Cultural Competence, Patient-Centred Care, and Perioperative Nursing: A Scoping Review of Global, African, and Ghanaian Evidence
Abstract
Abstract Background Cultural competence is a critical quality imperative in contemporary nursing practice, particularly in perioperative settings where surgery intersects with patients' cultural frameworks of meaning. Despite growing evidence on cultural competence in nursing globally, a significant gap exists in evidence from perioperative and surgical nursing contexts, and from sub-Saharan Africa in particular. Objective This scoping review aimed to systematically map the breadth, nature, and distribution of existing evidence on cultural competence in nursing; to critically appraise its theoretical and methodological characteristics; and to identify conceptual, empirical, and geographical gaps relevant to perioperative nursing practice in Ghana. Methods A scoping review was conducted following the methodological framework of Arksey and O'Malley (2005) as refined by Levac et al. (2010), and updated guidance from Peters et al. (2020). The population-concept-context (PCC) framework guided the search. Searches were conducted across five sources (PubMed, PubMed Central, BASE, DOAJ, and Google Scholar) using terms related to cultural competence, perioperative nursing, and patient-centred care. Thirty peer-reviewed articles published between January 2020 and March 2026 were included and synthesised thematically. Results The 30 included studies spanned 16 countries across five continents. Cross-sectional survey designs predominated (n = 18). Nurses generally reported moderate…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 18 participants or records.
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