As for Australia, you might be interested in this study involving cultural care theory:

http://austinpublishinggroup.com/nursing/fulltext/nursing-v1-id1010.php

Which is also available through this Reserachgate site where you could contact the authors directly:

https://www.researchgate.net/publication/267098560_Reflecting_on_Transcultural_Care_Culture_Care_Theory_and_Mental_Health_Nursing

A related article is here:

https://www.questia.com/library/journal/1P3-1591143501/transcultural-nursing-theory-and-models-the-challenges

This US teaching module is probably worth looking at too:

http://www.aacn.nche.edu/education-resources/toolkit.pdf

Good luck with it all!

Deleted research item The research item mentioned here has been deleted

Thank you Anitra. However, I am really interested in what goes on in hospitals and community care routinely not just during a research project. So if anyone works in a place where patients/clients are routinely assessed using a transcultural tool/document / procedure, I would love to hear from them.

The Royal Melbourne Hospital maternity team has had to take into account that women of non-Anglo cultures are greatly concerned to follow traditional practices associated with placenta: https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Taking-Placenta-Home-Burial.pdf

This study touches on  some of the challenges that made the RWH change their approach to dealing with the placenta as waste only:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894590/

Sorry I can't be of more help.

Please check InterRAI (International Residents Assessment Instruments)

Thank you  Anitra and Tal for your replies which are very interesting. However, I am disappointed that I did not receive more responses. Does this mean that despite all the research and publications over the last 50 years there are no exemplary cases of theory application into practice? This worries me so much. Those of us working in the area of transcultural nursing and cultural competence need to work harder to get the knowledge skills and messages into practice. 

First let me mention that my organization is listed as BCU, UK, but I live in Denmark and work in a clinical setting in Odense (3rd biggest city in Denmark, where we have had a multicultural patient population for many years.

Cultural considerations are of some interest, but it is competing against the 'million of other things' in a very busy schedule of the bed-side nurses. We do have a few aspects related to culture (as basic as it comes, namely: special food requirements; language; and religion) that we document, but I do not see any identified theory behind this.

I took your on-line cultural compassion course a little while ago, and in spite of my very best intention...I cannot see how I can overcome the kilometer tall brick wall that needs to be climbed to address an idea of implementing a cultural assessment based on a theory.

One of the biggest obstacle that I think I would face if I would like to suggest a change, is that the documentation is computerized and centralized, which mean that if we are looking at documented assessment then it has to be approved to get into this digital system, and that is at a different level than what I am working at.

I can only talk from my own experience and view point, but I think you are right when you say that there needs to be worked harder....but I do not think you can do it alone. There is still the partners in the clinical setting who need to collaborate in this regards, and it is both them at the bed-side as well as those who has decision making powers at the appropriate level.

I hope this has given you a clear picture of one nurse' experience.

Thank you Jette for your contribution. Your experience is probably similar with that of many people from all countries. Although I would never like to see a system which has 'cultural areas' for assessment for their own sake (a tick box exercise to show we are doing something), it is in my view important to have an area on the computerised records which record a summary of cultural assessment in a systematic way i.e based on a suitable model or theory. Senior nurses should be at the table when computerised systems are being developed and must actively engage in their piloting. Nurses must also insist that opportunities for modifications of the systems are built into  it so that customisation that reflects the needs of the clients can be made.

Of course, documents are as good as the people who complete them and there is nothing more useful than a properly trained and supported practitioner. 

Let's keep the conversation going. I would like to hear more opinions as I believe that this is an issue which needs debate.

Yes Jeffres has a theory on this in US.

Sorry

meant Jeffreys and her studies of cultural empathy and competence using the affective domain with nursing undergraduate students.