000117331 001__ 117331 000117331 005__ 20230519145555.0 000117331 0247_ $$2doi$$a10.1371/journal.pone.0259802 000117331 0248_ $$2sideral$$a126767 000117331 037__ $$aART-2021-126767 000117331 041__ $$aeng 000117331 100__ $$0(orcid)0000-0002-8206-4803$$aAntón-Solanas I.$$uUniversidad de Zaragoza 000117331 245__ $$aNursing students’ experience of learning cultural competence 000117331 260__ $$c2021 000117331 5060_ $$aAccess copy available to the general public$$fUnrestricted 000117331 5203_ $$aIntroduction European societies are rapidly becoming multicultural. Cultural diversity presents new challenges and opportunities to communities that receive immigrants and migrants, and highlights the need for culturally safe healthcare. Universities share a responsibility to build a fair and equitable society by integrating cultural content in the nursing curricula. This paper aims to analyze European student nurses´ experience of learning cultural competence and of working with patients from diverse cultural backgrounds. Materials and methods A phenomenological approach was selected through a qualitative research method. 7 semi-structured focus groups with 5–7 students took place at the participants’ respective universities in Spain, Belgium, Turkey and Portugal. Results 5 themes and 16 subthemes emerged from thematic analysis. Theme 1, concept of culture/ cultural diversity, describes the participants’ concept of culture; ethnocentricity emerged as a frequent element in the students’ discourse. Theme 2, personal awareness, integrates the students’ self-perception of cultural competence and their learning needs. Theme 3, impact of culture, delves on the participants’ perceived impact of cultural on both nursing care and patient outcomes. Theme 4, learning cultural competence, integrates the participants’ learning experiences as part of their nursing curricula, as part of other academic learning opportunities and as part of extra-academic activities. Theme 5, learning cultural competence during practice placements, addresses some important issues including witnessing unequal care, racism, prejudice and conflict, communication and language barriers, tools and resources and positive attitudes and behaviors witnesses or displayed during clinical practice. Conclusion The participants’ perceived level of cultural competence was variable. All the participants agreed that transcultural nursing content should be integrated in the nursing curricula, and suggested different strategies to improve their knowledge, skills and attitudes. It is important to listen to the students and take their opinion into account when designing cultural teaching and learning activities. © 2021 Antón-Solanas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 000117331 536__ $$9info:eu-repo/grantAgreement/EUR/ERASMUS/2018-1-ES01-KA203-050800 000117331 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000117331 590__ $$a3.752$$b2021 000117331 592__ $$a0.852$$b2021 000117331 591__ $$aMULTIDISCIPLINARY SCIENCES$$b29 / 74 = 0.392$$c2021$$dQ2$$eT2 000117331 593__ $$aMultidisciplinary$$c2021$$dQ1 000117331 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000117331 700__ $$aTambo-Lizalde E. 000117331 700__ $$aHamam-Alcober N. 000117331 700__ $$aVanceulebroeck V. 000117331 700__ $$aDehaes S. 000117331 700__ $$aKalkan I. 000117331 700__ $$aKömürcü N. 000117331 700__ $$aCoelho M. 000117331 700__ $$aCoelho T. 000117331 700__ $$aNova A.C. 000117331 700__ $$aCordeiro R. 000117331 700__ $$aSagarra-Romero L. 000117331 700__ $$0(orcid)0000-0002-5676-4179$$aSubirón-Valera A.B.$$uUniversidad de Zaragoza 000117331 700__ $$aHuércanos-Esparza I. 000117331 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000117331 773__ $$g16, 12 (2021), 0259802 [24 pp]$$pPLoS One$$tPLoS ONE$$x1932-6203 000117331 8564_ $$s527158$$uhttps://zaguan.unizar.es/record/117331/files/texto_completo.pdf$$yVersión publicada 000117331 8564_ $$s2377733$$uhttps://zaguan.unizar.es/record/117331/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000117331 909CO $$ooai:zaguan.unizar.es:117331$$particulos$$pdriver 000117331 951__ $$a2023-05-18-15:53:46 000117331 980__ $$aARTICLE