Abstract
This study aimed to examine the association between cultural competency, structural empowerment, and effective communication among nurses in Saudi Arabia. A cross-sectional correlational design was used. The study questionnaire utilized three scales: the Culture Competence Scale, Conditions for Work Effectiveness Questionnaire-II, and Communication Competency Assessment Scale. All the scales were culturally adapted and translated using an integrated method. The questionnaire was distributed through an online survey using a convenience sampling approach. Data were collected from 396 participants. The findings showed statistically significant association between cultural competency and effective communication (r = 0.747, p < 0.001) and between structural empowerment and cultural competency (r = -0.123, p = 0.014). Moreover, the overall model with effective communication and structural empowerment as predictors, controlling for nurses' nationality significantly explains 56% of the variance in cultural competency. Structural empowerment did not significantly predict cultural competency (b = -0.052, beta = -0.069, p < 0.052, 95% CI = [-0.104, -0.001]), while effective communication was found to be a significant positive independent predictor of cultural competency (b = 0.745, beta = 0.741, p < 0.001, 95% CI = [0.677, 0.811]). The findings underline the need to make effective communication courses mandatory in undergraduate nursing curricula. Healthcare systems should be built such that they support the empowerment of the nursing workforce from different nationalities and establish effective communication policies to enhance cultural competency among nurses. Future research in this area is needed to validate the result of this study.