Bakgrund: Mångkulturella samhällen blir alltmer vanliga i och med den ökande invandringen.De olika kulturerna medför andra värderingar, seder och levnadssätt än de som är vanliga hos majoritetsbefolkningen. Invandringen skapar även ett nytt sjukdomspanorama med krav på sjukvården som inte funnits tidigare. Enligt den svenska hälso- och sjukvårdslagen skall all vård ges på lika villkor för alla individer. Leiningers transkulturella omvårdnadsteori går ut på att en professionell, kulturellt anpassad omvårdnad kan garanteras om den genomsyras av ett individcentrerat förhållningssätt och med kulturell medvetenhet hos sjukvårdspersonal. Syfte: Syftet med denna studie var att beskriva kulturell medvetenhet hos vårdpersonal och hur detta påverkar vården. Metod: Studien gjordes som en litteratursammanställning av tio vetenskapliga artiklar med kvalitativ ansats. Resultat: Resultatet kunde delas in i två teman med tre respektive två tillhörande kategorier. Det första temat; Den kulturellt särskilde patienten förde med sig kategorierna; Kulturellt specifika beteenden, anhörigas medverkan och kommunikation. Det andra temat; Kulturspecifikt bemötande i vården skildrades genom kategorierna; Kulturell medvetenhet och hantering av kulturella möten. Slutsats: De hinder och komplikationer som präglade den transkulturella vården var ofta kopplade till vårdpersonalens upplevda okunskap. De uttryckte ett stort behov av riktlinjer, stöd från arbetsledare och framför allt kunskap inom området. Detta skulle även göra det möjligt att bedriva en god transkulturell omvårdnad i linje med Leiningers transkulturella omvårdnadsteori. / Background: Multicultural communities have become more common because of the increasing immigration. The diverse cultures bring different values, cultural practices and ways of living than the ones that are common for the majority population. The immigration also leads to a new disease panorama with demands on health care that have not before existed. According to the Swedish Health care law, all care shall be given on the same conditions for all individuals. Leininger´s cultural care theory claims that a professional, culturally appropriate care can be guaranteed if it is based on an individual centered approach and given with a cultural knowledge. Aim: The purpose of this study was to describe the cultural knowledge with healthcare staff and how it influences the health care. Method: The study was made as a literature review of ten scientific articles with a qualitative approach. Result: The result was divided in two themes with three respectively two belonging categories. The first theme; The culturally particular patient, was divided in the categories; Culturally specific behaviors, the presence of relatives and communication. The second theme; Culturally specific treatment in health care was divided in the categories; Cultural knowledge and management of cultural meetings. Conclusion: The obstacles and complications that occurred in the transcultural health care wereoften related to the lack of knowledge that the health care staff experienced. They agreed that aneed for guidelines, support from supervisors and particularly knowledge within the areaexisted. This would also make it possible to accomplish a good transcultural care in the spirit ofLeininger´s care theory.

This study focused on the challenges female school principals face in managing their schools effectively and the possible strategies to overcome these challenges. Ten schools from Mpumalanga province were purposively selected as research sites. Participants were the school principal and a member of the school management team of each school. Individual interviews with the school principals and an open-ended questionnaire to the school management team members were used to collect data. The findings revealed that a lack of confidence in female leadership with related gender discrimination, a lack of support and respect from staff and the community, and unfair practices with the promotion procedures of women are the main challenges that hamper female leaders in managing their schools well. The fostering of a positive attitude towards female leadership, a strong support system, female leaders empowering themselves and an effort to build good relationships with all stakeholders represent solution strategies. / Educational Leadership and Management / M. Ed. (Education Management)