Barriers to Practising Cultural Humility During Health Service Delivery: A Qualitative Study of Nigerian Providers.
Cultural humility, an approach to care that is rooted in self-reflexivity, regard for patients' lay expertise, and openness to sharing power with patients, is pivotal in delivering health services to people with diverse sociocultural characteristics. Without cultural humility in clinical encounters...
| Publicado en: | Journal of Health Management Vol. 28; no. 3; pp. 407 - 413 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194895198&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194895198 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09720634 54B jtl: Journal of Health Management issn: 09720634 maglogo: N pubinfo: dt: Jun2026 vid: 28 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194895198 194895198 194895198 10.1177/09720634261445739 194895198 ppf: 407 ppct: 6 formats: tig: atl: Barriers to Practising Cultural Humility During Health Service Delivery: A Qualitative Study of Nigerian Providers. aug: au: Ogueji, Ifeanyichukwu Anthony Mohammed, Rabi Umar Oduola, Abiodun Bolarinwa Buremoh, Ayotunde Isaac Edema, Oyidia Ijioma Oduola, Oluwakemi Omoyeni affil: Department of Psychology, Faculty of the Social Sciences, University of Ibadan, Oyo State, Nigeria sug: subj: Health Personnel Psychosocial Factors Cultural Competence Health Care Delivery Professional-Patient Relations Outcomes (Health Care) Implementation Science Nigeria Human Male Female Adult Middle Age Qualitative Studies Purposive Sample Physicians Nurses Pharmacists Medical Laboratory Technicians Tertiary Health Care Thematic Analysis Data Analysis Software Leadership Clinical Governance Personnel Shortage Motivation Salaries and Fringe Benefits Cultural Diversity Communication Skills Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Cultural humility, an approach to care that is rooted in self-reflexivity, regard for patients' lay expertise, and openness to sharing power with patients, is pivotal in delivering health services to people with diverse sociocultural characteristics. Without cultural humility in clinical encounters between health care providers and patients, illnesses may be treated, but the patients are poorly understood. This work investigates the barriers to practising cultural humility among healthcare workers in Nigeria, a culturally diverse country. A qualitative online survey collected data from 52 health professionals between May and July 2024. Participants were recruited across primary, secondary and tertiary health facilities, as well as across the six geopolitical zones in Nigeria, to enable the transferability of findings. Purposive sampling was employed for selection. Thematic analysis was performed on the data, and member checks were used to ensure rigour and trustworthiness. The barriers are categorised into human resources for health, patient, and leadership and governance levels. The obstacles within human resources for health include the lack of training on cultural humility, shortage of health workers, low motivation among service providers resulting from poor remuneration, and limited cultural and religious diversity among providers, as well as among leadership actors in the health system. The patient-level hindrances encompass patients' limited English proficiency and reluctance to engage in open dialogue about their cultural backgrounds and health care preferences during clinical encounters with health professionals. Finally, the barrier at the leadership and governance tier stems from hierarchical organisational culture. These findings not only underscore the urgency of reform but also provide a roadmap for fostering a culturally sensitive health system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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