The aim of the study is the analysis of educational needs of European intensive care nurses (ICNs) with regard to multicultural care. A mixed-method multinational study was performed among 591 ICNs coming from 15 European countries. An online survey was utilised with three research tools: participants' sociodemographic details, Healthcare Provider Cultural Competence Instrument, and a tool to assess the educational needs of ICU nurses with respect to multicultural care. The highest mean values in self-assessment of preparation of ICU nurses to provide multicultural nursing care and their educational needs in this regard were detected in the case of nurses coming from Southern Europe (M = 4.09; SD = 0.43). With higher age, nurses recorded higher educational needs in the scope of multicultural care (r = 0.138; p = 0.001). In addition, speaking other languages significantly correlated with higher educational needs related to care of patients coming from different cultures (Z = -4.346; p < 0.001) as well as previous education on multicultural nursing care (Z = -2.530; p = 0.011). Experiences of difficult situations when caring for culturally diverse patients in ICU were classified into categories: 'treatment procedures and general nursing care', 'family visiting', 'gender issues', 'communication challenges', and 'consequences of difficult experiences'. The educational needs of intensive care nurses in caring for culturally diverse patients are closely related to experiencing difficult situations when working with such patients and their families.

Department of Anaesthesia and Intensive Care Danderyd Hospital 18882 Stockholm Sweden

Department of Emergency Medicine Faculty of Medicine The University of Rzeszów Pigonia 6 Street 35 310 Rzeszów Poland

Department of Holistic Care and Management in Nursing Faculty of Health Sciences Medical University of Lublin Staszica Str 4 6 20 081 Lublin Poland

Department of Intensive Medicine and Forensic Studies Faculty of Medicine University of Ostrava Syllabova 19 708 00 Ostrava Czech Republic

Department of Nursing and Midwifery Faculty of Medicine University of Ostrava Syllabova 19 708 00 Ostrava Czech Republic

Department of Nursing Faculty of Health Sciences Collegium Medicum University of Warmia and Mazury in Olsztyn Żołnierska 14c Street 10 561 Olsztyn Poland

Faculty of Nursing School of Medicine Hadassah Hebrew University Jerusalem 91120 Israel

International School for Social and Business Studies Mariborska cesta 7 3000 Celje Slovenia

Research Institute College of Nursing in Celje Mariborska cesta 7 3000 Celje Slovenia

Wellcome Wolfson Institute for Experimental Medicine Queen's University Belfast 97 Lisburn Road Belfast BT9 7BL UK

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