Abstract：
:Cultural competence development in healthcare professions is considered an essential condition to promote quality and equity in healthcare. Even if cultural competence has been recognized as continuous, evolutionary, dynamic, and developmental by most researchers, current models of cultural competence fail to present developmental levels of this competence. These models have also been criticized for their essentialist perspective of culture and their limited application to competency-based approach programs. To our knowledge, there have been no published studies, from a constructivist perspective, of the processes involved in the development of cultural competence among nurses and undergraduate student nurses. The purpose of this study was to develop a theoretical proposition of cultural competence development in nursing from a constructivist perspective. We used a grounded theory design to study cultural competence development among nurses and student nurses in a healthcare center located in a culturally diverse urban area. Data collection involved participant observation and semi-structured interviews with 24 participants (13 nurses and 11 students) working in three community health settings. The core category, 'learning to bring the different realities together to provide effective care in a culturally diverse context', was constructed using inductive qualitative data analysis. This core category encompasses three dimensions of cultural competence: 'building a relationship with the other', 'working outside the usual practice framework', and 'reinventing practice in action.' The resulting model describes the concurrent evolution of these three dimensions at three different levels of cultural competence development. This study reveals that clinical experience and interactions between students or nurses and their environment both contribute significantly to cultural competence development. The resulting theoretical proposition of cultural competence development could be used not only to guide initial and continuing nursing education, but also to help redefine quality of care in a culturally diverse context.
journal_name
Nurse Educ Todayjournal_title
Nurse education todayauthors
Blanchet Garneau A,Pepin Jdoi
10.1016/j.nedt.2015.05.019subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1062-8issue
11eissn
0260-6917issn
1532-2793pii
S0260-6917(15)00247-6journal_volume
35pub_type
杂志文章abstract：BACKGROUND:The correct and appropriate performance of nursing skills by students can ensure patient safety and care quality. However, developing appropriate teaching and learning strategies to enhance nursing students' nursing skills and knowledge are challenging tasks for nursing faculty members. Nowadays, smartphones...
journal_title：Nurse education today
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doi：10.1016/j.nedt.2018.03.027
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:A review of the literature showed that the core competencies needed by newly graduated Chinese nurses were not as of yet undocumented. OBJECTIVE:To develop a psychometrically sound instrument for identifying and measuring the core competencies needed by Chinese nursing baccalaureate graduates. DESIGN:Descr...
journal_title：Nurse education today
pub_type： 杂志文章,多中心研究
doi：10.1016/j.nedt.2013.05.020
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2017.11.033
更新日期：2018-02-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104656
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1054/nedt.2001.0594
更新日期：2001-10-01 00:00:00
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journal_title：Nurse education today
pub_type： 历史文章,杂志文章
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更新日期：2010-10-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2010.01.010
更新日期：2010-11-01 00:00:00
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journal_title：Nurse education today
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journal_title：Nurse education today
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2009.12.008
更新日期：2010-10-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104638
更新日期：2021-01-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2010.01.017
更新日期：2010-11-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/s0260-6917(96)80050-5
更新日期：1996-12-01 00:00:00
abstract：BACKGROUND:The expansion of the higher educational sector in the United Kingdom over the last two decades to meet political aspirations of the successive governments and popular demand for participation in the sector (the Widening Participation Agenda) has overlapped with the introduction of e-learning. OBJECTIVES:Thi...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.04.003
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to explore the benefits of using High Fidelity Simulators (HFS) to teach maternal postpartum and newborn assessment skills to student nurses before they interacted with actual hospital patients. DESIGN:This descriptive, observational study employed a mixed-method design using ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.09.031
更新日期：2018-12-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2018.10.011
更新日期：2019-01-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2011.03.007
更新日期：2012-04-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2008.11.005
更新日期：2009-07-01 00:00:00
abstract：:This longitudinal descriptive study evaluates the implementation of an innovative teaching strategy: a research partnership between baccalaureate nursing students and nurses in two acute care hospitals. The impetus for this partnership was to introduce a concrete, clinical dimension to a junior level introductory nurs...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2009.10.001
更新日期：2010-05-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
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journal_title：Nurse education today
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2008.11.014
更新日期：2009-07-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/s0260-6917(02)90762-8
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Technological advances in medicine have generated an increase in the complexity of delivering quality medical care, which is a challenge to the healthcare system. Improving interdisciplinary teamwork among all healthcare staff is one approach to meeting these new challenges. Interdisciplinary teamwork can be...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2020.104598
更新日期：2020-12-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2015.05.016
更新日期：2015-11-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2016.06.019
更新日期：2016-10-01 00:00:00
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journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.02.021
更新日期：2013-08-01 00:00:00
abstract：:The Council of Ontario University Programs in Nursing offers a nine-university, consortium-based primary health care nurse practitioner education program and on-line continuing education courses for primary health care nurse practitioners. Our study sought to determine the continuing education needs of primary health ...
journal_title：Nurse education today
pub_type： 杂志文章
doi：10.1016/j.nedt.2012.07.018
更新日期：2013-04-01 00:00:00
abstract：AIM:The aim of this study is to review international scientific articles about pedagogical strategies to teach nursing students at bachelor degree evidence-based practice (EBP). METHOD:A literature review including peer reviewed, original, empirical articles describing pedagogical interventions aimed at teaching bache...
journal_title：Nurse education today
pub_type： 杂志文章,评审
doi：10.1016/j.nedt.2015.08.025
更新日期：2016-01-01 00:00:00
