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Culturally Competent Care for Psychiatric Clients Who Have a History of Sexual Abuse

University of Alberta

Ruth Gallop

University of Toronto

Elizabeth McCay

Clarke Institute of Psychiatry, Toronto, Ontario

Cindy Peternelj-Taylor

College of Nursing, University of Saskatchewan

Margaret Bayer

The Nova Scotia Hospital, Halifax, Nova Scotia

Canadian psychiatric nurses (N = 1,701) participated in a survey in which theyassessed their ability to nurse clients with a history of sexual abuse when cultural differences are present. Thirty-nine percent worked at a facility having a significant number of clients from a different culture. Only 4.6% rated themselves as "very competent." Four themes emerged from nurses’ assessment of their ability: culture is not the problem, culture is not an issue, culture influences perspective and responses, and culturally specific competence. Only one cultural group, First Nations, was identified by sufficient numbers of nurses to generate themes concerning the challenge of working with clients from a particular culture. These themes (abuse as a cultural norm, concurrent and related health and social problems, reluctance to talk about problems, a need to learn about First Nations culture, and developing culturally competent caregivers), critical areas of concern, and possible solutions suggested by the nurses are discussed.

Clinical Nursing Research, Vol. 8, No. 1, 5-25 (1999)
DOI: 10.1177/105477389900800102


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