Comparing Culture’s Effect On Nursing In Different Countries: A Systematic Review
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Shoaa Ashwi Alenezi, Bushra Abdulaziz Alruwaythi, Rehab Mansour Saeid, Fatimah Owaydhah Ayidh Alrefaei, Sawsan Ali Alsada, Mohammed Eidah Hamed Alruqi, Aminah Eid M Alrehaili, Shima Salem Aloufi, Rayan Mansour Abdulmajed Alsulaimani
Abstract
Background
Cultural competence is a foundational component of effective nursing care, shaping communication, patient outcomes, and professional satisfaction in increasingly diverse healthcare settings.
Objective
This systematic review aimed to synthesize cross‐national and intercultural evidence on how culture affects nursing competence, work environments, burnout, professional recognition, and educational outcomes among nurses and nursing students.
Methods
Following PRISMA 2020 guidelines, 11 peer‐reviewed studies published between 2017 and 2025 were analyzed using qualitative, quantitative, and mixed methods. Searches across PubMed, Scopus, CINAHL, and Web of Science identified empirical studies comparing cultural influences on nursing in at least two national or cultural contexts. Narrative synthesis integrated statistical and thematic results.
Results
Cultural context significantly influenced nurses’ experiences, competence, and organizational integration. Training exposure, language proficiency, and inclusive work environments enhanced cultural competence and job satisfaction. European and transnational studies revealed persistent disparities in professional recognition and institutional support, while studies from Asia and the Middle East highlighted emotional exhaustion and adaptation challenges. Education-driven interventions effectively strengthened cultural awareness and empathy across cohorts.
Conclusion
Cultural competence in nursing is not only an ethical requirement but also a structural determinant of global healthcare quality. Strengthening transcultural education, leadership inclusivity, and international collaboration remains essential for sustainable nursing development.
Keywords :
Cultural competence, cross-cultural nursing, international nursing, transcultural education, professional recognition, burnout, healthcare integration.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty