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Cultural diversity in health care teams: A systematic integrative review and research agenda
Jönköping University, School of Health and Welfare, HHJ, Department for Quality Improvement and Leadership. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.ORCID iD: 0000-0002-3113-6432
Jönköping University, Jönköping International Business School, JIBS, Business Administration. Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Umeå School of Business, Economics and Statistics, Umeå University, Umeå, Sweden.ORCID iD: 0000-0002-8304-5321
Qulturum, the Center for Improvement in Healthcare, County Council of Jönköping, Jönköping, Sweden.
Jönköping University, Jönköping International Business School, JIBS, Business Administration. Jönköping University, Jönköping International Business School, JIBS, Centre for Family Entrepreneurship and Ownership (CeFEO).ORCID iD: 0000-0002-8938-2150
2023 (English)In: Health Care Management Review, ISSN 0361-6274, E-ISSN 1550-5030, Vol. 48, no 4, p. 311-322Article, review/survey (Refereed) Published
Sustainable development
00. Sustainable Development
Abstract [en]

BACKGROUND: Although team-based work is deemed key to improving the quality of national health care systems, adverse events related to teamwork account for up to one third of all incidents. Health care teams are typically multiprofessional and diverse in many aspects, but cultural diversity is one of the most challenging.

PURPOSES: The objective of this review is to systematically analyze the literature to better understand the impact of cultural diversity in health care teams on team processes as well as team and patient outcomes. This study also explores the conditions that enable or hinder team functioning.

METHODOLOGY: Through a systematic integrative literature review, this study builds on the input-process-output-context framework. Multiple searches of the main databases led to identifying 43 relevant articles.

FINDINGS: The results suggest that, when not proactively managed, cultural diversity may have a negative effect on team communication and integration, increasing team conflict and thereby negatively influencing team performance, team climate, and patient safety, both directly and indirectly. Yet, when managed properly and in the presence of engaged and culturally sensitive leadership, cultural training, and open and transparent procedures, cultural diversity in health care teams can be an asset to health care organizations. Analyzing and aggregating these findings into an integrative framework, our study identifies several themes and a research agenda for future studies on culturally diverse health care teams.

PRACTICE IMPLICATIONS: Our findings suggest that culturally diverse health care teams experience a number of challenges, pointing to the need for action or structures that enable these teams to perform better, such as emphasizing learning and allowing team members time to get to know each other outside work.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023. Vol. 48, no 4, p. 311-322
Keywords [en]
Cultural diversity, health care, systematic review, team
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-62281DOI: 10.1097/HMR.0000000000000379ISI: 001093813200004PubMedID: 37615941Scopus ID: 2-s2.0-85168626878OAI: oai:DiVA.org:hj-62281DiVA, id: diva2:1790994
Funder
The Jan Wallander and Tom Hedelius FoundationTore Browaldhs stiftelse, 20-0273Futurum - Academy for Health and Care, Jönköping County Council, SwedenAvailable from: 2023-08-24 Created: 2023-08-24 Last updated: 2023-11-28Bibliographically approved

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Schmidt, ManuelaSteigenberger, NorbertUman, Timur

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HHJ, Department for Quality Improvement and LeadershipThe Jönköping Academy for Improvement of Health and WelfareJIBS, Business AdministrationJIBS, Media, Management and Transformation Centre (MMTC)JIBS, Centre for Family Entrepreneurship and Ownership (CeFEO)
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