Literature Review: Experience of Nurses Related to the Implementation of Cultural Competence In Intensive Care Unit

  • Yeni Binteriawati Penulis
  • Tuti Pahriah Program Paskasarjana, Fakultas Ilmu Keperawatan, Universitas Padjadjaran, Indonesia
  • Aan Nuraeni Program Paskasarjana, Fakultas Ilmu Keperawatan, Universitas Padjadjaran, Indonesia
Keywords: Cultural Competence, Intensive Care Unit, Nursing


Intensive Care Unit (ICU) is an area of ​​care activity and well designed to treat critical conditions, nurses must have cultural competence. Culture participates in health values, beliefs, behavior and situational judgments. If left untreated will result in negative social and clinical consequences, unclear environment, confusion, messages not delivered, patient ignorance, delay in informed consent and low quality of care. The purpose of this study is to describe the experience of nurses related to the implementation of Cultural Competence in the ICU from research that has been done. The method used by searching electronic articles consists of qualitative studies collected from electronic databases such as Medline, Google Scholar, Science Direct, PubMed and Proquest using relevant MeSH keywords: Cultural Competence, Intensive Care Unit, and Nursing. Articles selected according to the SPIDER criteria, published in 2012-2018. Evaluation of articles uses critical appraisal and PRISMA guidelines. From the results of the literature search conducted, as many as 7 (seven) related articles were found and met the criteria. The results of the themes that emerged related to the implementation of cultural competence include the involvement of the family in the care process, using translators, maintaining a multicultural team, communication procedures, and clear diagnosis and recognizing cultural diversity.


Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Nursing and Health Care Comparison of Four Cultural Competence Models in Transcultural Nursing : A Discussion Paper ClinMed, 2(4), 1–5.

Almutairi, A. F. (2012). A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in a Saudi Arabian hospital, (January).

Almutairi, A. F. Susan, V., & Rodney, P. (2015). Almutairi ’ s Critical Cultural Competence model for a multicultural healthcare environment, 22(4), 317–325.

Benbenishty, J., Harth, I., Barkestad, E., Satosek, D., Jacobsson, K., & Blackwood, B. (2017). The migrant crisis and the importance of developing cultural competence in the intensive care unit, 22(5), 262–263.

Benbenishty, J., Biswas, S. (2015). Cultural Competence in Critical Care: Case Studies in the ICU. Journal of Modern Education Review, 5(7), 723–728.

Campinha-bacote, J. (2002). The Process of Cultural Competence in the Delivery of Healthcare Services : A Model of Care, 13(3), 181–184.

Catalano J. (2003). Nursing Now: Today’s Issues, Tomorrow’s Trends.3rd ed. Philadelphia, Pa: FA Davis;:393-411.

Chae, U., & Park, Y. (2018). Asian Nursing Research Development and Cross Validation of the Short Version of the Cultural Competence Scale for Nurses. Asian Nursing Research, (March), 1–8.

Chae, D., & Park, Y. (2018). Organisational cultural competence needed to care for foreign patients : A focus on nursing management, (June 2017), 1–10.

Curwick K, Dutt T.(2015). Cultural competence in acute and critical care medicine literature review and recommendations. Critical Care Medicine 2015;43(12): 142.

Cross, T., Bazron, B., Denis,K. And Issacs, M., (1989). Toward a culturrally compe- tent system of Care . Volume 1. Washing- ton DC: Georgetown Universty.

El-amouri, S., & Neill, S. O. (2016). Supporting cross-cultural communication and culturally and culturally diverse hospital, 6178(March).

Flowers, D. (2004). Culturally Competent Nursing Care, 24(4), 48–53.

Guru. Y, Suryani & Nursiswati, (n.d.). Analisa Kebutuhan Komunikasi pada Pasien dengan Ventilator makanik Selama di Ruang General Intasive Care Unit (GICU) RSUP Dr. Hasan Sadikin Bandung, 1–14.

Grossbach I., Stranberg S., Chlan L.,(2011), Promoting Effective Communication for Patients Receiving Mechanical Ventilation. American Association of Critical Care Nurses, 31:46-60.

Hart, P. L., & Mareno, N. (2013). Cultural challenges and barriers through the voices of nurses, 2223–2233.

Holloway, I. & Wheeler, S. (2010). Qualitative Research in Nursing, Blackwell Publishing, United Kingdom.

Hendson, L., Reis, M. D., Nicholas, D. B., & Hendson, L. (2015). Health Care Providers ’ Perspectives of Providing Culturally Competent Care in the NICU, 17–27.

Høye, S., & Severinsson, E. (2010). Professional and cultural conflicts for intensive care nurses.

Hudak & Gallo (2010). Keperawatan Kritis Edisi 6. Jakarta; EGC

Im, E., & Lee, Y. (2018). Transcultural Nursing : Current Trends in Theoretical Works. Asian Nursing Research, (September).

Karabudak. S. S, Tas. F, & Basbakkal, Z (2013). Giger and Davidhizar’s Transcultural Assessment Model: A Case Study in Turkey, 7, 342–345.

Leininger, M. M., & McFarland, M. R. (2002). Culture care diversity and universality: A worldwide nursing theory. Sudbury, MA: Jones and Bartlett.

Mcfarland, M. R., Learning, B., & Wehbe-alamah, H. B. (n.d.). The Theory of Culture Diversity and Universality.

Nuraeni, A., Ibrahim, K., & Agustina, H. R. (2013). Makna Spiritualitas pada Klien dengan Sindrom Koroner Akut Meaning of Spirituality among Clients with acute corronary syndrome, 1, 79–87.

Ozga, D., Dobrowolska, B., Gutysz-wojnicka, A., & Zdun, A. (2018). Multicultural Care in European Intensive Care Units ( MICE-ICU ) – international project for ICU nurses, 50–51.

Purnell, L. (2002). The Purnell Model for Cultural Competence. Journal of Transcultural Nursing, 13 (3), 193 – 196. https : // doi. org / 10. 1177 / 10459602013003006

Schim, S. M., & Miller, J. (2007). Culturally Congruent Care : Putting the Puzzle Together, 18(2), 103–110.

Schim, S. M., Doorenbos, A. Z., & Borse, N. N. (2006). Cultural Competence Among Hospice Nurses, 8(5).

Unger J. B. & Schwartz S. J. (2012). Conceptual considerations in studies of cultural influences on health behaviors. Preventive Medicine, 55(5): 353‐355

Vu, T., Agarwal, P., Mccullough, J., Lipshutz, A., Turner, K., Anderson, W., In-, U. C. C. (2015). Engaging an ICU patient and family advisory council to redeign a patient – oriented website care medicine : literature review and recomendation, 43(12), 2015.

WFCCN. Brisbane declaration: Culturally sensitive critical care nursing. http://www. 2016

How to Cite
Binteriawati, Y., Pahriah, T., & Nuraeni, A. (2020). Literature Review: Experience of Nurses Related to the Implementation of Cultural Competence In Intensive Care Unit. Faletehan Health Journal, 7(1), 52-61.