ArticleJournal of advanced nursing2025
Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.
Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Cultivating culturally responsive practices in the preparedness of self-management capabilities for individuals living with multimorbidity.Evidence-based nursing · 2026Article
- Factors that influence access to primary healthcare services for migrants with a pre-existing mental ill-health diagnosis: a scoping review.BMC primary care · 2026Article
- Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.Journal of advanced nursing · 2025Article
- Experiences of Working With Refugee Children From Ukraine: An Interview Study With School Nurses.Public health nursing (Boston, Mass.)Article
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Authors and funding
6 authors.
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Abstract
aimsTo explore levers and barriers to providing culturally responsive care for general practice nurses (GPNs) using normalization process theory.
designA self-administered online cross-sectional survey.
methodsA participatory co-designed adapted version of the normalization of complex interventions measure (NoMAD) validated tool was distributed to a convenience sample of GPNs between December 2022 and February 2023. The sample comprised of GPNs working in general practice services in Ireland (n = 122). Data were analysed using descriptive and analytical statistics (Pearson correlations) and principles of content analysis. This study was conducted and reported in line with the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).
resultsGPNs in this study indicated their familiarity with, acknowledged the importance of and were committed to, providing culturally responsive care. However, implementing culturally responsive care in daily practice was problematic due to insufficient education and training, scarcity of resources and supports and a lack of organizational leadership. Subsequently, GPNs experience difficulties adapting everyday practices to respond appropriately to the care needs of culturally and linguistically diverse (CaLD) patients.
conclusionThis analysis highlights the necessity of exploring the intricacies of factors that influence capabilities and capacity for providing culturally responsive care. Despite demonstrating awareness of the importance of providing nursing care that responds to the needs of CaLD patients, GPNs do not have full confidence or capacity to integrate culturally responsive care into their daily work practices. IMPACT: Using normalization process theory, this study elucidates for the first time how GPNs in Ireland make sense of, legitimize, enact and sustain culturally responsive care as a routine way of working. It illuminates the multitude of micro-level (individual), meso-level (organizational) and macro-level (structural) factors that require attention for normalizing culturally responsive care in general practice services. PATIENT OR PUBLIC CONTRIBUTION: The study question was identified in a participatory research prioritization for Irish research about migrant health that involved migrants in the process.
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