Papel do enfermeiro gestor na promoção de ambientes da prática de enfermagem culturalmente competentes: Uma revisão integrativa

Autores

DOI:

https://doi.org/10.36367/ntqr.13.2022.e664

Palavras-chave:

Ambiente de trabalho, Competência cultural, Enfermagem, Gestão, Revisão

Resumo

Introdução: Os atuais enfermeiros gestores são desafiados a liderar eficazmente equipas de enfermagem culturalmente diversas para melhor cuidarem em ambientes de trabalho multiculturais. A competência cultural tem sido descrita como uma ferramenta central para promover ambientes de trabalho favoráveis nas organizações, para liderar com sucesso uma força de trabalho culturalmente diversa e para planear e prestar cuidados culturalmente congruentes aos clientes. Objetivos: Analisar a evidência sobre o papel do enfermeiro gestor na promoção de ambientes da prática de enfermagem culturalmente competentes. Métodos: Revisão integrativa da literatura de artigos indexados em cinco bases de dados da plataforma EBSCO (CINAHL, MEDLINE, MedicLatina, Cohcrane Database of Systematic Reviews, Psychology and Behavioral Sciences Collection) e ScienceDirect. Foram considerados artigos de estudos qualitativos, quantitativos, estudos de desenho misto, revisões da literatura e artigos de opinião, publicados entre 2012 e 2022 e que apresentassem intervenções do enfermeiro líder ou gestor na promoção de ambientes da prática de enfermagem culturalmente competentes em todos os contextos onde são prestados cuidados de enfermagem. Os dados foram tratados com recurso a uma tabela de extração de dados. Resultados: Foram incluídos 11 artigos que evidenciam intervenções do enfermeiro gestor orientadas para o cuidado e intervenções orientadas para as relações na equipa, ao nível organizacional, da unidade/serviço e ao nível do enfermeiro. Conclusões: Os enfermeiros gestores devem intervir no desenvolvimento de políticas ao nível organizacional, devem melhorar a coordenação e organização dos cuidados de enfermagem e os recursos nas unidades/serviços, e devem investir na sua formação e desenvolvimento, bem como na dos enfermeiros para melhores níveis de competência cultural que conduzam à compreensão e respeito mútuo nas equipas, e à prestação de cuidados de enfermagem culturalmente congruentes a pessoas de diferentes origens culturais.

Referências

Aiken, L., & Patrician, P. (2000). Measuring organizational traits of hospitals: the Revised Nursing Work Index. Nursing Research, 49(3), 146–153. https://doi.org/10.1097/00006199-200005000-00006

Al-Ghraiybah, T., Sim, J., & Lago, L. (2021). The relationship between the nursing practice environment and five nursing-sensitive patient outcomes in acute care hospitals: A systematic review. Nursing Open, 8(5), 2262–2271. https://doi.org/10.1002/nop2.828

Alizadeh, S., & Chavan, M. (2016). Cultural competence dimensions and outcomes: a systematic review of the literature. Health & Social Care in the Community, 24(6), e117–e130. https://doi.org/10.1111/hsc.12293

Almutairi, A. F., Gardner, G., & McCarthy, A. (2013). Perceptions of clinical safety climate of the multicultural nursing workforce in Saudi Arabia: A cross-sectional survey. Collegian, 20(3), 187–194. https://doi.org/10.1016/j.colegn.2012.08.002

Alshareef, A. G., Wraith, D., Dingle, K., & Mays, J. (2020). Identifying the factors influencing Saudi Arabian nurses’ turnover. Journal of Nursing Management, 28(5), 1030–1040. https://doi.org/10.1111/jonm.13028

Ambani, Z., Kutney-Lee, A., & Lake, E. (2020). The nursing practice environment and nurse job outcomes: A path analysis of survey data. Journal of Clinical Nursing, 29, 2602–2614. https://doi.org/10.1111/jocn.15283

Andrews, M., & Boyle, J. (2016). Theoretical Foundations of Transcultural Nursing. In M. Andrews & J. Boyle (7th ed.). Transcultural Concepts in Nursing Care (pp. 3–29). Philadelphia: Wolters Kluwer.

Ashikali, T., Groeneveld, S., & Ritz, A. (2021). Managing a diverse workforce. In P. Leisink, L. Andersen, G. A. Brewer, C. Jacobsen, E. Knies, & W. Vandenabeele (Eds.), Managing for public service performance: How HRM and leadership can make a difference (pp. 182–198). Oxford: Oxford University Press.

Balcazar, F., Suarez-Balcazar, Y., & Taylor-Ritzler, T. (2009). Cultural competence: development of a conceptual framework. Disability & Rehabilitation, 31(14), 1153–1160. http://10.0.4.56/09638280902773752

Brunett, M., & Shingles, R. R. (2018). Does Having a Culturally Competent Health Care Provider Affect the Patients’ Experience or Satisfaction? A Critically Appraised Topic. Journal of Sport Rehabilitation, 27(3), 284–288. https://doi.org/10.1123/jsr.2016-0123

Buchan, J., Catton, H., & Shaffer, F. (2022). Sustain and Retain in 2022 and Beyond (Issue January). International Centre on Nurse Migration.

Campinha-Bacote, J. (2002). The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. Journal of Transcultural Nursing, 13(3), 181–184. https://doi.org/10.1177/10459602013003003

Chae, D., Kim, J., Kim, S., Lee, J., & Park, S. (2020a). Effectiveness of cultural competence educational interventions on health professionals and patient outcomes: A systematic review. Japan Journal of Nursing Science, 17(3), 1–16. https://doi.org/10.1111/jjns.12326

Chae, D., & Park, Y. (2019). Organisational cultural competence needed to care for foreign patients: A focus on nursing management. Journal of Nursing Management, 27(1), 197–206. https://doi.org/10.1111/jonm.12665

Chae, D., Park, Y., Kang, K., & Kim, J. (2020b). A multilevel investigation of cultural competence among South Korean clinical nurses. Scandinavian Journal of Caring Sciences, 34(3), 613–621. https://doi.org/10.1111/scs.12760

Chambers, C., & Alexis, O. (2004). Creating an inclusive environment for black and minority ethnic nurses. In British Journal of Nursing (Vol. 13, Issue 22, pp. 1355–1358). MA Healthcare. https://doi.org/10.12968/bjon.2004.13.22.17276

Chen, L., Xiao, L., Han, W., Meyer, C., & Müller, A. (2020). Challenges and opportunities for the multicultural aged care workforce: A systematic review and meta-synthesis. Journal of Nursing Management, 28(6), 1155–1165. https://doi.org/10.1111/jonm.13067

Cummings, G., Tate, K., Lee, S., Wong, C., Paananen, T., Micaroni, S., & Chatterjee, G. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19–60. https://doi.org/10.1016/j.ijnurstu.2018.04.016

Deardorff, D. K. (2018). Exploring the Significance of Culture in Leadership. New Directions for Student Leadership, 160, 41–51. https://doi.org/10.1002/yd.20309

Delphin-Rittmon, M. E., Andres-Hyman, R., Flanagan, E. H., & Davidson, L. (2013). Seven essential strategies for promoting and sustaining systemic cultural competence. The Psychiatric Quarterly, 84(1), 53–64. https://doi.org/10.1007/s11126-012-9226-2

Douglas, M. K., Rosenkoetter, M., Pacquiao, D. F., Callister, L. C., Hattar-Pollara, M., Lauderdale, J., Milstead, J., Nardi, D., & Purnell, L. (2014). Guidelines for implementing culturally competent nursing care. Journal of Transcultural Nursing, 25(2), 109–121. https://doi.org/https://doi.org/10.1177/1043659614520998

El Amouri, S., & O’Neill, S. (2014). Leadership style and culturally competent care: Nurse leaders’ views of their practice in the multicultural care settings of the United Arab Emirates. Contemporary Nurse, 48(2), 135–149. https://doi.org/10.1080/10376178.2014.11081936

Guerrero, E. G., Fenwick, K., Kong, Y., & Kong, Y. (2017). Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence. Implementation Science, 12, 1–12. https://doi.org/10.1186/s13012-017-0666-9

Hunt, B. (2007). Managing equality and cultural diversity in the health workforce. Journal of Clinical Nursing, 16(12), 2252–2259. https://doi.org/10.1111/j.1365-2702.2007.02157.x

Kutney-Lee, A., Wu, E. S., Sloane, D. M., & Aiken, L. H. (2013). Changes in hospital nurse work environments and nurse job outcomes: An analysis of panel data. International Journal of Nursing Studies, 50(2), 195–201. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2012.07.014

Lake, E. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health, 25(3), 176–188. https://doi.org/https://doi.org/10.1002/nur.10032

Lake, E., & Friese, C. (2006). Variations in Nursing Practice Environments. Nursing Research, 55(1), 1–9. https://doi.org/10.1097/00006199-200601000-00001

Lake, E., Sanders, J., Duan, R., Riman, K., Schoenauer, K., & Chen, Y. (2019). A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes. Medical Care, 57(5), 353–361. https://journals.lww.com/lww-medicalcare/Fulltext/2019/05000/A_Meta_Analysis_of_the_Associations_Between_the.6.aspx

Leininger, M., McFarland, M. (2002). Transcultural Nursing: Concepts, Theories, Research, and Practice. New York: McGraw-Hill.

Likupe, G. (2015). Experiences of African nurses and the perception of their managers in the NHS. Journal of Nursing Management, 23(2), 231–241. https://doi.org/10.1111/jonm.12119

Lim, F. (2019). A guide to fostering an LGBTQ-inclusive workplace. Nursing Management, 50(6), 46–53. https://doi.org/10.1097/01.NUMA.0000558484.92567.db

Lucas, P., Jesus, E., Almeida, S., & Araújo, B. (2021). Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal. International Journal of Environmental Research and Public Health, 18(12), 6422-6433. https://doi.org/10.3390/ijerph18126422

Markey, K., Prosen, M., Martin, E., & Repo Jamal, H. (2021). Fostering an ethos of cultural humility development in nurturing inclusiveness and effective intercultural team working. Journal of Nursing Management, 29(8), 2724–2728. https://doi.org/10.1111/jonm.13429

Matveev, A. (2017). Intercultural competence in organizations: A guide for leaders, educators and team players. Cham: Springer.

McElroy, J., Smith-Miller, C., Madigan, C., & Li, Y. (2016). Cultural awareness among nursing staff at an Academic Medical Center. Journal of Nursing Administration, 46(3), 146–153. http://10.0.4.73/NNA.0000000000000315

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097

Mortell, S. (2013). Delving into diversity-related conflict. Nursing Management, 44(4), 28–33. https://doi.org/10.1097/01.NUMA.0000428199.29636.0f

Munkejord, M. C. (2019). Challenging the ethnic pyramid: Golden rules and organisational measures towards a more inclusive work environment. Journal of Nursing Management, 27(7), 1522–1529. https://doi.org/10.1111/jonm.12838

Ncube, E. (2017). Influence of Leadership Styles on Expatriate Nurses’ Professional Integration in the UAE. In ProQuest Dissertations and Theses. https://search.proquest.com/docview/1972034996?accountid=17242

Newton, S., Pillay, J., & Higginbottom, G. (2012). The migration and transitioning experiences of internationally educated nurses: a global perspective. Journal of Nursing Management, 20(4), 534–550. https://doi.org/10.1111/j.1365-2834.2011.01222.x

Papadopoulos, I., Lazzarino, R., Koulouglioti, C., Aagard, M., Akman, Ö., Alpers, L.-M., Apostolara, P., Araneda-Bernal, J., Biglete-Pangilinan, S., Eldar-Regev, O., González-Gil, M. T., Kouta, C., Krepinska, R., Lesi?ska-Sawicka, M., Liskova, M., Lopez-Diaz, A. L., Malliarou, M., Martín-García, Á., Muñoz-Solinas, M., & Nagórska, M. (2021). The Importance of Being a Compassionate Leader: The Views of Nursing and Midwifery Managers From Around the World. Journal of Transcultural Nursing, 32(6), 765–777. https://doi.org/10.1177/10436596211008214

Pearson, A., Srivastava, R., Craig, D., Tucker, D., Grinspun, D., Bajnok, I., Griffin, P., Long, L., Porritt, K., Han, T., & Gi, A. (2007). Systematic review on embracing cultural diversity for developing and sustaining a healthy work environment in healthcare. International Journal of Evidence-Based Healthcare, 5(1), 54–91. https://doi.org/10.1111/j.1479-6988.2007.00058.x

Registered Nurses’ Association of Ontario. (2007). Embracing cultural diversity in health care: developing cultural competence. Registered Nurses’ Association of Ontario. https://rnao.ca/sites/rnao-ca/files/Embracing_Cultural_Diversity_in_Health_Care_-_Developing_Cultural_Competence.pdf

Saha, S., Korthuis, P. T., Cohn, J. A., Sharp, V. L., Moore, R. D., & Beach, M. C. (2013). Primary care provider cultural competence and racial disparities in HIV care and outcomes. Journal of General Internal Medicine, 28(5), 622–629. https://doi.org/10.1007/s11606-012-2298-8

Saleh, U., O’Connor, T., Al-Subhi, H., Alkattan, R., Al-Harbi, S., & Patton, D. (2018). The impact of nurse managers’ leadership styles on ward staff. British Journal of Nursing, 27(4), 197–203. https://doi.org/10.12968/bjon.2018.27.4.197

Schilgen, B., Handtke, O., Nienhaus, A., & Mösko, M. (2019). Work-related barriers and resources of migrant and autochthonous homecare nurses in Germany: A qualitative comparative study. Applied Nursing Research, 46, 57–66. https://doi.org/10.1016/j.apnr.2019.02.008

Suarez-Balcazar, Y., Balcazar, F., Taylor-Ritzler, T., Portillo, N., Rodakowsk, J., Garcia-Ramirez, M., & Willis, C. (2011). Development and Validation of the Cultural Competence Assessment Instrument: A Factorial Analysis. Journal of Rehabilitation, 77(1), 4–13. https://www.researchgate.net/publication/286735453_Development_and_Validation_of_the_Cultural_Competence_Assessment_Instrument_A_Factorial_Analysis

Taylor, R. (1998). Check your cultural competence. Nursing Management, 29(8), 30–32. https://doi.org/10.1097/00006247-199808000-00010

Üzar-Özçetin, Y. S., Tee, S., & Karg?n, M. (2020). Achieving culturally competent cancer care: A qualitative study drawing on the perspectives of cancer survivors and oncology nurses. European Journal of Oncology Nursing, 44, 101701. https://doi.org/https://doi.org/10.1016/j.ejon.2019.101701

Vilelas, J. (2020). Investigação – O Processo de Construção do Conhecimento. Lisboa: Edições Sílabo.

Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/https://doi.org/10.1111/j.1365-2648.2005.03621.x

You, L., Aiken, L. H., Sloane, D. M., Liu, K., He, G., Hu, Y., Jiang, X., Li, X., Li, X., Liu, H., Shang, S., Kutney-Lee, A., & Sermeus, W. (2013). Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), 154–161. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2012.05.003

Downloads

Publicado

2022-07-08

Como Citar

Gisela Teixeira, Filomena Gaspar, & Pedro Lucas. (2022). Papel do enfermeiro gestor na promoção de ambientes da prática de enfermagem culturalmente competentes: Uma revisão integrativa . New Trends in Qualitative Research, 13, e664. https://doi.org/10.36367/ntqr.13.2022.e664