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NCT Number: NCT06944678

OHANA: Optimizing Cross-Cultural Care

Increasing globalisation and international migration have led to greater cultural diversity in Western societies, including healthcare settings. Hospitals and healthcare environments have become meeting places for individuals from different cultural backgrounds.

This diversity presents significant opportunities for improving healthcare, but also introduces complex challenges related to communication, trust and mutual understanding between healthcare professionals and patients. In this context, the concept of culturally competent care, i.e. the ability of healthcare professionals to provide respectful and appropriate care to patients by taking into account their cultural beliefs, values and practices, emerges as a crucial approach to address the specific needs of patients from different cultures. The concept of cultural competence was first introduced by Cross, who defines it as a set of behaviours, attitudes and policies that, when integrated into an organisation or among professionals, enable them to operate effectively in intercultural contexts.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Fondazione Policlinico Universitario A. Gemelli IRCCS

Rome, 00168, Italy

Location status: Recruiting

Location contact

Cristina Pistacchio, PI

CONTACT

[email protected]

+393382458373

About this study

Although there is preliminary evidence on the benefits of cultural concordance, the literature is still scarce and fragmented. In particular, there is a lack of in-depth studies on the subjective experiences of the main actors involved. For healthcare professionals, cultural concordance could be a valuable resource, but also a source of additional stress or pressure, especially if perceived as a task requiring cultural or linguistic competence that is not always adequately supported. For patients, the experience of being cared for by a professional from the same culture might enhance a sense of trust and comfort, but also generate unrealistic expectations or influence perceptions of quality of care. Exploring the lived experiences of healthcare professionals and patients in a context of cultural concordance is essential to understanding perceived benefits, criticisms and areas for improvement. This multicentre study, coordinated by the Gemelli Hospital in Italy in collaboration with several Italian hospitals , aims to explore cultural concordance in a variety of healthcare settings, providing an in-depth understanding of the potentials and criticisms of cultural concordance in hospital settings

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All nurses or caregivers involved in the concordance system cultural will be included, with direct experience in caring for foreign patients
  • All foreign patients admitted to hospital who speak a language other than the main language of the host country and who have been involved in the concordance system cultural will be included

Exclusion criteria

  • All patients with severe cognitive conditions that prevent participation and nurses or caregivers who do not work closely with assigned patients will be excluded.

Treatment and study plan

Primary outcomes

  1. Health workers' perceived utility of the cultural concordance system

    Time frame: 12 months

    Assessed through thematic content analysis of semi-structured interviews.

  2. Socio-demographic characteristics of health workers

    Time frame: 12 months

    Collected using a socio-demographic questionnaire.

Secondary outcomes

  1. Patients' perceptions of the cultural sensitivity of care received

    Time frame: 24 months

    Assessed through thematic content analysis of semi-structured interviews.

  2. Socio-demographic characteristics of patients

    Time frame: 24 months

    Collected using a socio-demographic questionnaire.

  3. Barriers to implementation of the cultural concordance system

    Time frame: 24 months

    Assessed through thematic content analysis of semi-structured interviews with health workers.

  4. Facilitators to implementation of the cultural concordance system

    Time frame: 24 months

    Assessed through thematic content analysis of semi-structured interviews with health workers.

  5. Development of evidence-based recommendations to improve cultural concordance

    Time frame: 24 months

    Number and content of guidelines produced based on interview data.

Study contacts

Contact information is provided by the study sponsor or research team.

Cristina Pistacchio, PI

CONTACT

[email protected]

+393382458373

Daniele Napolitano, Sub-I

CONTACT

[email protected]

+393382650440

Sponsors and collaborators

Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Other

Registry information

Official study title

OHANA Project: Optimizing Health Care Through Alignment and Care Across Cultures

Acronym: OHANA

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Apr 25, 2025
Registry last updated
Aug 26, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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