Profile Predictors of Clinical Cultural Competence among Pediatric Nurses in a Government Hospital

Abstract

This study aimed to assess whether the profile of pediatric nurses predicted their clinical cultural competence in a government hospital in Surigao City. A quantitative descriptive-correlational-predictive design was employed. The study utilized a total enumeration sampling design, wherein all 112 registered nurses who met the inclusion criteria and were affiliated with the Pediatric Intensive Care Unit, Pediatric Ward, and Pediatric Respiratory Unit were included as respondents. Data were collected using a structured questionnaire adapted from the Campinha-Bacote Model of Cultural Competence, measuring cultural awareness, knowledge, skills, encounters, and desire. Descriptive statistics summarized the profile and competence levels, while regression analysis examined the predictive relationship between nurse characteristics and cultural competence. Findings revealed that the respondents demonstrated very high levels of clinical cultural competence across all domains, with cultural awareness being the highest. Regression analysis showed that age, civil status, current area of assignment, and frequency of caring for patients from diverse cultures significantly predicted cultural competence. Other variables, including sex, educational attainment, years of experience, and employment status, were not significant predictors. Although the pediatric nurses exhibited high overall competence, certain demographic and experiential factors influenced their cultural competence. The results highlight the need for targeted interventions to strengthen cultural responsiveness. Based on the findings, a Clinical Cultural Competence Enhancement Plan was proposed to guide hospital-based initiatives aimed at improving culturally sensitive pediatric care.