title: The experience of nurses in care for culturally diverse families: A qualitative meta-synthesis.
abstract: OBJECTIVE
  to understand the experience of nurses in care delivery to culturally diverse families.
  
  
  METHODS
  qualitative meta-synthesis. Exhaustive search in seven databases, three repositories and a manual search in references without time limit, in English, Spanish and Portuguese, resulting in 1609 potentially relevant studies. These were assessed based on the title, summary and full text, determining the final inclusion of 14 studies. Two independent reviewers used the Critical Appraisal Skills Programme (CASP) to assess the quality. The interpretative synthesis implied permanent contrast and consensus among the authors, revealing four categories and one meta-theme.
  
  
  RESULTS
  "taking care of a culturally diverse family, the experience of crossing a tightrope".
  
  
  CONCLUSIONS
  the experience of nurses in care delivery to culturally diverse families is demanding and challenging because it imprints a constant tension among barriers, cultural manifestations and the ethical responsibility of care, incipiently revealing elements of cultural competency. The omission of information in the participants' reports in the studies represents a limitation. The findings offer a baseline for professionals and organizations to focus their intervention efforts on the continuing barriers in care delivery to culturally diverse families and strengthens the need for cultural competency training for nurses.
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Saidy Eliana Arias
authors.initials: SE
authors.lastname: Murcia
authors.affiliation: Facultad de Enfermería, Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Lucero
authors.initials: L
authors.lastname: Lopez
mesh_terms: D054521:Cultural Competency; D022143:Family Nursing; D006801:Humans; D036301:Qualitative Research; D016746:Transcultural Nursing