Culturally Responsive Care, Patient-centered Care, Primary Health Care Providers
Conditions
Keywords
Culturally Responsive Nursing, Cultural Competence, Cultural Safety, Person-Centered Care
Brief summary
Primary healthcare nurses frequently care for patients from diverse cultural backgrounds. Cultural beliefs and expectations about illness, treatment, and communication can influence how patients understand health information and participate in care decisions. When these cultural perspectives are not adequately recognized during clinical encounters, misunderstandings may occur, potentially affecting patient engagement, trust in healthcare providers, and adherence to care plans. This study aims to develop and pilot test a culturally responsive nursing care intervention designed for use in primary healthcare settings. The intervention focuses on improving communication between nurses and patients by supporting nurses in exploring patients' cultural perspectives, health priorities, and personal experiences of illness during routine consultations. The goal is to promote shared understanding and collaborative care planning. The intervention will be developed using a participatory co-design process involving patients, family caregivers, and primary healthcare nurses. Participants will share their experiences and contribute ideas for improving culturally responsive care. These insights will be used to create a structured nursing care approach that can be integrated into routine primary healthcare consultations. Following development, the intervention will be pilot tested with a small group of nurses and patients in primary healthcare centres. The pilot phase will assess whether the intervention is feasible to implement in routine practice and acceptable to both patients and nurses. Participants will provide feedback on their experiences with the intervention through surveys and interviews. The findings from this study will inform the development of culturally responsive nursing practices that support improved communication, patient engagement, and personalised care in primary healthcare settings.
Interventions
BEHAVIORALCulturally Responsive Nursing Care Intervention
The culturally responsive nursing care intervention is a structured approach designed to support nurses in integrating patients' cultural perspectives and personal health priorities into routine care conversations. Nurses participating in the intervention will receive training on culturally responsive communication and patient-centred care principles. During consultations, nurses will use guided conversational prompts to explore patients' illness experiences, cultural beliefs influencing health behaviours, and individual care priorities. This information will be used to collaboratively develop personalised care plans aligned with both clinical recommendations and patients' cultural and social contexts.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Masking description
Masking is not applied in this study due to the nature of the intervention, which involves direct interaction between nurses and patients during routine primary healthcare consultations. Both participants and care providers are aware of the intervention being delivered.
Intervention model description
Participants will be assigned to one of two parallel groups: an intervention group receiving culturally responsive nursing care delivered by trained primary healthcare nurses and a control group receiving usual nursing care. The intervention focuses on structured nurse-patient conversations that explore cultural perspectives, personal illness experiences, and individual care priorities to support collaborative care planning. The study will evaluate the feasibility and acceptability of implementing the intervention in routine primary healthcare consultations.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Adults aged 18 years or older. Patients receiving care in participating primary healthcare centres. Able to communicate in the language used for the study interviews and consultations. Willing and able to provide informed consent. Primary healthcare nurses working in participating centres with at least one year of clinical experience in primary care. Nurses willing to participate in training and implementation of the culturally responsive nursing care intervention.
Exclusion criteria
Individuals unable to provide informed consent. Patients with severe cognitive impairment that would prevent participation in interviews or care planning discussions. Patients who are not receiving routine care within the participating primary healthcare centres. Healthcare professionals other than nurses involved in patient care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of the Culturally Responsive Nursing Care Intervention (Acceptability of Intervention Measure - AIM Score) | Immediately after completion of the intervention period (8 weeks). | Acceptability of the intervention will be measured using the Acceptability of Intervention Measure (AIM), a validated four-item implementation outcome scale. Each item is rated on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). Total scores range from 4 to 20, with higher scores indicating greater perceived acceptability of the intervention among participants. |
| Feasibility of the Culturally Responsive Nursing Care Intervention (Feasibility of Intervention Measure - FIM Score) | Immediately after completion of the intervention period (8 weeks). | Feasibility will be assessed using the Feasibility of Intervention Measure (FIM), a validated four-item implementation outcome scale. Each item is rated on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). Total scores range from 4 to 20, with higher scores indicating greater perceived feasibility of implementing the intervention in routine primary healthcare practice. |
Contacts
CONTACTMostafa sh kandil, phd
Outcome results
None listed