in the future. Still, the findings supported by the diverse empirical references will empower the nurses with the exact knowledge of what approach to use when confronted with a cultural situation. Lastly, this concept analysis may serve as data that can be utilized to continuously improve current practices in providing culturally congruent care

Keywords:

Culture Care, Cultural Humility, Cultural Competence, Transcultural Nursing.

References:

[1] Joseph R Betancourt et al., “Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care,” Public Health Reports, vol. 118, no. 4, pp. 293–302, 2003. Crossref, http://dx.doi.org/10.1016/S0033- 3549(04)50253-4
[2] Campinha-Bacote J, “The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care,” Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, vol. 13, no. 3, pp. 181–4, 2002. Crossref, https://doi.org/10.1177/10459602013003003
[3] Sophia Clarke, “Cultural Congruent Care: A Reflection on Patient Outcome,” Journal of Healthcare Communications, vol. 2, no. 4, 2017. Crossref, https://doi.org/10.4172/2472-1654.100092
[4] Cross, T et al., “Towards a Culturally Competent System of Care,” Washington, DC: National Technical Assistance Center for Children's Mental Health, Georgetown University Child Development Center, 1989.
[5] Colich, A, The Importance of Cultural Competence in Nursing, Insight Digital Magazine, 2021. https://www.Thechicagoschool.Edu/Insight/Health-Care/the-Importance-of-Cultural-Competence-in-Nursing/
[6] Ma. Theresa Salinda et al., “A Concept Analysis on Culturally Congruent Care,” Journal of Nursing Practice, vol. 4, no. 2, pp. 167- 176, 2021. https://doi.org/10.30994/jnp.V4i2.132
[7] Cultural Humility Vs Competence — and Why Providers Need Both, Healthcity, 2021. https://healthcity.bmc.org/policy-and-industry/cultural-humility-vs-cultural-competence-providers-need-both
[8] Flaskerud, J. H, “Cultural Competence: What Is It?” Issues in Mental Health Nursing, vol. 28, no. 1, pp. 121–123, 2007. Crossref, https://doi.org/10.1080/01612840600998154
[9] Cynthia Foronda, “A Theory of Cultural Humility,” Journal of Transcultural Nursing, vol. 31, no. 1, pp. 210–217, 2015. Crossref, https://doi.org/10.1177/1043659619875184
[10] Leininger's Culture Care Theory, Nursing Theory, 2020. [Online]. Available. Https://Nursing-Theory.Org/Theories-andModels/Leininger-Culture-Care-Theory.Php
[11] Leininger, M. M, “Culture Care Diversity and Universality Theory and Evolution of the Ethnonursing Method,” in M. M. Leininger and M. R. Mcfarland (Eds.), Culture Care Diversity and Universality: A Worldwide Nursing Theory (2nd Ed), pp. 1-41, 2006a.
[12] Laurence J Kirmayer, “Rethinking Cultural Competence,” Transcultural Psychiatry, vol. 49, no. 2, pp. 149–164, 2012. Crossref, http://doi.org/10.1177/1363461512444673
[13] Mcfarland, M. R, and Wehbe-Alamah, H. B, “Leininger's Theory of Culture Care Diversity and Universality: an Overview with a Historical Retrospective and a View Toward the Future,” Journal of Transcultural Nursing, vol. 30, no. 6, pp. 540–557, 2019. Crossref, http://doi.org/10.1177/1043659619867134.
[14] Murphy SC, “Mapping the Literature of Transcultural Nursing,” Journal of the Medical Library Association, vol. 94, no. 2Suppl, pp. E143-51, 2006. PMID: 16710461; PMCID: PMC1463039.
[15] Anita Nuopponen, “Methods of Concept Analysis - A Comparative Study,” LSP Journal - Language for Special Purposes, Professional Communication, Knowledge Management and Cognition, vol. 1, no. 1, 2010. https://rauli.cbs.dk/index.php/lspcog/article/view/2970
[16] Sunyoung Oh, Minkyung Gu, Sohyune Sok, “A Concept Analysis of Nurses' Clinical Decision Making: Implications for Korea,” International Journal of Environmental Research and Public Health, vol. 19, no. 6, pp. 3596, 2022. Crossref, https://doi.org/10.3390/ijerph19063596
[17] Anita Nuopponen, A, “View of Methods of Concept Analysis - A Comparative Study,” LSP Professional Communication Knowledge Management Cognition, Van https://rauli.cbs.dk/index.php/lspcog/article/view/2970/3051
[18] Purnell L, “The Purnell Model for Cultural Competence,” Journal of Transcultural Nursing, vol. 13, no. 3, pp. 193–201, 2022. Crossref, https://doi.org/10.1177/10459602013003006.
[19] Salinda, M. T, et al., A Concept Analysis of Culturally, 2021.
[20] Najmeh Sharifi , Mohsen Adib-Hajbaghery, and Maryam Najafi, “Cultural Competence in Nursing: A Concept Analysis,” International Journal of Nursing Studies, pp. 103386, 2019. Crossref, https://doi.org/10.1016/j.ijnurstu.2019.103386.
[21] Zuwang Shen, “Cultural Competence Models and Cultural Competence Assessment Instruments in Nursing: A Literature Review,” Journal of Transcultural Nursing, vol. 26, no. 3, pp. 308–21, 2015. Crossref, https://doi.org/10.1177/1043659614524790.
[22] Schim SM, and Doorenbos AZ, “ A Three-Dimensional Model of Cultural Congruence: A Framework for Intervention,” Journal of Social Work in End-of-Life & Palliative Care, vol. 6, no. (3-4), pp. 256-70, 2010. Crossref, http://dx.doi.org/10.1080/15524256.2010.529023. PMID: 21132602; PMCID: PMC3074191.
[23] Sierra, M., & Cianelli, R, “Health Literacy About Health Outcomes: A Concept Analysis,” Nursing Science Quarterly, vol. 32, no. 4, pp. 299–305, 2019. Crossref, https://doi.org/10.1177/0894318419864328 
[24] Uzun, Ö., & Sevinç, S, “The Relationship Between Cultural Sensitivity and Perceived Stress Among Nurses Working with Foreign Patients ,” Journal of Clinical Nursing, vol. 24, no. (23-24), pp. 3400–3408, 2015. Crossref, http://doi/10.1177/0894318419864328
[25] Yazdani S, Hosseini F, and Ahmady S, “System-Based Practice: A Concept Analysis,” Journal of Advances in Medical Education & Professionalism, vol. 4, no. 2, pp. 45-53, 2016. PMID: 27104198; PMCID: PMC4827756.
[26] Walker, L.O. & Avant, K. C, “Strategies for Theory Construction in Nursing (6th Ed.).” Pearson, 2019.
[27] What Does Diversity Mean in Nursing? Adventhealth University, 2020. https://www.ahu.edu/blog/what-does-diversity-mean-in-nursing
[28] What Is Culture? (N.D.). https://sphweb.bumc.bu.edu/otlt/mph-modules/ph/culturalawareness/culturalawareness2.html