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Cultural competence in dementia care: Care workers and managers perspectives on physical and social environments in Long-Term Care

Year: 2026

Type: article

Abstract: This study explores how cultural identity can be preserved in dementia long-term care as resident populations become increasingly diverse. Using a deductive approach informed by the Person-Environment fit framework, the study examines care workers' and managers' experiences and strategies across physical and social environments. Findings show that indoor and outdoor settings, communication practices, activities, relationships, and cultural rituals all influence culturally responsive care. Competing priorities such as safety, limited resources, and varying cultural competence, shape the long-term resident's wellbeing, environment and everyday life. The study highlights the need for interpretation services, structured cultural competence training, and sensory-based approaches to enhance residents' well-being and inclusion.

Source: PLoS ONE

DOI: 10.1371/journal.pone.0349763

Authors: Lisa Spang, Katarina Baudin

Institutions: Örebro University, Karolinska Institutet

Language: English

Topic: Geriatric Care and Nursing Homes

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,382