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Cultural competence and social relationships: a social network analysis

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Dauvrin, Marie [UCL] Lorant, Vincent [UCL]

Aim This study investigated the role of social relationships in the sharing of cultural competence by testing two hypotheses: cultural competence is a socially shared behaviour; and central healthcare professionals are more culturally competent than non-central healthcare professionals. Background Sustaining cultural competence in healthcare services relies on the assumption that being culturally competent is a socially shared behaviour among health professionals. This assumption has never been tested. Introduction Organizational aspects surrounding cultural competence are poorly considered. This therefore leads to a heterogeneous implementation of cultural competence – especially in continental Europe. Methods We carried out a social network analysis in 24 Belgian inpatient and outpatient health services. All healthcare professionals (ego) were requested to fill in a questionnaire (Survey on social relationships of health care professionals) on their level of cultural competence and to identify their professional relationships (alter). We fitted regression models to assess whether (1) at the dyadic level, ego cultural competence was associated with alter cultural competence, and (2) health professionals of greater centrality had greater cultural competence. Results At the dyadic level, no significant associations were found between ego cultural competence and alter cultural competence, with the exception of subjective exposure to intercultural situations. No significant associations were found between centrality and cultural competence, except for subjective exposure to intercultural situations. Discussion Being culturally competent is not a shared behaviour among health professionals. The most central healthcare professionals are not more culturally competent than less central health professionals. Conclusions and implications for health policies Culturally competent health care is not yet a norm in health services. Health care and training authorities should either make cultural competent health care a licensing criteria or reward culturally competent health care.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2017
Language Anglais
Journal information "International Nursing Review" - Vol. 64, no. 2, p. 195-204 (2017)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing Ltd. ((United Kingdom) Chichester)
issn 0020-8132
e-issn 1466-7657
Publication status Publié
Affiliation UCL - SSS/IRSS - Institut de recherche santé et société
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Bibliographic reference Dauvrin, Marie ; Lorant, Vincent. Cultural competence and social relationships: a social network analysis. In: International Nursing Review, Vol. 64, no. 2, p. 195-204 (2017)
Permanent URL http://hdl.handle.net/2078.1/177863