ArticleBMC health services research2022
Organisational and staff-related effects on cultural competence in the hospital setting: a cross-sectional online survey of nursing and medical staff.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- EPA guidance on cultural competence training: a critical update and meta-review.European psychiatry : the journal of the Association of European Psychiatrists · 2026Pooled it
- The Association Between the Nursing Practice Environment and Culturally Competent Behaviors Among Surgical Nurses in Riyadh, Saudi Arabia: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Exploring Racism in Healthcare: The Impact of Demographic Factors on Greek Nurses' Discrimination Attitudes and Beliefs.Advances in experimental medicine and biology · 2026Article
- Policy paper of the Committee on Ethics and Task Force on Migration and Mental Health: Migration and mental health of migrants, refugees, asylum seekers - Ethical dilemmas and concerns.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
- Factors influencing intercultural competences of hospital workers for multicultural patients in South Korea.International journal of medical education · 2024Article
- Article
- Integrated care competencies and their association with cross-cultural competence among registered nurses: A cross-sectional questionnaire survey.Nursing open · 2024Article
- Patterns and predictors of cultural competence practice among Nigerian hospital-based healthcare professionals.BMC medical education · 2023Article
- Observed and personally experienced discrimination: findings of a cross-sectional survey of physicians and nursing staff.Human resources for health · 2022Article
- (Dis)advantaged positions in accessing gender-affirming healthcare in Finland: an intersectional qualitative study of foreign-origin transgender people.BMC health services research · 2022Article
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6 authors.
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Abstract
backgroundCultural competence is considered a core qualification for dealing with socio-cultural diversity and balancing disparities in health care.
objectivesTo explore features supporting and inhibiting cultural competence in the hospital at both organisational and staff levels.
designCross-sectional online survey in the form of a full census from May to November 2018.
settingTwo organisations that run a total of 22 hospitals in Germany.
participantsEight hundred nursing and medical professionals [nurses: n = 557; doctors: n = 243].
methodsUsing the Short Form Cultural Intelligence SCALE (SFCQ), cultural competence was measured and its relation to potential influencing factors at staff level and organisational level examined, using bivariate (t-Test, one-way ANOVA, Pearson and Spearman correlations) and multivariate (multiple linear regression) approaches. Model 1 examined features at organisational level, Model 2 at individual level and Model 3 included organisational and individual features.
resultsThe mean cultural competence measured was 3.49 [min.: 1.3; max.: 5.0]. In the bivariate and isolated multivariate models [Models 1 and 2], factors on both organisational and individual levels were significantly related to the hospital staff's cultural competence. The multivariate overview [Model 3], however, revealed that individual features at staff level were the statistically relevant predictors. Positive influencing features included staff's assessment of the importance of cultural competence in their professional context [B: 0.368, 95% confidence interval 0.307; 0.429], participation in competence training [B: 0.193; 95% confidence interval 0.112; 0.276] and having a migration background [B: 0.175; 95% confidence interval 0.074; 0.278], while negative features included length of medical service [B: -0.004; 95% confidence interval -0.007; -0.001].
conclusionsThe development and practice of cultural competence appear to be determined less by organisational features and more on the level of individual actors. In addition to staff development, adequate organisational structures and an economic incentive system are required to promote sociocultural diversity in hospitals.
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