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Cultural competence and decision-making of nurse leaders in a university hospital in Saudi Arabia: A descriptive-correlation study.

AIMS
To determine the quality of decision-making and cultural competence in terms of cultural competence behavior and cultural awareness and sensitivity of nurse leaders. Furthermore, this study explores the relationships between selected demographic profiles, cultural awareness and sensitivity, cultural competence behavior, and quality of decision-making.


BACKGROUND
Diversity contributes to varying beliefs and practices in the workplace. Leaders with cultural competence, awareness, and sensitivity can evaluate alternatives for the decision-making process and develop effective strategies to implement decisions.


METHODS
A descriptive correlational design was utilized. The respondents (n=122) completed the Cultural Competence Assessment instrument and Decision Making Quality Scale questionnaire.


RESULTS
Cultural awareness and sensitivity are significantly related to the Middle Eastern race. Furthermore, cultural competence behavior is significantly related to years of experience in Saudi Arabia and leadership positions. Quality of decision-making is significantly related to years of experience in Saudi Arabia. Cultural awareness, sensitivity, and cultural competence behavior are significantly related to the quality of decision-making.


CONCLUSIONS
Culturally aware, sensitive, and competent nurse leaders are more likely to adhere to the quality decision-making criteria.


IMPLICATIONS FOR NURSING MANAGEMENT
Promoting training and continuing education for nurse leaders are crucial to ensure they possess the right cultural knowledge and skills.