Cultural Sensitivity Research Articles

Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study

Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study

Enhancing end-of-life care for advanced heart failure patients in Saudi Arabian emergency departments (EDs): Perspectives of ED staff on challenges.

Enhancing end-of-life care for advanced heart failure patients in Saudi Arabian emergency departments (EDs): Perspectives of ED staff on challenges.

Culturally Responsive Emergency Nursing: From Triage to Discharge.

Culturally Responsive Emergency Nursing: From Triage to Discharge.

Metagenomic analysis of microbial cell-free DNA from plasma of patients with suspected infections: performance and therapeutic impact in clinical routine.

Metagenomic analysis of microbial cell-free DNA from plasma of patients with suspected infections: performance and therapeutic impact in clinical routine.

Integrasi Konseling Multibudaya dalam Eksplorasi Nilai Kearifan Lokal Budaya “Pappaseng” pada Suku Bugis

Integrating local values into multicultural counseling represents a strategic step toward enhancing cultural sensitivity and contextual relevance in counseling practices in Indonesia. This study aims to analyze and integrate the cultural value of pappaseng, a foundational principle of communication and character in Bugis culture into a multicultural counseling approach. The method used is a Systematic Literature Review (SLR), encompassing stages of identification, selection, evaluation, and synthesis of 17 scholarly articles discussing multicultural counseling, local wisdom, and Bugis cultural values. The analysis reveals that pappaseng holds significant potential in reinforcing ethical, empathetic, and culturally oriented communication between counselors and clients. These values support the development of more inclusive counseling relationships based on an understanding of clients’ cultural backgrounds, thereby enhancing the overall effectiveness of the counseling process. The findings contribute theoretically to the development of multicultural counseling approaches grounded in local wisdom and offer practical implications for counselors seeking to apply cultural values as a foundation for more contextual and meaningful interventions.

Enhancing cultural sensitivity in medical education: a central pillar for patient-centered care

Enhancing cultural sensitivity in medical education: a central pillar for patient-centered care

Perceptions of the Black population on fertility care: A scoping review.

Perceptions of the Black population on fertility care: A scoping review.

Active and direct patient participation in health professions education: A narrative overview of literature from the global south.

Patients traditionally played a passive role in health professions education (HPE). However, their active involvement is increasingly valued, particularly in higher-resourced regions of the world known as the Global North. This study explores active and direct patient involvement in HPE contexts in the Global South (GS) regions of the world. A narrative review of literature was conducted, utilising a systematic search of multiple electronic databases. 3966 abstracts were identified, and 80 full texts were reviewed. Ultimately, five papers were included in the final corpus. The selected studies were set in five GS countries, involving undergraduate, postgraduate medical and pharmacy training. Real patients, their caregivers and standardized patients acted as teachers or assessors focusing on learners' history-taking, communication skills, and professionalism. Challenges included cultural sensitivity and safety concerns, e.g. during home visits. Educators faced difficulties in patient recruitment, training and compensation. Active and direct patient involvement in HPE within GS contexts remains limited. Current efforts focus on patients as teachers or assessors, with little contribution to educational design, instruction and mentoring. Educators may be overlooking the potential of diverse cultural perspectives to enhance patient engagement in HPE, making this a valuable area for future research.

Developing antenatal education resources for CALD women: First steps, exploring what women from CALD backgrounds want and need.

Developing antenatal education resources for CALD women: First steps, exploring what women from CALD backgrounds want and need.

An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia

Maternal mortality remains a critical concern in Central Lombok, with over 50% of maternal deaths in hospitals involving cases referred through the BAKSOKUDA referral system. This suggests potential failures within the referral process, raising concerns about systemic issues compromising maternal health emergencies. This research uses a qualitative case study methodology to investigate the BAKSOKUDA system, aiming to identify the challenges contributing to high maternal mortality and provide insights for improving healthcare outcomes. Data were collected through semi-structured interviews with eleven participants: midwives, doctors, nurses, and a hospital manager. Thematic analysis identified several critical issues: communication breakdowns, inconsistent adherence to protocols, difficulties in securing family cooperation, inadequate infrastructure, and lack of community support for blood donation. These findings highlight four interrelated components—human resources, the professional environment, patients and families, and community support—as central to effective maternal health systems. To address these challenges, the study recommends enhancing communication and protocol adherence, providing comprehensive midwife training, promoting cultural sensitivity, and addressing systemic issues like ambulance availability. Strategic planning, resource allocation, and regional coordination are essential to improving infrastructure and ensuring effective referrals. The findings stress the need for a holistic approach, continuous improvement, and active community engagement to optimize maternal care.

Health Equity in Mental Health Care: Challenges for Nurses and Related Preparation

Individuals with mental illness face significant challenges in achieving health equity due to social and structural determinants, fragmented healthcare systems, social stigmas, and disparities in digital health access. As advocates for individuals with mental illness, nurses play a crucial role in promoting health equity. Therefore, nurses must develop structural competency to understand how economic, political, and social structures impact mental healthcare. Moreover, nurses should cultivate cultural sensitivity and inclusivity to appropriately respect the cultural backgrounds of their patients during care, build trust, and reduce the negative impacts of discrimination and stigmas on their health. In addition, nurses should participate actively in health policy formulation and advocacy to eliminate structural barriers within the mental healthcare system to improve accessibility and fairness in medical services. Furthermore, nurses need to collaborate with multiple stakeholders to establish interdisciplinary community partnerships, drive systemic change through community programs and policy translation, and ensure sustainable improvements. As artificial intelligence and digital technologies continue to evolve, nurses must enhance their professional competencies continually to guarantee equitable, high-quality, and inclusive healthcare for those with mental illness and, ultimately, advance overall societal well-being.

How do health concerns present in cancer survivors who require interpreters? Database analysis of a structured survivorship clinic for early-stage cancer.

1632 Background: Cancer survivors (CS) of Culturally and Linguistically Diverse (CALD) backgrounds face disparities in care. We aimed to compare demographics and health concerns of CALD CS with non-CALD CS following completion of primary treatment. Methods: The Sydney Cancer Survivorship Centre (SCSC) database was analyzed to compare baseline differences in demographics and health concerns between early-stage CS of solid tumor or hematologic cancers requiring interpreters (CALD CS) during initial consultations to those who did not (non-CALD CS). Descriptive statistics were used to illustrate distribution by age, gender and tumour type. Survivors completed questionnaires on symptoms, quality of life (QoL), distress, exercise time and were assessed by a psychologist for fear of cancer recurrence (FCR). Univariate analyses were used to determine differences at presentation to the survivorship clinic between CALD and non-CALD groups. Results: From September 2013 to April 2024, 939 initial consultations (median 10.9 months from diagnosis) with consenting CS were conducted at SCSC. 15% (n = 137) required interpreters in 21 different languages (Mandarin (n = 48, 35%), Korean (n = 26, 19%) and Cantonese (n = 19, 14%)): 83 (61%) used professional interpreters, 25 (18%) family/friends. CALD CS were more likely to be female (58%), aged 40-64 (51%) and have colorectal cancer (55%). Common symptoms in CALD CS of at least moderate severity included fatigue (39%), numbness (32%), and pain (31%), not significantly different to non-CALD CS. Significantly lower proportions of CALD CS reported trouble concentrating (19 vs 29%, p = 0.023), hot flashes (14 vs 23%, p = 0.017) and problems with sexual function (12 vs 20%, p = 0.032). CALD CS were significantly more likely than non-CALD CS to report less minutes/week doing vigorous (13.2 vs 32.8; p < 0.001), moderate (32.3 vs 73.0; p < 0.001) and resistance exercise (4.6 vs 18.7; p < 0.001), but more light exercise (219.6 vs 115.5; p = 0.041). Mean global FACT-G QoL score for CALD CS was 77.4 (SD 20), with physical (mean 21.4, SD 6) and emotional (mean 17.6, SD 5) domains most impacted; these were not significantly different from non-CALD CS scores. There were no significant differences between groups in mean distress thermometer scores (3.09 vs 3.39/10; p = 0.288), rates of moderate-to-severe distress (36 vs 41%; p = 0.952) or rates of psychologist-assessed moderate-to-severe FCR (19 vs 28%; p = 0.228). Conclusions: CALD CS experience similar physical and psychosocial health concerns to non-CALD CS at initial survivorship clinic consultations but are less likely to report issues with sexual function, concentration and hot flashes, and are more likely to exercise less. Future work should focus on longitudinal effects and comparisons over time, with particular focus on addressing cultural sensitivities and increasing exercise intensity.

Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis.

Cross cultural adaptation and validation of audiovisual educational material for use in indigenous patients with rheumatoid arthritis.

Navigating cultural contexts

This study examines the key cultural factors that influence the prioritization and implementation of corporate social responsibility (CSR) initiatives by multinational corporations (MNCs) operating in Nepal. This study used an interpretive qualitative approach and an exploratory multiple-case study method. Five MNCs from several industry sectors were selected purposively, and a semi-structured interview was conducted with top-level executives and managerial employees. The interview was transcribed, coded, and thematized using the free trial version of MAXQDA. Five major themes emerged from analyzing participant transcripts: cultural norms and values, cultural timing, cultural dynamics, cultural sensitivity, and resource allocation. By showing the multidisciplinary value of understanding how cultural dynamics influence CSR decision-making, the study bridges the knowledge gap between CSR and cultural studies in the context of developing nations.

The model isn’t made for us: Ghanaian and Nigerian youths’ experiences in London’s mental health system: a qualitative study

ABSTRACT Objectives This study explores the lived experiences of Ghanaian and Nigerian youth in London’s mental health system, highlighting systemic barriers, cultural misalignment, and practitioner perspectives on care models. Standardised approaches, such as Cognitive Behavioral Therapy (CBT), often fail to accommodate the cultural and systemic needs of these communities, contributing to disparities in access and engagement. Design A qualitative study employing Interpretative Phenomenological Analysis (IPA) was conducted with 12 participants, including Ghanaian and Nigerian youth (n = 5), parents (n = 2), and mental health practitioners (n = 5). Semi-structured interviews facilitated an in-depth exploration of personal and shared experiences, analysed using idiographic and group-level thematic approaches. Results Three overarching themes emerged: (1) ‘They didn’t really help me’ – highlighting system-level barriers such as long wait times, unfulfilled referrals, and marginalisation; (2) Cross-racial therapeutic dynamics and practitioners’ observations – revealing tensions between cultural differences in therapy, mixed practitioner experiences, and challenges in building rapport; (3) There hasn’t been enough in the model of care – illustrating the rigidity and cultural insensitivity of standardised therapeutic approaches, particularly within NHS Talking Therapy (formerly IAPT). Conclusion The study highlights the need for a shift from cultural competence to cultural humility in mental healthcare. Addressing systemic barriers requires integrating cultural humility in practitioner training, adapting care models to accommodate diverse experiences, and fostering inclusive mental health policies. These findings advocate for rethinking mental health service delivery to ensure equitable and effective care for Ghanaian, Nigerian and diverse youth in London.

Trends in Promoting Cultural Awareness in Biology Education: A Comprehensive Bibliometric Mapping Analysis

Introduction: Biology education is essential in enhancing students' cultural awareness by integrating local wisdom. However, does the reality align with these expectations? Therefore, this bibliometric analysis is conducted as an initial step to address the following questions: 1) Mapping the trends in cultural awareness studies within biology education. 2) Identifying research gaps in cultural awareness studies within biology education. 3) Proposing alternative solutions to bridge these gaps.Methods: This study employs a bibliometric approach. Data were obtained from the Scopus database using the following keywords: TITLE-ABS-KEY ("cultural sensitivity" OR "cultural awareness" OR "cultural competence" OR "intercultural understanding" OR "cultural intelligence" OR "cultural appreciation" OR "cross-cultural knowledge" OR "intercultural awareness" OR "global awareness" OR "diversity awareness") AND TITLE-ABS-KEY (biology) AND TITLE-ABS-KEY (education OR learning). Data analysis was conducted using VOSviewer and Microsoft Excel.Results: A total of 32 scientific publications were recorded from 2003 to March 2025, with an average of two publications per year. The most frequently occurring keyword is evolution, appearing seven times, while the strongest linked keyword is cultural competence, with a total link strength of 192. Conclusions: The trends in cultural awareness studies within biology education remains very low and stagnant. There is a notable gap in ethnobiology education, which should play a crucial role in promoting students' cultural awareness but is rarely studied. The proposed solution is to expand the ethnobiology education approach beyond an intradisciplinary ecological perspective to include an interdisciplinary social approach, thereby enhancing students' cultural awareness.

Artificial Intelligence and Leadership Effectiveness: Empirical Evidence from Multinational Corporations in Uganda

As Artificial Intelligence (AI) technologies continue to reshape global business landscapes, their implications for leadership effectiveness remain underexplored in developing economies. This study investigates the impact of AI adoption on leadership effectiveness within multinational corporations (MNCs) operating in Uganda. Using a concurrent mixed-methods design, data were collected from 160 leaders and senior managers through structured surveys and 15 executive interviews across 20 MNCs. The findings reveal that AI is widely used for strategic planning (72.9%), operational efficiency (70.8%), and customer insights (68.8%), with 75% of respondents leveraging AI tools for decision-making. AI adoption was found to significantly enhance leadership effectiveness, explaining 65% of the variance in leadership outcomes. Key improvements were noted in decision accuracy, team coordination, and strategic foresight. However, challenges such as poor data quality, limited technical skills, cybersecurity concerns, and cultural resistance hinder full integration. Leaders emphasized the need to balance AI-driven insights with empathy, ethical reasoning, and cultural sensitivity—particularly within Uganda’s diverse workforce. The study concludes that while AI holds transformative potential for enhancing leadership, successful implementation requires context-specific strategies that integrate technology with human-centered leadership. Recommendations include investing in digital upskilling, strengthening data infrastructure, and developing localized AI governance frameworks to ensure equitable and ethical adoption. This research contributes novel empirical evidence from an African perspective and offers practical insights for responsible AI integration in emerging market leadership contexts.

Development and evaluation of an intervention package to alleviate the psychological effects of premenstrual syndrome in adolescent girls

ObjectiveThis study aimed to develop and evaluate the effectiveness of a therapeutic package combining Cognitive Behavioral Therapy (CBT), Narrative Therapy, and a gender-sensitive approach to reduce the psychological and emotional challenges of Premenstrual Syndrome (PMS) in adolescent girls.MethodologyUsing a quasi-experimental design, 30 adolescent girls from Saqqez, Iran, were randomly assigned to an intervention group (n = 15) or a control group (n = 15). The intervention group participated in a researcher-developed group therapy program over 10 sessions, focusing on reducing rumination and pain-related catastrophic thinking. Assessments were conducted pre-test, post-test, and at follow-up using validated psychological scales. Data were analyzed using ANCOVA.ResultsThe intervention significantly reduced rumination and pain catastrophizing in the experimental group compared to the control group (p < 0.05). These effects were sustained at follow-up, indicating the intervention's lasting impact on improving cognitive and emotional regulation.ConclusionThe findings demonstrate that a therapeutic package integrating CBT, Narrative Therapy, and cultural sensitivity can effectively alleviate PMS-related psychological symptoms in adolescent girls. This approach holds promise for broader applications in educational and counseling settings to enhance adolescent well-being.

Can the differences in senior leadership team & society’s orientations impact on CSR implementation in MNCs? A case study

In recent years, multinational corporations (MNCs) have been facing challenges in implementing corporate social responsibility (CSR) programmes that meet the needs of diverse stakeholder groups. These arise as the implementation is often led by senior leadership teams whose orientations lack cultural sensitivity and local relevance. Hence, this study reviewed the extent to which a corporation’s senior leadership team are responding to these challenges. In exploring the issues in question, constructivist realism position encompassing quantitative and qualitative methodologies was adopted as they both apply similar logic when analysing phenomena. They are also deconstructive in probing natural unfolding episodes in the social world since both methodologies deal with data. Analysis of findings revealed differences in senior leadership team of the corporation and that of stakeholders’ orientations. In addition, stakeholder groups believed that corporations’ obligations to society are not limited to economic and legal, but include social, environmental, and philanthropic. Finally, corporations that operate in environments where legal and corporate governance rules are weak, may ignore obligations that are beyond economic and legal. Based on these outcomes, the study made the following contributions: corporations should develop a robust framework that facilitates dialogue among stakeholders and the host country must tighten its corporate governance and rules of law to make corporations adhere to cultural sensitivity and local relevance when implementing social and ethical programmes.

CommunityCare Free Medical Clinic: A Model of an Entirely Student-Driven Free Clinic in Your Backyard

Student-run free clinics improve health care access for underinsured patients in the United States. This descriptive report delves into our unique, entirely student-led model aimed at deliver-Ing healthcare services to underserved communities and how our model combines many services offered at other student-run free clinics. According to the 2022-2023 Lucas County Community Health Assessment, 6% of Lucas County, Ohio, adults were uninsured, with 12% of Black adults being uninsured. Targeting this historically underserved demographic informed the location of some of our clinic sites. To ensure that our student-led initiative maintains the same quality as a federally-funded clinic, we prioritize working in interprofessional teams of students and providers. To reduce the burden of transportation, we also seek to provide as many on-site ancillary ser-vices as possible, such as vision screening and point-of- care lab testing. Additionally, we provide extensive medical trainee education focused on integrating inclusivity, cultural sensitivity, and patient advocacy. We seek to provide a cost-effective, replicable clinic model and empower the next generation of medical trainees to advocate for underserved communities across the United States.