British journal of nursing (Mark Allen Publishing) · 2026
Exploring barriers and enablers to cultural competency in lymphoedema services: a survey-based service evaluation.
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Cooper Garry, Gabe-Walters Marie, Florentin David, Morgan Karen, Thomas Melanie
Аннотация
BACKGROUND: Lymphoedema is a chronic condition that impairs mobility, causes pain and reduces quality of life. People from ethnic minority backgrounds appear under-represented in lymphoedema services in Wales, reflecting broader health inequalities across the UK. Purpose: This service evaluation explored barriers and enablers to providing culturally competent lymphoedema care, as reported by health professionals.
METHODS: An anonymous online survey was distributed to lymphoedema practitioners across the UK. The survey combined self-rating scales of cultural awareness, knowledge and skills with open-text questions. Quantitative data were analysed descriptively, and qualitative responses were examined thematically.
CONCLUSIONS: Fifty-eight practitioners responded. Most rated their cultural awareness, knowledge and skills above the neutral point, indicating confidence in these areas. However, free-text responses highlighted persistent challenges, including limited time, inconsistent access to training and a lack of culturally inclusive resources.
IMPLICATIONS FOR PRACTICE: Targeted workforce development, co-produced educational materials and inclusive communication strategies can support lymphoedema nurses to deliver more equitable, culturally responsive care across the UK.
METHODS: An anonymous online survey was distributed to lymphoedema practitioners across the UK. The survey combined self-rating scales of cultural awareness, knowledge and skills with open-text questions. Quantitative data were analysed descriptively, and qualitative responses were examined thematically.
CONCLUSIONS: Fifty-eight practitioners responded. Most rated their cultural awareness, knowledge and skills above the neutral point, indicating confidence in these areas. However, free-text responses highlighted persistent challenges, including limited time, inconsistent access to training and a lack of culturally inclusive resources.
IMPLICATIONS FOR PRACTICE: Targeted workforce development, co-produced educational materials and inclusive communication strategies can support lymphoedema nurses to deliver more equitable, culturally responsive care across the UK.