{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T03:54:45Z","timestamp":1774497285265,"version":"3.50.1"},"reference-count":66,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["2018-1-ES01-KA203-050800"],"award-info":[{"award-number":["2018-1-ES01-KA203-050800"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Cultural competence is an essential component in providing effective and culturally responsive healthcare services, reducing health inequalities, challenging racism in health care and improving patient safety, satisfaction and health outcomes. It is thus reasonable that undergraduate nursing students can develop cultural competency through education and training. The aim of this paper was to investigate nursing lecturers\u2019 perception and experience of teaching cultural competence in four undergraduate nursing programs. A phenomenological approach was selected to illicit nursing lecturers\u2019 perception of culture and experience of teaching cultural competence. Semi-structured personal interviews were held with a sample of 24 lecturers from four European universities. The anonymized transcripts were analyzed qualitatively following Braun and Clark\u2019s phases for thematic analysis. Six themes and fifteen subthemes emerged from thematic analysis of the transcripts. Cultural competence was not explicitly integrated in the nursing curricula. Instead, the lecturers used mainly examples and case studies to illustrate the theory. The integration of cultural content in the modules was unplanned and not based on a specific model. Nursing programs should be examined to establish how cultural content is integrated in the curricula; clear guidelines and standards for a systematic integration of cultural content in the nursing curriculum should be developed.<\/jats:p>","DOI":"10.3390\/ijerph18031357","type":"journal-article","created":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T13:01:12Z","timestamp":1612270872000},"page":"1357","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Nursing Lecturers\u2019 Perception and Experience of Teaching Cultural Competence: A European Qualitative Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8206-4803","authenticated-orcid":false,"given":"Isabel","family":"Ant\u00f3n-Solanas","sequence":"first","affiliation":[{"name":"Department of Physiatry and Nursing, Faculty of Health Sciences, Universidad de Zaragoza, Calle Domingo Miral s\/n, 50009 Zaragoza, Spain"}]},{"given":"Isabel","family":"Hu\u00e9rcanos-Esparza","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Universidad San Jorge, Autov\u00eda Mud\u00e9jar, km. 299, Villanueva de G\u00e1llego, 50830 Zaragoza, Spain"}]},{"given":"Nadia","family":"Hamam-Alcober","sequence":"additional","affiliation":[{"name":"Servicio Aragon\u00e9s de Salud, Miguel Servet Women\u2019s and Children\u2019s Hospital, Paseo Isabel la Cat\u00f3lica, 1-3, 50009 Zaragoza, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3001-5038","authenticated-orcid":false,"given":"Val\u00e9rie","family":"Vanceulebroeck","sequence":"additional","affiliation":[{"name":"Department of Nursing, AP University of Applied Sciences and Arts, Lange Nieuwstraat 101, 2000 Antwerpen, Belgium"}]},{"given":"Shana","family":"Dehaes","sequence":"additional","affiliation":[{"name":"Department of Nursing, AP University of Applied Sciences and Arts, Lange Nieuwstraat 101, 2000 Antwerpen, Belgium"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6020-349X","authenticated-orcid":false,"given":"Indrani","family":"Kalkan","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Halit Aydin Campus 38, Istanbul Aydin University, Sefak\u00f6y-K\u00fc\u00e7\u00fck\u00e7ekmece, Istanbul 34295, Turkey"}]},{"given":"Nuran","family":"K\u00f6m\u00fcrc\u00fc","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Halit Aydin Campus 38, Istanbul Aydin University, Sefak\u00f6y-K\u00fc\u00e7\u00fck\u00e7ekmece, Istanbul 34295, Turkey"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5334-6895","authenticated-orcid":false,"given":"Margarida","family":"Coelho","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Portalegre, School of Education and Social Science, Pra\u00e7a do Munic\u00edpio 11, 7300-110 Portalegre, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2488-0682","authenticated-orcid":false,"given":"Teresa","family":"Coelho","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Portalegre, School of Education and Social Science, Pra\u00e7a do Munic\u00edpio 11, 7300-110 Portalegre, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5752-1136","authenticated-orcid":false,"given":"Antonio","family":"Casa-Nova","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Portalegre, School of Health Sciences, Pra\u00e7a do Munic\u00edpio 11, 7300-110 Portalegre, Portugal"}]},{"given":"Raul","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Portalegre, School of Health Sciences, Pra\u00e7a do Munic\u00edpio 11, 7300-110 Portalegre, Portugal"}]},{"given":"Enrique","family":"Ram\u00f3n-Arbu\u00e9s","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Universidad San Jorge, Autov\u00eda Mud\u00e9jar, km. 299, Villanueva de G\u00e1llego, 50830 Zaragoza, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6989-102X","authenticated-orcid":false,"given":"Sergio","family":"Moreno-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Universidad San Jorge, Autov\u00eda Mud\u00e9jar, km. 299, Villanueva de G\u00e1llego, 50830 Zaragoza, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8146-0508","authenticated-orcid":false,"given":"Elena","family":"Tambo-Lizalde","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Sanitaria, Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"ref_1","unstructured":"(2019, February 26). 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