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AnteayerEvidence-Based Nursing

Cultural competence in nursing education: examining the nexus of cultural sensitivity and effectiveness among nursing students

Por: Tosun · B.

Commentary on: Kardas U, Yilmaz Sahin S. Investigation of the relationship between cultural sensitivity and effectiveness levels among nursing students. Nurse Educ Pract. 2023 Oct;72:103773. doi: 10.1016/j.nepr.2023.103773. Epub 2023 Aug 29 .

Implications for practice and research

  • Nurse educators and policymakers can draw valuable insights from these findings to shape evidence-based strategies for enhancing cultural competence in nursing education, ultimately contributing to the provision of culturally sensitive and effective healthcare services.

  • The unexpected decline in cultural sensitivity and effectiveness levels as students approach graduation raises intriguing questions about the factors influencing these dynamics. Longitudinal studies are recommended to provide a comprehensive understanding of how cultural competence evolves over the course of nursing education.

  • Context

    When intercultural competence is comprehensively addressed in providing healthcare services, it positively influences patients’ satisfaction levels, participation in care and safety.1 To achieve this, cultural sensitivity and cultural...

    Death education: the importance of terror management theory and of the active methods

    Por: Testoni · I.

    Commentary on: Wu Q, Zhu P, Ji Q, et al. The effect of death education course utilizing constructivist learning theory on first grade undergraduate nursing student attitudes and coping abilities towards death: A mixed study design. Nurse Educ Today. 2023 Jul;126:105809. doi: 10.1016/j.nedt.2023.105809. Epub 2023 Apr 6.

    Implications for practice and research

  • Death education courses (DECs) prepare healthcare students to manage future relationships with end-of-life (EOL) patients and their relatives. It would be better for DECs to use active methodologies, for example, creative arts therapies and constructivist and narrative techniques.

  • Research should longitudinally monitor students who have completed a DEC to check their levels of willingness to work in palliative care and their levels of work satisfaction versus burn-out in both the EOL and other hospital wards after they become healthcare professionals.

  • Context

    Many healthcare practitioners suffer from a lack of competence in death...

    Diffusion of paediatric long-term ventilation as a reflection of changing clinical scenarios and practice

    Por: Meggiolaro · L. · Trevisanuto · D.

    Commentary on: Barker N, Sinha A, Jesson C, Doctor T, Narayan O, Elphick HE. Changes in UK paediatric long-term ventilation practice over 10 years. Arch Dis Child. 2023 Mar;108(3):218-224. doi: 10.1136/archdischild-2021-323562. Epub 2022 Nov 29.

    Implications for practice and research

  • Up-to-date information on the use of long-term ventilation (LTV) in the UK paediatric population helps LTV centres to plan services and support healthcare needs.

  • The future development of a national LTV children database could advise clinical guidelines and assist resource allocation planning.

  • Context

    LTV consists in the delivery of respiratory support provided on a daily basis for a minimum period of 3 months through various mechanical interventions.1 LTV, particularly long-term non-invasive ventilation (NIV), is an increasing practice in children as there has been evidence of improving survival and quality of life in several clinical scenarios characterised by respiratory failure. Moreover, it is...

    Starting at the top: culture change has the potential to advance the patient participation agenda in Iranian hospitals

    Por: Tobiano · G. · Chaboyer · W.

    Commentary on: Sarkhosh S, Abdi Z, Ravaghi H. Engaging patients in patient safety: a qualitative study examining healthcare managers and providers' perspectives. BMC Nurs. 2022 Dec 29;211,:374. doi: 10.1186/s12912-022-01152-1.

    Implications for practice and research

  • Without a shift in organisational culture, patient participation in patient safety may continue to be haphazard in Iranian hospitals.

  • Researchers should consider and report the impact of gender when investigating patient participation in care.

  • Context

    Despite Iran’s economic crisis, brought on by sanctions, years of war and improper government resource management, Iranian healthcare is now considered among the finest in the Eastern Mediterranean region.1 There are satisfactory secondary and tertiary hospitals, and progress towards eradication of contagious, maternal and neonatal disorders has been made.1 Internationally, patient participation in hospital safety activities is advocated, such as patients detecting and reporting symptoms, side effects and hospital issues, to...

    Experiences of newly registered nurses transitioning from nursing student to registered nurse: a qualitative systematic review

    Por: Brady · J. · Tatterton · M. J.
    Background and purpose

  • This is a summary of See et al.1

  • Newly registered nurses experience high levels of emotional exhaustion, stress and burnout, with high attrition rates in the first-year post-qualification.

  • The purpose of this review was to consolidate the available evidence on the experiences of newly registered nurses transitioning from the role of student nurse to that of registered nurse.

  • Methods

    Results and areas for future research

  • Thirty-one studies were included in the review, comprising thirty qualitative and one mixed-method study.

  • A total of 452 newly registered nurses were enrolled across the studies from Australia, Canada, Singapore, England, Nepal, Netherlands, Pakistan and Taiwan.

  • Four themes were identified: knowledge deficit, overwhelming clinical practice, importance of workplace support and the meaning of ‘being a nurse’.

  • Twenty-four studies discussed how newly graduated registered nurses experienced anxiety,...

  • Statutory mental health services in the UK do not meet the needs of people from ethnic minority groups

    Por: Barreto · M.

    Commentary on: Bansal N, Karlsen S, Sashidharan SP, Cohen R, Chew-Graham CA, Malpass A. Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography. PLoS Med. 2022 Dec 13;1912:e1004139. doi: 10.1371/journal.pmed.1004139.

    Implications for practice and research

  • Mental health service providers need to listen to the voices of ethnic minorities to offer services that align with their needs and experiences and reduce mental health disparities.

  • Research should evaluate the effectiveness of alternative approaches to, and co-production of, biomedical mental healthcare for specific ethnic minority groups.

  • Context

    Mental health disparities are well documented in the UK, despite free access to healthcare. Individuals from minoritised ethnic groups are more likely than white British individuals to: suffer from undiagnosed and untreated mental illness; access healthcare via crisis pathways (and less likely to access via primary care); and receive a diagnosis of severe mental illness. This is costly...

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