Factors affecting patient education from cultural perspectives
Introduction: Patient education is influenced by cultural factors. This study
aims to find out the role of culture in patient education.
Methods: A qualitative study was conducted on 23 Iranian nurses. Inclusion
criteria were minimum 5 years of working experience in clinical nursing. Semistructured face to face interviews were used to collect the data. Interviews were taped, transcribed and analyzed using content analysis method.
Results: The main theme of ‘cultural sensitivity’ was extracted from the
interviews. Sub-themes were cultural divergence, cultural connection literacybased
Conclusion: A dynamic process of patient education is influenced by various
cultural factors. Nurses must be aware of the cultural norms in patient
education to meet their expectations in a respectful manner.
Keywords: Patient education, Nurse, Culture, Content analysis
Wingard R. Patient education and the nursing process:
meeting the patient’s needs. Nephrol Nurs J. 2005;
(2). PubMed PMID: 15889805.
Johansson K, Leino-Kilpi H, Salanterä S, Lehtikunnas
T, Ahonen P, Elomaa L, et al. Need for change in
patient education: A finnish survey from the patient’s
perspective. Patient Educ Couns. 2013; 51(3):239-245.
PubMed PMID: 14630380.
Bastable SB. Nurse as educator: principles of teaching
and learning for nursing practice. Boston: Jones and
Hoye S.SE. Professional and cultural conflicts for
intensive care nurses. J ADV NURS. 2007; 66(4):858-
PubMed PMID: 20423373.
De Guzman AB, Ormita MJ, Palad CM, Panganiban
JK, Pestaño HO, Pristin MW. Filipino nursing students’
views of their clinical instructors’ credibility. Nurse
Educ Today. 2007; 27(6):529-533. PubMed PMID:
Calvillo E, Clark L, Ballantyne JE, Pacquiao D, Purnell
LD, Villarruel AM. Cultural Competency in
Baccalaureate Nursing Education. J Transcult Nurs.
; 20(2):137-145. PubMed PMID: 19129519.
Wittig DR. Knowledge, Skills, and Attitudes of Nursing
Students Regarding Culturally Congruent Care of
Native Americans. J Transcult Nurs. 2004; 15(1):54-61.
PubMed PMID: 14768416.
Mary E.Duffy. A critique of cultural education in
nursing. J ADV NURS. 2002; 36(4):484-495. PubMed
Eliason MJ. Ethics and Transcultural nursing care.
Nursing outlook. 1993; 41(5):225-228. PubMed PMID:
Donnelly PL. Ethics and cross-cultural nursing. J
Transcult Nurs. 2000; 11(2):119-126. PubMed PMID:
Farahani Eshgholi M, Mohammadi E. Ahmadi F.
Malaki M, Hagizadeh E. The effect of using the
organizational culture improvement model of patient
education on anxiety and satisfaction of patients with
coronary artery disease. NURS RES. 2008; 3(8-9):59-69.
Lopez KA, Willis G. Descriptive versus interpretive
phenomenology: Their contributions to nursing
knowledge. Qual Health Res. 2004; 14(5):726-735.
Carnevale FA. Authentic qualitative research and the
quest for methodological rigour. Can J Nurs Res. 2002;
(2):121-128. PubMed PMID: 12425004.
Cioffi RN. Communicating with culturally and
linguistically diverse patients in an acute care setting:
nurses’ experiences. Int J Nurs Stud. 2003; 40:299-306.
PubMed PMID: 12605952.
Altmann TK. An evaluation of the seminal work of
Patricia Benner: theory or philosophy? Contemp Nurse.
; 25(1-2):114-123. PubMed PMID: 17622995.
Rolfe G. Validity, trustworthiness and rigour: quality
and the idea of qualitative research. J adv nurs. 2006;
(3):304-310. PubMed PMID: 16441535.
Berggren V, Bergström S, Edberg AK. Being different and
vulnerable: experiences of immigrant African women
who have been circumcised and sought maternity care
in Sweden. J Transcult Nurs. 2006; 17:50-57. PubMed
Koskinen L. To survive you have to adjust. Study abroad
as a process of learning Intercultural Competence in
Nursing Kuopio: Finland: University of Kuopio; 2003.
Vydelingum V. Nurses’ experiences of caring for South
Asian minority ethnic patients in a general hospital
in England. Nurs Inq. 2006; 13:23-32. PubMed PMID:
Tortumluoglu G, Okanli A, Ozyazicioglu N, Akyil R.
Defining cultural diversities experienced in patient careby nursing students in eastern Turkey. Nurs Educ Today.
; 26(2):691-175. PubMed PMID: 16239050.
Christopher SA. The relationship between nurses’
religiosity and willingness to let patients control the
conversation about end-of-life care. Patient Educ
Couns. 2010; 78(2):250-255. PubMed PMID: 19574016.
Høye S, Severinsson E. Intensive care nurses’
encounters with multicultural families in Norway: an
exploratory study Intensive & critical care nursing.
Intensive Crit Care Nurs. 2008; 24:338-348. PubMed
Poureslami I, Nimmon L, Doyle-Waters M, Rootman
I, Schulzer M, Kuramoto L, et al. Effectiveness of
educational interventions on asthma self-management
in Punjabi and Chinese asthma patients: a randomized
controlled trial. J Asthma. 2012; 49(5):542-551. PubMed
Poureslami I, Nimmon L, Doyle-Waters M, Rootman
I, Schulzer M, Kuramoto L, et al. A systematic review of
asthma and health literacy: a cultural-ethnic perspective
in Canada. Med Gen Med. 2013; 9(3):40.
Janevic MR, eorgiana M, Sanders GM, Thomas
LJ, Williams DM, Belinda Nelson, B, et al. Study
protocol for Women of Color and Asthma Control: a
randomized controlled trial of an asthma-management
intervention for African American women. BMC Public
Health. 2013; 12:76.
View Counter: Abstract | 2375 | and PDF | 1059 |
- There are currently no refbacks.
P ISSN: 2322-2220 E ISSN:2322-3561
Journal Office Address: Education Development Center, 3th floor, Sina Sadra Halls Complex, Neshat Ave., Shiraz, Iran.
Publisher: Shiraz University of Medical Sciences