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February 9, 2026International Nursing Review1 citations

Cultural Competence in Nursing Care for Migrants: An Integrative Review

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JAJina Mariont Velasco AriasAPAIDA MARIS PERESCBCarlos Alberto Cortés Bustamante

Key Points

  • The aim is to synthesize evidence on factors that influence the implementation of cultural competence by nurses caring for migrants.
  • Conducted an integrative literature review following Joanna Briggs Institute methodology.
  • Performed a systematic search across multiple databases using the PICo framework.
  • Appraised 14 eligible studies published in English, Spanish, or Portuguese from 2014-2024.
  • Classified studies based on evidence levels using Melnyk and Fineout-Overholt's framework.
  • All studies were classified as Level VI evidence with good methodological coherence.
  • Facilitators included respect for cultural differences and continuing education in cultural diversity.
  • Barriers included language difficulties and lack of structured cultural competence training.
  • Cultural competence is dynamic and shaped by individual and institution-based factors.

Abstract

ABSTRACT Aim To synthesize scientific evidence on the factors influencing the implementation of cultural competence by nurses in the care of migrant populations. Background/Introduction Global migration has intensified cultural diversity in healthcare settings, highlighting the need for nurses to develop cultural competence to deliver safe and equitable care. However, evidence on factors influencing its implementation in nursing practice remains fragmented. Methods An integrative literature review was conducted following the Joanna Briggs Institute methodology and PRISMA guidelines. A systematic search of CINAHL, MEDLINE, Scopus, and Web of Science using the PICo framework identified peer‐reviewed primary studies published between 2014 and 2024 in English, Spanish, or Portuguese. Fourteen studies met the eligibility criteria, were critically appraised using the Joanna Briggs Institute (JBI) Qualitative Checklist, and classified according to Melnyk and Fineout‐Overholt's levels of evidence. Results All included studies were classified as Level VI evidence, with overall good methodological coherence. Facilitating factors for cultural competence included respect for cultural differences, exposure to multicultural contexts, and continuing education in cultural diversity. Persistent barriers were language difficulties, limited cultural knowledge, and a lack of structured training in cultural competence. Discussion The findings indicate that cultural competence is a dynamic and context‐dependent process shaped by individual experiences, educational opportunities, and organizational support, consistent with established transcultural nursing frameworks. Conclusion Effective implementation of cultural competence in nursing requires sustained education, experiential learning, and institutional commitment to address persistent barriers in migrant care. Implications for Nursing Identifying facilitators and barriers supports the development of strategies to enhance nurses’ cultural competence in diverse care settings. Implications for Nursing Policy These findings inform institutional policies that promote culturally competent nursing care in multicultural health systems.

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Cite This Study

Arias et al. (2026) studied this question.

synapsesocial.com/papers/698979d9f0ec2af6756e7e4fhttps://doi.org/10.1111/inr.70157
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