ArticlePloS one2018
The association between cross-cultural competence and well-being among registered native and foreign-born nurses in Finland.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Talent management of international nurses in healthcare settings: A systematic review.PloS one · 2023Pooled it
- Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study.PloS one · 2021Trial
- The Intercultural Mediator as a Bridge in Healthcare Professional-Migrant Patient Care Relationships: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the Relationship Between Cultural Competence and Nursing Students' Attitudes on Brain Drain: A Correlational and Cross-Sectional Research.Nursing open · 2026Article
- The relationship between cultural competence, empathic tendency, and caring behaviors of nurses: A cross sectional study.Medicine · 2026Article
- Article
- Exploring predisposing factors in the wellbeing of Iranian emigrant nurses: A qualitative study.Journal of education and health promotion · 2025Article
- Mirage or oasis? Iranian immigrant nurses share their stories of working in overseas healthcare settings: a phenomenological hermeneutic study.Frontiers in psychology · 2025Article
- Factors associated with foreign-educated nurses' willingness to continue working in Japan: a qualitative study.BMC nursing · 2024Article
- Culture of patient care among international nursing students: a focused ethnographic study.BMC nursing · 2024Article
- Integrated care competencies and their association with cross-cultural competence among registered nurses: A cross-sectional questionnaire survey.Nursing open · 2024Article
- Beyond challenges and enrichment: a qualitative account of cross-cultural experiences of nursing patients with an ethnic minority background in Norway.BMC nursing · 2022Article
- Organisational and staff-related effects on cultural competence in the hospital setting: a cross-sectional online survey of nursing and medical staff.BMC health services research · 2022Article
- Testing the psychometric properties of the Finnish version of the cross-cultural competence instrument of healthcare professionals (CCCHP).BMC health services research · 2019Article
- Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers.Ethnicity & disease · 2019Article
- Cultivating Cultural Humility to Address the Healthcare Burnout Epidemic-Why It Matters.Global advances in integrative medicine and healthArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA growing body of research indicates that cross-cultural competence in nurses can improve migrant patients' health-related outcomes, but little is known about the potential benefits of cross-cultural competence on the nurses' own well-being.
objectiveTo examine whether cross-cultural competence (empathy, skills, positive attitudes, and motivation) is associated with perceived time pressure at work, psychological distress, and sleep problems among registered nurses in Finland, and whether there are differences in these potential associations between native and foreign-born nurses.
methodsThe present cross-sectional study was based on a sample of 212 foreign-born nurses licensed to practice in Finland and a random sample of 744 native Finnish nurses. Data were collected with a questionnaire and analyzed using multiple linear regression and structural equation modeling (SEM).
resultsOf all four dimensions of cross-cultural competence, only empathy was associated with perceived time pressure (β = -0.13, p = .018), distress (β = -0.23, p < .001), and sleep problems (β = -0.14, p = .004) after the adjustment for gender, age, employment sector, and frequency of interacting with patients and colleagues from different cultures. There were no differences between native and foreign-born nurses in these observed associations (all ps > .05).
conclusionsCross-cultural empathy may protect against perceived time pressure, distress, and sleep problems in both native and foreign-born nurses. Thus, the promotion of this component of cross-cultural competence among nursing personnel should be encouraged.
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