Begreppet tillit är något sjuksköterskan och patienten kommer i kontakt med varje dag omedvetet. Begreppet tillit definieras som människans spontana livsyttringar. Det finns brist på vetenskaplig kunskap om begreppet tillit inom vårdvetenskapen, nursing och caring, kunskap om begreppet kan bidra till möjligheten att stärka hälsan i det goda vårdandet. Syftet var att belysa hur begreppet tillit uttrycks inom vårdvetenskapen, nursing samt caring. Studien är byggd på en litteratursökning med en datainsamlingsmetod av vetenskapliga artiklar. Resultatet visar på hur tillit upplevs inom nursing och caring. Patienten upplevde högre tillit till sjuksköterskan när tydlig och relevant information gavs, när patienten kände sig värderad och bekräftad av sjuksköterskan, när sjuksköterskan visar god attityd. Brist på tillit gav en känsla av osäkerhet och var svår att återuppbygga. Begreppet tillit är relativt outforskat men har stor betydelse hos både patient och sjuksköterska, det stärker relationen vilket gör att sjuksköterskan känner förtroende för patienten och patienten känner högre trygghet för sjuksköterskan. Resultatet visar ett samband mellan sjuksköterskans attityd och den upplevda tilliten hos patienten. Begreppet tillit finns ej utvecklad som oberoende omvårdnadsåtgärd i litteratur och därför kan utökad forskning vara relevant för att utveckla nursing och caring. / The concept of trust is something nurse and patient come into contact with on a daily basis, without thinking about it. The concept of trust is defined as human’s spontaneous manifestations of life. There is a lack of scientific knowledge within care science, nursing and caring. Increasing the knowledge about the concept of trust can contribute to the possibility of enhancing health in a caring environment. The aim of the study was to illuminate how the concept of trust is expressed within care science, nursing and caring. The study is built on a literature research were data collection was based on scientific articles. The result shows how trust is experienced within nursing and caring. The patient felt valued and confirmed by the nurse and strengthened by the nurse’s good and respectful attitude. A lack of trust gave a feeling of insecurity. The concept of trust is relatively unexplored but is of huge importance to the nurse and patient. Trust strengthens the nurse-patient relation which creates safety and confidence. The result shows the connection between the nurse’s attitudes and the trust experienced by the patient. Trust is not developed as a nursing-care intervention in literature and further research is relevant.

No description available.

Bakgrund: Akutmottagningen har en hög patienttillströmning och detta leder till att patienter med lågt prioriterade skador och sjukdomar/tillstånd får ökade väntetider. Den sekretess som råder inom hälso- och sjukvården förhindrar sjuksköterskan från att ge information angående varför andra patienter prioriteras före dem. Sjuksköterskor kan med kunskap om patienters erfarenheter av vården på akutmottagningen, få en ökad förståelse och genom detta ge en mer individanpassad vård och ökad tillfredställelse hos patienterna.  Syfte: Att beskriva patienters erfarenheter av vården från sjuksköterskor på akutmottagningen. Vidare var syftet med litteraturstudien att granska de inkluderade artiklarnas datainsamlingsmetod. Metod: En litteraturstudie med deskriptiv design. De tolv inkluderade vetenskapliga artiklarna söktes fram i databaserna Cinahl och PubMed. Ansatsen på dessa är kvantitativ, kvalitativ eller mixad. Huvudresultat: Många patienter ansåg att den vård de fick av sjuksköterskan på akutmottagningen var god. Det goda bemötandet, förmågan att lyssna och den höga kompetensen hos sjuksköterskan medförde en ömsesidig respekt mellan sjuksköterska och patient. Under väntetiden förekom dock att patienterna kände sig som en börda för sjuksköterskorna samt ignorerade i vissa fall. Bristen på kontakt med sjuksköterskorna under väntetiden medförde att patienterna inte fick den information de ansåg sig behöva. Patienterna beskrev att sjuksköterskans kommunikation var adekvat samt att de använde ett lättförståeligt språk. Slutsats: De flesta patienter var nöjda med den vård de fick av sjuksköterskan på akutmottagningen. De kände att sjuksköterskan hade en hög kompetens och kommunikationen var adekvat. Dock förekom det patienter som ansåg att informationen var bristfällig. / Background: The emergency department has a high patient inflow and this results in increased waiting times for patients with low priority injuries and diseases/conditions. The confidentiality in health care prevents the nurse from giving information on why other patients are prioritized over them. Nurses can with the knowledge of patients' experiences of care in the emergency department, get a better understanding and through this provide more individualized care and increased satisfaction of patients. Aim: To describe patients' experiences of care from nurses in the emergency department. Furthermore, the aim of this study was to examine the data collection method of the included articles. Methods: A literature study with descriptive design. The twelve included scientific articles were sought out in the databases CINAHL and PubMed. The approaches of these are quantitative, qualitative or mixed. Results: Many patients felt that the treatment they received by the nurse in the emergency department was good. The good hospitality, ability to listen and the high competence of the nurse brought a mutual respect between nurse and patient. During the waiting time, however, the patients sometimes felt as a burden on nurses and in some cases even felt ignored. The lack of contact with the nurses during the waiting time meant that the patients did not receive the information they deemed necessary. Patients described that the nurse communication was adequate and that they used an easy to understand language. Conclusion: Most patients were satisfied with the care they received by the nurse in the emergency department. They felt that the nurse had a high level of competence and communication was adequate. However, there were patients who felt that the information was inadequate.

Sverige tar i dagsläget emot en stor andel flyktingar och flertalet av dessa flyktigar lider av psykisk ohälsa. Stress, ångesttillstånd, depression och posttraumatiskt stressyndrom (PTSD) är några diagnoser som förekommer bland flyktingar. För att hjälpa dessa patienter krävs både kulturell och språklig kompetens inom vården. Syftet med denna litteraturöversikt är att beskriva sjuksköterskors erfarenheter av att bemöta flyktingar med psykisk ohälsa. Nio kvalitativa studier och en mixed method studie har används för att presentera resultatet. Studierna är gjorda i Västeuropa och Australien och de utgår från ett sjuksköterskeperspektiv. Axelssons tillvägagångssätt för litteraturstudie valdes som metod för detta arbete. Resultatet beskrivs i två huvudrubriker, Svårigheter för sjuksköterskan i mötet med flyktingar och Det vårdande mötet i psykisk kontext. De svårigheter som identifierats beskrivs i fyra underkategorier: Att kommunicera med flyktingar, Att använda tolk, Att förstå patientens kulturella bakgrund och Att prata om traumatiska händelser. Det vårdande mötet i psykisk kontext beskrivs i två underkategorier: Behovet av kulturell kompetens och Att bedöma symptom. Resultatet visar att sjuksköterskor är i behov av ökad kunskap om kulturella skillnader för att vårda flyktingar med psykisk ohälsa. Symtombilden i psykisk ohälsa varierar beroende kulturellt ursprung och ämnet anses vara tabubelagt i vissa länder. Tolkar anses vara en stor tillgång till att bygga upp en vårdande relation mellan sjuksköterskan och en flyktingpatient, men kan även ses som ett hinder.

Thesis (MCur (Nursing Science))--University of Stellenbosch, 2010. / Thesis presented in partial fulfilment of the requirements for the degree of Master of Nursing at Stellenbosch University / ENGLISH ABSTRACT: The trend towards specialisation in nursing has resulted in the development of the role of the Clinical Nurse Specialist (CNS) since the 1960s and 1970s in North America and the United Kingdom respectively. A Clinical Nurse Specialist should demonstrate excellent skills in leadership, communication, critical thinking, clinical and collaborative ethical decision-making, as well as mentoring. Research done internationally has shown that advanced practice nursing leads to higher patient satisfaction and compliance, fewer hospitalisations and shorter length of stays. The development of the CNS role in SA is slow in implementation. The South African Qualifications Authority has only recently published qualification rules for a master’s certificate and master’s degree in Nursing for advanced specialist nurses in SA. This situation led to the following research question: What is the expected role of the Critical Care Clinical Nurse Specialist in private hospitals in the northern and southern suburbs of the Cape Peninsula, South Africa? A non-experimental, explorative, descriptive study with a quantitative orientation was conducted in eight private hospitals in the Cape Peninsula. Through non-probability sampling 73 critical care health professionals (critical care professional nurses, clinical nurse specialists, nursing managers, unit managers, nurse educators, clinical facilitators, clinical coordinators and doctors) out of a population of 170 critical care health professionals participated in the study. A survey tool was designed and validated to collect the data. Quantitative data was analysed through Statistica® and qualitative data was analysed thematically. It was found that 81% of the participants agreed that Clinical Nurse Specialists should be appointed in the South African critical care environment as soon as possible to improve patient outcomes, to contribute to safer nursing care, to relieve work stress of shift leaders and bedside nurses and to improve the professional status of nursing. It is recommended that greater awareness regarding the Clinical Nurse Specialist should be developed. The relevant educational requirements should be finalised and a clear job description should be compiled. Nursing managers should appoint Clinical Nurse Specialists in each critical care unit as soon as possible. / AFRIKAANSE OPSOMMING: Die rol van die Kliniese Verpleegspesialis het as uitvloeisel van spesialisering in verpleging sedert 1960 en 1970 in Noord-Amerika en Groot-Brittanje onderskeidelik ontwikkel. `n Kliniese Verpleegspesialis behoort die volgende eienskappe te openbaar: uitmuntende vaardighede met betrekking tot leierskap, kommunikasie, kritiese denke, kliniese en etiese besluitneming en mentorskap. Internasionale navorsing het aangetoon dat gevorderde verpleegkunde tot `n hoër vlak van pasiënttevredenheid en nakoming van behandelingsvoorskrifte, minder hospitalisasie en korter hospitaalverblyf aanleiding gee. Die ontwikkeling van die rol van die Kliniese Verpleegspesialis in Suid- Afrika geskied langsaam. Die Suid-Afrikaanse Kwalifikasie-Outoriteit (SAKO) het eers onlangs die reëls vir `n meestersertifikaat en meestersgraad in Verpleegkunde vir gevorderde spesialisverpleegkundiges gepubliseer. Hierdie situasie het tot die onderstaande navorsingsvraag aanleiding gegee: Wat is die verwagte rol van die Kritiekesorg- Kliniese Verpleegspesialis in privaathospitale in die noordelike en suidelike voorstede van die Kaapse Skiereiland, Suid-Afrika? `n Nie-eksperimentele, beskrywende studie met `n kwantitatiewe benadering is in agt hospitale in die Kaapse Skiereiland onderneem. Deur nie-waarskynlikheids-, toevallige steekproefneming is 73 professionele betrokkenes by kritiekesorggesondheid (professionele kritiekesorgverpleegkundiges, kliniese verpleegspesialiste, verpleegbestuurders, eenheidsbestuurders, opvoeders in verpleegkunde, kliniese fasiliteerders, kliniese koördineerders en dokters) uit `n populasie van 170 professionele betrokkenes by kritiekesorggesondheid in die studie ingesluit. `n Vraelys is ontwerp en gevalideer vir die insameling van data. Kwantitatiewe data is deur middel van Statistica® ontleed terwyl die kwalitatiewe data tematies ontleed is. Daar is gevind dat die meerderheid van die deelnemers saamgestem het dat Kliniese Verpleegspesialiste so gou moontlik in die kritiekesorgomgewing in Suid-Afrika aangestel behoort te word. Die Kliniese Verpleegspesialis dra by om pasiëntuitkomste te verbeter, om tot veiliger verpleegsorg by te dra, om werkspanning van skofleiers en verpleegsters te help verlig en om die professionele status van verpleging te verbeter. Daar word aanbeveel dat daar groter bewusmaking aangaande die Kliniese Verpleegspesialis moet wees. Vereistes vir opleiding behoort gefinaliseer te word en `n duidelike werksbeskrywing moet opgestel word. Verpleegbestuurders behoort Kliniese Verpleegspesialiste so gou moontlik in die kritiekesorgomgewing aan te stel.

Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Workplace violence in health care is a worldwide phenomenon. In nursing, the nature of workplace violence is predominantly non-physical in nature. Literature reveals the devastating consequences for the individual nurse, both physically and / or emotionally, depending on the nature of the violence. The consequences for the organisation / institution and the profession are equally devastating, manifesting in reduced standards of patient care and increased attrition from the profession. The pervasiveness of this problem indicates that to date, remedial and protective measures have been unsuccessful. However, most of the research done on workplace violence in nursing has been conducted amongst qualified nurses. The purpose of this study was to investigate the extent of workplace violence, targeting student nurses in clinical areas. The setting was the Western Cape College of Nursing and the population was second, third and fourth-year, pre-registration students. The research objectives addressed various aspects, for example, type, prevalence, perpetrators, consequences and management of workplace violence. A quantitative research design, utilising a survey, was chosen for the study. A probability sample of n = 255 students was selected, using stratified, random sampling as the sampling method. The variables selected for stratification were gender and year of study. A self reported, anonymous questionnaire, guided by the literature review and by the research objectives, was utilised for data generation. Summary statistics were used to describe the variables, whilst distributions of variables were presented in the form of histograms and frequency tables. Where appropriate, the relationships between demographic and research variables were described, using suitable statistical analyses. The findings revealed that the perpetration of non-physical violence against student nurses is widespread, particularly that perpetrated by co-workers, more specifically registered, staff- and assistant nurses. The under reporting of workplace violence was a common finding. Student nurses suffer grave emotional consequences as a result of workplace violence. Almost half of the respondents admitted that they had considered leaving nursing due to workplace violence and that it had negatively affected their standard of patient care. The overall conclusion was that, in accordance with a worldwide trend amongst all categories of nurses, student nurses are targets of workplace violence in the clinical areas. These findings have particular implications for the management of nursing education institutions. The fact that student nurses are targeted to the extent revealed in this study indicates that existing preventive measures in the clinical areas have not been effective. The recommendations arising from this study therefore focus on equipping the vulnerable trainee with the tools to withstand workplace violence. As such, the recommendations are directed at the management of the nursing education institution, to create awareness around the problem, to empower students to confront and cope with workplace violence and to support students traumatised by workplace violence. Finally, this study suggests avenues for further research, for example, research in the same setting after implementation of the recommendations, or further research into the dynamics of workplace violence, targeting student nurses from the perspective of qualified nursing staff or patients. / AFRIKAANSE OPSOMMING: Geweld in die gesondheidsdienste werksplek is ‘n wêreldwye verskynsel. In verpleging is geweld in die werksplek oorwegend nie-fisies van aard. Die literatuur wys op die ingrypende fisiese en / of emosionele gevolge vir die individuele verpleegkundige, afhangend van die aard van die geweld. Die gevolge vir die organisasie of instelling, asook vir die verpleegberoep, is eweneens ingrypend en manifesteer in verlaagde standaarde in pasiëntsorg en ‘n toename in verpleegkundiges wat die beroep verlaat. Die algemene verskynsel van die problem dui aan dat regstellende en beskermende maatreëls tot dusver onsuksesvol was. Die meeste navorsing oor geweld in verpleging is egter tot dusver onder gekwalifiseerde verpleegkundiges gedoen. Die doel van hierdie studie was om die omvang van werksplek-geweld, met studenteverpleegkundiges as teikengroep, in die kliniese areas na te vors. Die studie is by die Wes-Kaap Kollege van Verpleging uitgevoer en die populasie was al die tweede, derde en vierde-jaar, voor-registrasie studente. Die geformuleerde navorsingsdoelwitte vir die studie het verskeie aspekte aangespreek, soos byvoorbeeld, tipe, frekwensie, die uitvoerders van geweld, gevolge en die hantering van werksplek-geweld. ‘n Kwantitatiewe navorsingsontwerp, met gebruikmaking van ’n opname, is vir die studie geselekteer. ‘n Waarskynlikheidsteekproef van n = 255 studente is deur middel van gestratifiseerde, ewekansige steekproefneming geselekteer. Geslag en jaar van studie was as die veranderlikes vir stratifikasie gekies. Die instrument vir data-insameling was ‘n self-voltooide vraelys, gebaseer op die literatuurstudie en gerig deur die navorsingsdoelwitte. Opsommende statistieke is aangewend om die veranderlikes te beskryf, terwyl die verspreidings van veranderlikes in die vorm van histogramme of frekwensie-tabelle aangebied is. Waar toepaslik, is die verhoudings tussen demografiese en navorsingsveranderlikes met behulp van toepaslike statistiese analises beskryf. Die bevindinge het onthul dat die pleeg van nie-fisiese geweld teenoor studenteverpleegkundiges algemeen voorkom, veral daardie deur mede-personeel, meer spesifiek geregistreerde, staf– en assistent verpleegundiges. Die onderrapportering van werksplek-geweld was ‘n algemene bevinding. Studenteverpleegkundiges ly aan erge emosionele gevolge, as gevolg van werksplek-geweld. Byna die helfte van die respondente het erken dat hulle oorweeg het om die beroep te verlaat en dat sodanige geweld hul standaard van pasiëntsorg negatief beinvloed het. Die oorkoepelende gevolgtrekking was dat studenteverpleegkundiges, in ooreenstemming met ‘n wêreldwye neiging onder alle kategorieë van verpleegkundiges, die teiken van werksplek-geweld in die kliniese areas is. Hierdie bevindinge hou spesifieke implikasies vir die bestuur van verpleegonderriginrigtings in. Die feit dat studenteverpleegkundiges tot die mate, soos in die studie onthul, geteiken word, het aangetoon dat bestaande voorkomende maatreëls in die kliniese areas oneffektief is. Die voorstelle vanuit hierdie studie is dus daarop gerig om die ontvanklike nuweling toe te rus om werksplek-geweld teë te staan. As sulks is die voorstelle gemik op die bestuur van die verpleegonderrig-inrigting, om bewustheid rondom die probleem te skep, om studente te bemagtig om geweld te konfronteer en te hanteer, en om studente, wat as gevolg van werksplek-geweld getraumatiseer is, te ondersteun. Laastens word moontlikhede vir verdere navorsing voorgestel, soos byvoorbeeld, navorsing in dieselfde omgewing na die implementering van die voorstelle, of verdere navorsing in die dinamika van werksplek-geweld teenoor studenteverpleegkundiges, vanuit die perspektief van gekwalifiseerde verpleegpersoneel of pasiënte.

Skolsköterskor kommer ofta i kontakt med huvudlöss i sin yrkesroll. Hen är ofta en nyckelperson i arbetet med att bekämpa huvudlöss då skolsköterskan kommer i kontakt med både skolan, hemmen och de berörda barnen Studiens syfte var att belysa vilka faktorer i skolsköterskans arbete som är viktiga vid utbrott av löss, bland barn mellan 6 och 9 år. Metod: En kvalitativ intervjustudie genomfördes. Skolsköterskor (n=9) verksamma inom den kommunala skolhälsovården intervjuades om sina erfarenheter av att arbeta med huvudlöss i skolan. Materialet analyserades med kvalitativ innehållsanalys. Resultat: Skolsköterskornas erfarenhet av arbete med huvudlöss i skolan framträdde i två huvudkategorier. Preventivt arbete vid löss utbrott som beskriver skolsköterskans arbete innan det faktiska arbetet börjar med att bekämpa huvudlössen och har tre underkategorier, Ha kunskap om faktorer som främjar löss, Kännedom om förekomst av löss samt Betydelsen av att ha kunskap. Kunna ge råd och stöd vid löss utbrott beskriver skolsköterskans arbete under det faktiska huvudlöss utbrottet och har tre underkategorier Utbildning till barn, föräldrar och personal, Anpassa interaktionen med barn, föräldrar och lärare efter behov samt Användning av olika Omvårdnadsstrategier Slutsats: Arbete mot huvudlöss är en del av skolsköterskans arbete och det kan skapa en stor frustration hos de berörda barnen och dess familjer. Uppsatsen belyste att det finns områden att förbättra i arbetet med huvudlöss utbrott i skolan. / School nurses often come into contact with head lice in their professional capacity. The school nurse is often a key figure in efforts to combat head lice when the school nurse comes in contact with both persons in the school, in the home and the children concerned. The study's purpose was to illustrate which factors in the school nurse's work that are important to the outbreak of lice among children between 6 and 9 years. Methods: A qualitative study was carried out. School nurses (n = 9) active in the municipal school health were interviewed about their experiences of working with head lice at school. The material was analyzed using qualitative content analysis. Results: School nurses' experience of working with head lice in the school appeared in two main categories. Preventive work for lice outbreaks that describes the school nurse's work before the actual work begins with combat head lice, and has three sub-categories, Have knowledge of factors that promote lice, Knowledge of the outbreak and The importance of having knowledge. To give advice and support during lice outbreaks describes the school nurse's work during the actual head lice outbreak and has three subcategories Education to children, parents and personal, adapting the interaction with the children, parents and teachers as needed and have different caring strategies. Conclusion: Work against head lice is part of the school nurse's work and it can create a big frustration for the affected children and their families. The paper highlighted that there are areas to improve the work of head lice outbreak in school.

Bakgrund Bröstcancer är den vanligaste typen av cancer hos kvinnor över hela världen. De som drabbas av bröstcancer har olika förutsättningar att hantera sin situation. Många av kvinnorna upplever en emotionell kris i samband med diagnosen och med hjälp av stöd från sjukvården kan patienten finna mening i sin situation. Syfte Syftet är att sammanställa aktuell forskning om bröstcancerdrabbade kvinnors effekter av stöd under diagnosperioden. Metod En litteraturöversikt som sammanställer aktuell forskning inom det valda omvårdnadsområdet. Resultat I resultatet framkom att kvinnorna behöver ett stöd i form av kommunikation, information samt ett emotionellt stöd från vårdpersonal. Stödet ska utformas efter patientens unika situation och när sjukvården är tillgänglig för patienterna minskas deras stress. Patienterna upplevde stöd under diagnosperioden då sjuksköterskan erhöll god förmåga att bemöta och kommunicera på ett adekvat sätt. Slutsats Studien visar att det krävs en god relation mellan bröstcancer drabbade kvinnor och vårdaren för att kvinnorna ska känna stöd. / Background Breast cancer is the most common type of cancer in women worldwide. Those who get breast cancer have different conditions to deal with their situation. Many of the women experiencing an emotional crisis in connection with the diagnosis and with the support of health care, the patient may find meaning in their situation. Aim The aim is to assemble current research on women with breast cancer effects of support during the diagnosis period. Methods A literature review that compiles the latest research in the chosen field of nursing care. Results The result shows that the women need support in form of communication, information and emotional support from health professionals. The aid will be tailored to the patient's unique situation and when medical care is available to patients reduce their stress. Patients experienced support during the diagnosis period, when the nurse received a good ability to meet and communicate adequately. Conclusion The study shows that a good relationship between the breast cancer affected women and their keeper makes the women feel supported.

Bakgrund: Smärta är en individuell upplevelse och smärta är en stor orsak till att befolkningen söker vård. För att ge säker och god vård krävs det att sjuksköterskor ska kunna bedöma och utvärdera patienternas smärta. Sjuksköterskors upplevelser kan orsaka ett flertal hinder som kan göra att en god och säker vård inte kan uppnås. Syfte: Att beskriva sjuksköterskors upplevelser av att vårda patienter med smärta. Metod: Litteraturöversikt som är baserad på 15 vetenskapliga artiklar med både kvalitativ- och kvantitativansats. Resultat: Denna litteraturstudies resultat visade att sjuksköterskor upplever kunskapsbrist när det gäller att vårda patienter med smärta. Sjuksköterskor upplever sig otillräckliga och frustrerade över att inte kunna ge en optimal smärtlindring samt en stor rädsla att starta ett missbruk hos patienterna. Slutsats: Det är viktigt att fortsätta forska på sjuksköterskors upplevelser för att kunna tydliggöra eventuella hinder som försvårar arbetet med att ge god och säker vård till patienter med smärta. / Background: Pain is an individual experience and pain is a major cause of people seeking care. To provide safe and good care requires the nurse´s to assess and evaluate patients' pain. The nurse's experiences can cause a number of obstacles that can make a good and safe care can´t be achieved. Objective: To describe nurses ' experiences of caring for patients with pain. Method: Literature review based on 15 scientific articles both kvalitativ- and quantitative batch. Results: This literature study's results showed that nurses are experiencing a lack of knowledge when it comes to caring for patients with pain. The nurse´s is experiencing inadequate and frustrated not to be able to provide optimal pain relief and a great fear to start an abuse of patients. Conclusion: It is important to continue research on nurses' experiences in order to clarify any obstacles that hinder efforts to provide good, safe care to patients with pain.

The changing demographic UK population in terms of cultural, racial and ethnic mix demands mental health nurses to be educated in ways that will enable them to provide care that is both efficient and culturally appropriate to the diverse population they will serve. However, reported studies indicate that professional nurses, particularly mental health nurses, are not ready to meet the challenges posed by an increasingly culturally diverse society. These have raised questions about the undergraduate nursing education's readiness to develop a mental health work force that is capable of delivering effective mental health services to a multicultural population. The aim of the study was to explore and gain an understanding of cultural competence education from the perspectives of the key participants involved in the undergraduate mental health nursing education within the UK context, and to use the findings to develop a conceptual framework of developing cultural competence. Qualitative grounded theory approach was the method of inquiry used to collect and analyse interview data from the experiences and views of senior lecturers, third year mental health student nurses, clinical sign-off mentors and student mentors within the universities that offer pre-registration mental health nurse training in the West Midlands Region. Analysis of the research findings resulted in an emergent conceptual framework that explains how cultural competence is developed in the undergraduate mental health nursing curriculum in terms of content, processes, strategies, actions and approaches that are considered effective. The findings of this study revealed a degree of consistency between the views of the current study participants and what the literature describes as frameworks for developing cultural competence. The main theoretical constructs emerging from the study fit into a cultural competence frameworks encompassing awareness, knowledge and skills. Whilst some of the themes and theoretical constructs emerging from the results of the interview data were generally consistent with those indicated in the cultural competence literature, there were some other themes that emerged from the study participants on what was required within the curriculum in order to educate student nurses in ways that will enable them to work effectively and culturally appropriately with clients from diverse cultural backgrounds. The additional bridging theoretical construct included ‘conscious of the dynamics and discourse of intercultural education’ which was a result of the differing ideological views about current curricula and how issues of cultural competence could best be addressed within the curricula. The strategies of ‘engagement of local experts to assist in teaching cultural competence specific areas’ and ‘creating educational activities that challenge stereotypes, prejudice, discrimination and religious intolerance’ also expands the current literature by providing evidence to support some of the conceptualisations regarding some of the educational intervention strategies to cultural competence. This study is significant as it represents the first attempt to develop a conceptual framework of developing cultural competence within the UK context based on the perspectives of those directly experiencing the undergraduate mental health nursing education, using qualitative grounded theory approaches. Exploring and developing the conceptual framework from the perspectives of the neglected silent voices of the key participants who are directly involved in the undergraduate nurse training within the UK context, contributes to the existing research in this area and provides a view not currently presented in the nursing literature.