OJN  Vol.3 No.8 , December 2013
Multicultural care in nursing—From the theoretical paradigm to the subjective experiences in clinical settings
Abstract: Last decade, the geography of immigration in Portugal experienced intense transformations with an increasing inflow of new and diversified migratory groups. An open questionnaire was developed and applied to 22 Portuguese nurses, aiming to analyse personal experiences and significant situations of nursing care in multicultural contexts. The understanding of hospital routines, difficulties in managing physical space due to different cultural standards, body exposure, and body handling in nursing clinical care, emerged as more significant issues in reports of critical incidents focusing on multicultural contexts.
Cite this paper: de Almeida Monteiro, A. and Mendes, A. (2013) Multicultural care in nursing—From the theoretical paradigm to the subjective experiences in clinical settings. Open Journal of Nursing, 3, 557-562. doi: 10.4236/ojn.2013.38076.

[1]   Caldas-de-Almeida M.B., Funkm, M. and Muijen M. (2009) Portugal WHO country summary. Summary_FINAL_para_WEB.pdf

[2]   Monteiro A. (2005) Multiculturalismo e cuidados de enfermagem. Pensar Enfermagem, 9, 48-57.

[3]   Leininger, M. (1999) What is transcultural nursing and culturally competent care? Journal of Transcultural Nursing, 10, 9.

[4]   Campinha-Bacote, J. (1999) A model and instrument for addressing cultural competence in health care. Journal of Nursing Education, 38, 203-207.

[5]   Campinha-Bacote, J. (2003) The process of cultural competence in the delivery of healthcare services: A culturally competent model of care. 4th Edition, Transcultural C.A.R.E. Associates, Cincinnati.

[6]   Cross, T., Bazron, B., Dennis, K. and Isacs, M. (1989) Towards a culturally competent system of care. Georgetown University, Washington DC.

[7]   Bean, R. (2006) Cross-cultural competence and training in Australia. Cultural competency in the healthcare industry.

[8]   Hunter, L. (2009) Applying constructivism to nursing education in cultural competence—A course that bears repeating. Journal of Transcultural Nursing, 19, 354-362.

[9]   Beauchamp, T.L. and Childress, F. (2001) Principles of biomedical ethics. 5th Edition, Oxford University Press, Oxford.

[10]   Bardin, L. (1977) L’analyse de contenu. Presses Universitaires de France, Paris.

[11]   Kleinman, A. (1980) Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. University of California Press, Berkeley.

[12]   Picco, E., Santoro, R. and Garrino, L. (2010) Dealing with the patient’s body in nursing: Nurses’ ambiguous experience in clinical practice. Nursing Inquiry, 17, 39-46.

[13]   Le Breton, V. (2011) Images culturelles du corps. Entre organisme et chair. Medicine/ Sciences, 27, 311-314.

[14]   Van Dongen, E. and Elema, R. (2001) The art of touching: The culture of “body work” in nursing. Anthropology & Medicine, 8, 149-162.

[15]   Westermeyer, J. (1985) Psychiatric diagnosis across cultural boundaries. American Journal of Psychiatry, 142, 798-805.

[16]   Kirmayer, L. (2004) The cultural diversity of healing: Meaning, metaphor and mechanism. British Medical Bulletin, 69, 33-48.

[17]   Kirmayer, L. (2005) Culture, context and experience in psychiatric diagnosis. Psychopathology, 38, 192-196.

[18]   Bhugra, D. and Mastrogianni, A. (2004) Globalisation and mental disorders overview with relation to depression. The British Journal of Psychiatry, 184, 10-20.

[19]   Kleinman, A. (1988) The illness narratives: Suffering, healing, and the human condition. Basic Books, New York.

[20]   Alarcón, R. (2009) Culture, cultural factors and psychiatric diagnosis: Review and projections. World Psychiatry, 8, 131-139.

[21]   Hallenbeck, J. (2002) Cross-cultural issues. In: Berger, A., Portenoy, R.K. and Weissman, D.E., Eds., Principles and Practice of Palliative Care and Supportive Oncology, 2nd Edition, Lippincott Williams & Wilkins, Philadelphia, 661-672.

[22]   Jeffreys, M. (2010) Teaching cultural competence in nursing and health care. 2nd Edition, Springer Publishing Company, New York.

[23]   Monteiro, A.P. (2011) Migração e saúde mental. Psicosoma, Viseu.

[24]   Graf, A. (2004) Assessing intercultural training designs. Journal of European Industrial Training, 28, 199-214.

[25]   Chrisman, N.J. (2007) Extending cultural competence through systems change: Academic, hospital, and community partnerships. Journal of Transcultural Nursing, 18, 68S-76S.