ArticleBMC health services research2018
Health workforce cultural competency interventions: a systematic scoping review.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
142 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review.Journal of racial and ethnic health disparities · 2025Pooled it
- Factors Associated with the Integration of Culturally and Linguistically Diverse Nurses into Healthcare Organisations: A Systematic Review of Quantitative Studies.Journal of nursing management · 2024Pooled it
- Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review.Journal of racial and ethnic health disparities · 2022Pooled it
- Health professional perspectives on translation of cultural safety concepts into practice: A scoping study.Frontiers in rehabilitation sciences · 2022Pooled it
- Pooled it
- Acceptability, feasibility, and factors affecting implementation of a gender-sensitivity training for HIV providers and staff in Uganda: a mixed methods, quasi-experimental controlled pilot trial.BMC public health · 2025Trial
- Socio-cultural factors for breastfeeding cessation and their relationship with child diarrhoea in the rural high-altitude Peruvian Andes - a qualitative study.International journal for equity in health · 2021Trial
- A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru.Global health, science and practice · 2020Trial
- Cultural Competence Among Optometry Students at a South African University: Cross-Sectional Survey Study.JMIR formative research · 2026Article
- Health-related quality of life and lifetime QALY loss among Indigenous Australians with chronic conditions: an age-stratified analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Article
- Perceived cultural competence among nursing students: A cross-sectional study.International journal of nursing studies advances · 2026Article
- Culturally Adapted Cognitive Behavioural Therapy and First Nations Population: A Role for Nurses?International journal of mental health nursing · 2026Article
- Empowering health care staff to address health inequalities: A policy-focused evidence brief.Public health in practice (Oxford, England) · 2026Article
- Article
- Perceptions of Healthcare Professionals Regarding the Cultural Food Practices of African Migrant Women During Pregnancy and Postpartum in Australia.Maternal & child nutrition · 2026Article
- Enhancing gynecological examination training for international medical students: a comparative study of peer role-play and peer assessment.BMC medical education · 2026Article
- Key Storytellers of Health Information Among Spanish-Speaking Latino Sexual Minority Men in the U.S.: Identifying Barriers and Facilitators to HIV Prevention and Care.Health communication · 2026Article
- Mind the (cultural competency) gap: bridging cultural barriers in physiotherapy practice - a quality improvement project.Primary health care research & development · 2026Article
82 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundAddressing health workforce cultural competence is a common approach to improving health service quality for culturally and ethnically diverse groups. Research evidence in this area is primarily focused on cultural competency training and its effects on practitioners' knowledge, attitudes, skills and behaviour. While improvements in measures of healthcare practitioner cultural competency and other healthcare outcomes have been reported, there are concerns around evidence strength and quality. This scoping review reports on the intervention strategies, outcomes, and measures of included studies with the purpose of informing the implementation and evaluation of future interventions to improve health workforce cultural competence.
methodsThis systematic scoping review was completed as part of a larger systematic literature search conducted on cultural competence intervention evaluations in health care in Canada, the United States, Australia and New Zealand published from 2006 to 2015. Overall, 64 studies on cultural competency interventions were found, with 16 aimed directly at the health workforce.
resultsThere was significant heterogeneity in workforce intervention strategies, measures and outcomes reported across studies making comparisons of intervention effects difficult. The two main workforce intervention strategies identified were cultural competency training and other professional development interventions including other training and mentoring. Positive outcomes were commonly reported for improved practitioner knowledge (9/16), skills (7/16), and attitudes/beliefs (5/16). Although health care (6/16) and health (2/16) outcomes were reported in some studies there was very limited evidence of positive intervention impacts. Only four studies utilised existing validated measurement tools to assess intervention outcomes.
conclusionTraining and development of the health workforce remain a principle strategy towards the goal of improved cultural competence in health services and systems. Diverse approaches are available to increase health workforce cultural competence. However, the effects of interventions beyond practitioner knowledge and attitudes remains unclear. Assessment of practitioner behavioural outcomes as well as measures of intervention impact on healthcare and health outcomes are needed to build a stronger evidence base.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.