Nurses’ Cultural Humility in the Horizon of Transformation and Innovation of Medical Education, a Review of the Official Documents of Nursing Education of the Islamic Republic of Iran

Cultural humility is a life-long process which has a crucial role in enabling nurses to establish respectful intercultural relationships. Considering the importance of education in the formation of interaction-related skills, and the necessity of educational planning based on the related macro policies, this study was conducted with the aim of investigating how to pay attention to cultural humility in the official documents of nursing education upstream documents in Iran.

The present study, which has been conducted using a qualitative approach and a directed content analysis method, has reviewed the document of transformation and innovation in medical education and nursing undergraduate curriculum. The semantic units were extracted after studying the documents repeatedly, and categorized based on Furanda's conceptual model. Then, based on the conceptual and logical correlation, the possibility of placing these categories in the main categories existing in the matrix, or the formation of new categories was investigated.Ethical Considerations:Trustworthiness in quoting the documents and unbiasedness, have been observed in all the stages of this study, including reviewing texts and documents, dataextracting, analyzing, reportingand publishing the data.

Out of the 302 extracted codes, 122 codes were excluded due to the general nature. The remaining codes, considering the number of assigned codes, were respectively placed in the supportive interaction, openness, egoless, self-awareness, self-reflection, and criticismcategories, which are among the features of cultural humility. Some codes were not placed in the above conceptual categories, but were separately placed in the attention to spiritualitycategory. Only 52 codes were extracted from the practical part of the course curriculum, i.e. the course outlines.

The findings indicate that although the existing documents have implicitly addressed the concept of cultural humility in their macro goals, but it has not been given clear and practical attention in the executive parts of the program. Moreover, some of the features of the concept of cultural humility, which are among the crucially important features of nurses, have been neglected. Therefore, it is recommended that the policymakers and the authorities pay more attention to putting achieving this important feature, nurses' cultural humility, into practice in the upstream documents.