Organisational systems' approaches to improving cultural competence in healthcare: a systematic scoping review of the literature

International Journal for Equity in Health
Janya McCalmanRoxanne Bainbridge

Abstract

Healthcare organisations serve clients from diverse Indigenous and other ethnic and racial groups on a daily basis, and require appropriate client-centred systems and services for provision of optimal healthcare. Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competency strategies aimed at health promotion initiatives, workforce development and student education. This paper aims to bridge the gap in available evidence about systems approaches to cultural competence by systematically mapping key concepts, types of evidence, and gaps in research. A literature search was completed as part of a larger systematic search of evaluations and measures of cultural competence interventions in health care in Canada, the United States, Australia and New Zealand. Seventeen peer-reviewed databases, 13 websites and clearinghouses, and 11 literature reviews were searched from 2002 to 2015. Overall, 109 studies were found, with 15 evaluating systems-level interventions or describing measurements. Thematic analysis was used to identify key implementation principles, intervention strategies and outcomes reported. Twelve intervention and three measurement studies met our inclusio...Continue Reading

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Citations

Jul 16, 2019·Journal of Nursing Management·Kathleen MarkeyGeorgina Taylor
Aug 14, 2019·PloS One·Mei Hsiang LinHsiu Chin Hsu
Nov 5, 2020·International Journal of Environmental Research and Public Health·M Idoia Ugarte GurrutxagaBrígida Molina Gallego
Jul 22, 2021·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Samer Ellahham
Nov 4, 2021·Health & Social Care in the Community·Sylvia HoensLiesbeth De Donder
Nov 7, 2021·Journal of the American Medical Informatics Association : JAMIA·Hyeyoung Ryu, Wanda Pratt

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Methods Mentioned

BETA
CLAS

Software Mentioned

EndNote X7
CCATH
Critical Appraisal Skills Programme ( CASP )
Effective Practice Project ( EPHPP )

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