The Effectiveness of Simulated Cultural Humility Training on Nurse's Ability to Provide Culturally Competent Care and Patient Satisfaction in HMC, Doha, Qatar.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 100
- 试验地点
- 1
研究概览
简要总结
Globalization has significantly increased cultural diversity across many countries. Cultural diversity has been identified as an important factor influencing disease progression and health outcomes. Failure to provide culturally appropriate care may result in patient dissatisfaction, poor treatment adherence, and adverse health outcomes. Moreover, a lack of empathy toward patients' cultural values can lead to stereotyping and biased clinical decision-making by healthcare providers.
In Qatar, where the patient population is highly diverse, having a multicultural healthcare workforce is a major strength. However, an increasingly diverse patient population necessitates that cultural competence be integrated as a core component of healthcare professionals' training to ensure the delivery of high-quality, patient-centered care.
This study aims to train nurses in culturally competent care and evaluate its impact on nursing practice and patient satisfaction. Nurses who meet the inclusion criteria will be selected using a simple random sampling technique. Nurses' ability to provide culturally competent care will be assessed using the Cultural Competence Self-Assessment Checklist, while patient perception will be evaluated using a culturally competent patient satisfaction survey.
The experimental group will undergo simulated cultural humility training consisting of four modules, with each module lasting two hours and including objective evaluations and follow-up assignments. The control group will not receive the simulated cultural humility training during the study period. At the end of the seventh week, both the experimental and control groups' ability to provide culturally competent care will be reassessed using the same assessment tools.
The collected data will be analyzed using a paired t-test for within-group comparisons and ANOVA to assess differences between groups and related variables.
详细描述
Introduction Globalization has significantly increased cultural diversity across the world, particularly in Qatar, where 88.4% of the population consists of expatriates representing nearly 94 nationalities and approximately 190 spoken languages (Shepherd et al., 2019). Qatar's healthcare system reflects this diversity, with a workforce drawn from over 70 countries. While this multicultural environment is a major strength, it also presents challenges in delivering culturally sensitive and patient-centered healthcare.
Nurses play a pivotal role in ensuring culturally appropriate care. However, variations in cultural beliefs, communication styles, and healthcare expectations can negatively influence nurse-patient interactions if not adequately addressed. These challenges highlight the need for effective cultural competence and humility training within Qatar's healthcare system.
Background Cultural competence in nursing traditionally refers to the ability to understand and respect patients' cultural beliefs, values, and practices to deliver appropriate care. However, many existing cultural competence programs focus primarily on static, surface-level knowledge of specific cultural groups, limiting their applicability in highly dynamic and multicultural environments such as Qatar (Tang et al., 2019).
Cultural humility offers a more adaptive and reflective approach, emphasizing lifelong learning, self-reflection, recognition of power imbalances, and openness to individual patient identities. This framework promotes flexibility and deeper nurse-patient relationships, making it particularly suitable for multicultural healthcare settings.
Studies indicate that culturally competent care improves nurse-patient communication, trust, and patient satisfaction (Červený et al., 2022). Conversely, barriers such as language difficulties, lack of culturally sensitive care plans, and limited empathy reduce care quality. Research conducted in Qatar identified significant gaps in nurses' ability to address cultural and spiritual needs (Moratillo, 2021), and nearly 60% of patients at Hamad Medical Corporation reported dissatisfaction with how cultural aspects of care were addressed (Mukhalalati et al., 2023).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
盲法说明
Once eligibility is confirmed and consent is obtained, participants will be enrolled sequentially. A research assistant, independent of the recruitment team, will open the envelope corresponding to the participant's ID to assign the group. This ensures that the allocation sequence remains concealed until assignment, minimizing the risk of selection bias.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Expatriate nurses with ≤3 years of experience in Qatar, no prior cultural humility training, and a baseline cultural competence score ≤74
排除标准
- •Nurses from Arabic Speaking Countries working in HMC, Nurse working in HMC who had undergone cultural humility training, Outpatient, emergency, operation theater and critical care nurses working in HMC.