Patterns and predictors of cultural competence practice among Nigerian hospital- based healthcare professionals
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Date
2023
Authors
Ogunlana, Michael O.
Oyewole, Olufemi O.
Aderonmu, Joseph A.
Onyeso, Ogochukwu K.
Faloye, Ayobamigbe Y.
Govender, Pragashnie
Journal Title
Journal ISSN
Volume Title
Publisher
SpringerNature
Abstract
Background Being culturally competent would enhance the quality of care in multicultural healthcare settings
like Nigeria, with over 200 million people, 500 languages, and 250 ethnic groups. This study investigated the levels
of training and practice of cultural competence among clinical healthcare professionals in two purposively selected
Nigerian tertiary hospitals.
Methods The research was a cross-sectional study. A multi-stage sampling technique was used to recruit participants
who completed the adapted version of Cultural Competence Assessment Instrument (CCAI-UIC). Data were analysed
using descriptive statistics, Pearson’s correlation, ANOVA, and multivariate linear regression.
Results The participants were mainly women (66.4%), aged 34.98 ± 10.18 years, with ≤ 5 years of practice (64.6%).
Personal competence had a positive weak correlation with age (p < 0.001), practice years (p = 0.01), training
(p = 0.001), practice (p < 0.001), and organisational competence (p < 0.001). There were significant professional differ-
ences in the level of training (p = 0.005), and differences in training (p = 0.005), and personal competence (p = 0.015)
across levels of educational qualifications. Increasing practise years (p = 0.05), medical/dental profession relative
to nursing (p = 0.029), higher personal (p = 0.013), and organisational (p < 0.001) cultural competences were significant
predictors of the level of training. Male gender (p = 0.005), higher years in practice (p = 0.05), local language ability
(p = 0.037), rehabilitation professionals relative to nursing (p = 0.05), high culturally competent practice (p < 0.001),
higher training opportunities (p = 0.013), and higher organisational competence (p = 0.001) were significant predictors
of higher personal competence.
Conclusion About a third of the participants had no formal training in cultural competence. Incorporating cultural
competence in the Nigerian healthcare professionals’ education curricula may enhance the quality of care in the multicultural setting.
Description
Open access article. Creative Commons Attribution 4.0 International license (CC BY 4.0) applies
Keywords
Cultural competence , Healthcare professionals , Knowledge , Multicultural , Practice , Nigeria
Citation
Ogunlana, M. O., Oyewole, O. O., Aderonmu, J. A., Onyeso, O. K., Faloye, A. Y., & Govender, P. (2023). Patterns and predictors of cultural competence practice among Nigerian hospital- based healthcare professionals. BMC Medical Education, 23, Article 933. https://doi.org/10.1186/s12909-023-04910-0