Imagine two hospitals with identical patient safety protocols, yet with vastly different levels of nurse compliance. What accounts for the difference? According to a recent systematic review in palliative nursing, one answer is culture.<\/span><\/p>\n\n A systematic review published in Gaceta M\u00e9dica de Caracas (Vol. 134, Supplement 1, 2026) by Sri Rusmini, Esti Yunitasari, and Hanik Endang Nihayati of the Faculty of Nursing, Universitas Airlangga, addresses this key question: how does cultural framing influence risk governance, and ultimately shape nurses’ compliance in delivering palliative care?<\/span><\/p>\n\n Until now, many hospital risk governance models have been designed as “universal,” as though all nurses and patients share the same value background. In reality, cultural competence has long been recognized as important to patient safety, yet few studies have specifically examined how cultural values actually shape nurses’ compliance with risk procedures, particularly within palliative care, a field rich in emotional, spiritual, and end-of-life decision-making dimensions.<\/p>\n\n The research team systematically reviewed the scientific literature following the PRISMA 2020 guidelines, identifying studies published between 2001 and 2024 across PubMed, Scopus, CINAHL, and Google Scholar. The screening process was assisted by Rayyan software, while the quality of each study was assessed using the Mixed Methods Appraisal Tool (MMAT) 2018. This process yielded 26 studies that met the criteria for narrative analysis.<\/p>\n\n The synthesis revealed three major themes:<\/p>\n\n Another notable finding: when institutional policy aligns with local cultural norms, nurse compliance tends to rise. Conversely, cultural dissonance can hinder communication and risk reporting, a factor that may endanger patient safety.<\/span><\/p>\n\n The authors concluded that integrating cultural framing into risk governance can enhance nurses’ responsiveness, improve communication with patients and families, and support more meaningful shared decision-making. They recommend that future nursing care models combine transcultural nursing theory, behavioral compliance frameworks, and ecological systems approaches.<\/p>\n\n In practical terms, this means:<\/p>\n\nA problem often overlooked<\/b><\/h2>\n\n
How the research was conducted<\/b><\/h2>\n\n
Three patterns identified<\/b><\/h2>\n\n
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What does this mean for nursing practice?<\/b><\/h2>\n\n