Archive \ Volume.8 2017 Issue 4

Organizational Factors Affecting the ?mplementation of Culturally Sensitive Care in Pediatric Nursing in Iran: A Qualitative Study

Parvaneh Aghajari , Leila Valizadeh , Vahid Zamanzadeh , Akram Ghahramanian , Cynthia Foronda
Abstract

Background: Iran is a country comprised of a multitude of ethnicities, languages and cultures, making the provision of culturally sensitive care challenging for the pediatric nurse. The aim of this study was to explore organizational factors that influence the implementation of culturally sensitive care in pediatric nursing in Iran.

Materials: This qualitative study employed Graneheim and Lundman’s (2004) conventional content analysis. Data were collected through interviews and field notes from 25 nurses from three pediatric referral centers in Tabriz and Tehran. 

Results: Three organizational factors emerged: “Providing cultural facilities”, “Prerequisites for the operationalization of culturally sensitive care” and “Providing Motivation.” These factors affected the implementation of culturally sensitive care in pediatric nursing. Developing child/family privacy, providing equipment, making changes in existing laws and regulations, defining enforceable policy, and reducing the nurses' workload facilitated culturally sensitive nursing care. Providing financial incentives to encourage nurses, considering quality of nursing care in the annual evaluation, valuing the work of nurses and supporting them facilitated implementation of culturally sensitive care.

Conclusion: Modification of physical space to provide privacy, supplying resources including equipment, and establishing policy changes regarding culturally sensitive care is warranted. Providing cultural nursing education in both academic curriculum and in continuing education staff development is recommended. 

 


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