The notion of cultural competence during the vocational training is first time demanded with the law that regulates training for the Elderly care nurse (2004). The respective law for the general nurse does not include explicit cultural training. The topic is not mentioned in the main literature. All statutory documents related to nursing education as well as government policy related to health and the education of health professionals primarily refer to equality and diversity. As nursing refers to individuals with their biography and their personal needs, nursing should take account of the personal identity (referring to the cultural background). But here education does focus on clinical skills.
All providers of Elderly care nursing education are bound by statute to include elements of intercultural education. There are national prescriptions as to the general nature of the content and where in the curricula this should be taught ( Lernfeld 2.1). It is up to the providers to decide what exactly to include, how and when to include it which inevitably results in inconsistencies. Within the curriculum there are 120 hours for the Subject of Sociology. Within these hours, providers dedicate 20-40 hours to intercultural training.
This may be linked to different other subjects like nursing science (Lernfeld 1.1, Pflegewissenschaft) or the International Ethic Codex for nurses (ICN), Lernfeld 4.1). The "Bundesministerium für Familie, Senioren, Frauen und Jugend" (National Department for Families, Elderly, Women and Youth) gave a manual for the intercultural education of the elderly care nurse.
Intercultural nursing practice
In 2002 all German welfare organizations and other providers have signed a paper (Memorandum für eine kultursensible Altenpflege, www.kda.de),committing their organization to promote cultural sensitivity in the sector of elderly care nursing. It is addressed to politicians and society and requests to provide access for the elderly to institutions and services of elderly care and to provide cultural sensitive services and care nursing. This should facilitate and improve the participation and access to services for elderly migrants.
In hospital the luck of intercultural training shows up in conflicts that arise with migrant patients, when dealing only with clinical issues without taking cultural aspects into account. In hospital the luck of intercultural training shows up in conflicts that arise with migrant patients, when dealing only with clinical issues without taking cultural aspects into account.