Vol. 2, Issue 2, Part A (2025)

Background: Cultural diversity within mental health care settings creates both challenges and opportunities for delivering effective, patient-centered services. Culturally insensitive practices can result in communication barriers, reduced engagement, lower adherence, and poorer treatment outcomes. Integrating cultural sensitivity into nursing care models offers a strategic pathway to enhance therapeutic effectiveness and reduce disparities in mental health care.
Objective: This study aimed to evaluate the impact of culturally sensitive nursing care models on patient engagement, therapeutic alliance, treatment adherence, satisfaction, and clinical outcomes among culturally diverse mental health populations.
Methods: A quasi-experimental research design was conducted with 180 participants representing migrant, refugee, and minority ethnic groups diagnosed with common mental health disorders. Culturally adapted nursing care, based on established transcultural frameworks, was implemented over eight weeks. Outcomes were measured at baseline, mid-intervention, and post-intervention using standardized instruments. Statistical analyses included paired t-tests, ANOVA, and multiple linear regression to assess changes and predictors of patient outcomes.
Results: Significant improvements were observed in cultural competence, therapeutic alliance, adherence, satisfaction, and symptom severity from baseline to Week 8 (p<0.001). All cultural subgroups showed comparable gains, indicating the adaptability of the intervention. Regression analysis identified cultural competence gains, therapeutic alliance, and language concordance as significant predictors of patient satisfaction.
Conclusion: Culturally sensitive nursing interventions are effective in improving patient outcomes in mental health care settings. These findings emphasize the importance of embedding cultural competence training, language support, and adaptable care frameworks within routine nursing practice. Integrating such strategies at the clinical, organizational, and policy levels can lead to more equitable, effective, and person-centered mental health services for culturally diverse populations.