Model Assessment Compassion Communication MMHT Patient Safety MOOC Tools Glossary Community
Welcome to the IENE projects!

This multilingual website addresses nurses and healthcare professionals working in contact with patients with different cultures and languages and aims to improve the quality of vocational education and training of nurses in Europe.

During the IENE 1 to IENE 9 projects, 24 partners from 13 European countries developed a Model for Intercultural education of nurses and healthcare professionals based on the Papadopoulos, Tilki and Taylor Model (PTT/IENE MODEL )

Related websites:

IENE 6 and IENE 8 projects

IENE 7 project




Piloting and testing the curriculum in Spain

Learning tools for healthcare leaders in culturally competent and compassionate care

UNIT 1: Senior health leaders
Stop bullying at healthcare work environment. Promotion of a compassionate leadership as a protective factor
Learning sources Language
Alexis, O., Vydelingum, V. & Robbins, I. (2007). Engaging with a new reality: experiences of overseas minority ethnic nurses in the NHS. Journal of Clinical Nursing, 16(12): 2221-2228. EN
Allan, H.T., Cowie, H. & Smith, P. (2009). Overseas nurses’ experiences of discrimination: a case of racist bullying? Journal of Nursing Management, 17: 898-906. EN
Cleary, M., Hunt, G.E. & Horsfall, J. (2010). Identifying and Addressing Bullying in Nursing. Issues in Mental Health Nursing, 31(5): 331-335. EN
Hunt, B. (2007). Managing equality and cultural diversity in the health workforce. Journal of Clinical Nursing, 16: 2252-2259. EN
Hutchinson, M., Vickers, M.H., Wilkes, L., & Jackson, D. (2009). “The worse you behave, the more you seem, to be rewarded”: Bullying in nursing as organizational corruption. Employee Responsibilities and Rights Journal, 21: 213-229. EN
Kawi, J. & Xu, Y. (2009). Facilitators and barriers to adjustment of international nurses: an integrative review. Int Nurs Rev, 56(2): 174-183. EN
Johnson, S.L. (2009). International perspectives on workplace bullying among nurses: a review. International Nursing Review, 56: 34-40. EN
Johnson, S.L. & Rea, R.E. (2009). Workplace bullying: Concerns for nurse leaders. Journal of Nursing Administration, 39: 84-90. EN
Kawi, J. & Cu, Y. (2009). Facilitators and barriers to adjustment of international nurses: an integrative review. International Nursing Review, 56: 174-183. EN
Papadopoulos I. (2011). Courage, compassion and cultural competence. The 13th anna reynvaan lecture. Netherlands: De Stadsschouwburg - Amsterdam City Theatre. EN
Schantz, M.L. (2007). Compassion: a concept analysis. Nurs. Forum, 42: 48–55 EN
Simons, S. (2008). Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. Advances in Nursing Science, 31: E48–E59. EN
Community Charter of the Fundamental Social Rights of Workers. 1989, 9th December EN
Charter of Fundamental Rights of the European Union. 2000/C 364/01 EN
Ordinance of the Swedish National Board of Occupational Safety and Health containing Provisions on measures against Victimization at Work AFS 1993:17 EN
Guía de Prevención de Riesgos Psicosociales en el Sector Sanidad: Atención Primaria. UGT. Madrid, 2007 ES
Video about the Papadopoulos Model of Culturally Competent and Compassion EN
Literature review on role modelling and coaching in the workplace”. Report developed under the IENE4 project by Azienda Ospedaliera Universitaria Senese (2015). EN
O4. A European Model for the Development of role models to promote and support culturally competent and compassionate care EN
Training/learning/evaluation materials Download
Complete tool EN ES
Conceptual map (annex I) EN ES
Though record (annex II) EN ES
Paper to read (annex III) EN
PPT presentation for classroom session 1 ES
PPT presentation for classroom session 3 ES
Case studies (annex IV) EN ES
Sheet to develop the role modelling action plan (annex V) EN ES
Reflection sheet (annex VI) EN ES
Evaluation of the tool (annex VII) EN ES
UNIT 2: Front-line health leaders
Promotion of patient-centred care and compassion: caring health, values and personal and social needs
Learning sources Language
Binnie, A., Titchen, A. (1999). Freedom to practise: the development of patient-centred nursing. Butterworth Heinemann, London. EN
Buerhaus, P.I., Donelan, K., Ulrich, B.T., Norman, L., Williams, M., Dittus, R. (2005). Hospital RNs’ and CNOs’ perceptions of the impact of the nursing shortage on the quality of care. Nursing Economics, 23(5): 214-21. EN
Campinha-Bacote, J., (2011). Delivering Patient-Centered Care in the Midst of a Cultural Conflict: The Role of Cultural Competence. The Online Journal of Issues in Nursing, 16, 2, Manuscript 5. EN
Frisch, N.G., Dossey, B.M., Guzzetta, C.E., Quinn, J.A. (2000). Standards of holistic nursing. Gaithersburg, MD, Aspen. EN
Holmes, S.K., Cramer, I.E., Charms, M.P. (2003). Becoming patient-centered: approaches and challenges. Transition Watch, 6(3): 1-2. EN
Lathrop, J.P., Seufert, G.E., MacDonald, R.J., Martin, S.B. (1991). The patient-focused hospital: a patient care concept. Journal of the Society for Health Systems, 3(2): 33-50. EN
McCormack, B., McCane, T.V. (2006). Development of a framework for person centred nursing. J Adv Nurs, 56(5): 472-9. EN
Ponte, P.R., Conlin, G., Conway, J.B. et al. (2003). Making patient-centered care come alive: achieving full integration of the patient’s perspective. J Nurs Adm, 33(2): 82-90. EN
Redman, R.W. (2004). Patient-centered care: an unattainable ideal?. Res Theory Nurs Pract, 18(1): 11-14. EN
Robinson, J.H., Callister, L.C., Berry, J.A., Dearing, K.A. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. J Am Acad Nurse Pract, 20(12): 600-7. EN
Rogers, A., Kennedy, A., Nelson, E., Robinson, A. (2005). Uncovering the limits of patient-centeredness: implementing a self-management trail for chronic illness. Qual Health Res, 125(2): 224-39. EN
Shaller, D. (2007). Patient-centered care: what does it take? Picker Institute, Oxford and The Commonwealth Fund. EN
Skills for health professionals for an effective PCC EN
Person-centred resources EN
Networks fostering PCC EN
PCC as an essential horizontal and structural criteria EN
The WHO Health 2020 vision regarding PCC EN
Plan de Calidad del Sistema Nacional de Salud 2010 (Quality Plan for the National Health System of Spain) EN
Latvian Presidency Declaration on "Making patient centered community care a reality” EN
Research in the National Health System (NHS) in UK EN
Training/learning/evaluation materials Download
Description of the tool EN ES
Conceptual map (annex I) EN ES
Paper to read (annex II) EN
List of benefits (annex III) EN ES
Though record (annex IV) EN ES
PPT presentation for classroom session ES
Empathy activity (annex V) EN ES
Case studies (annex VI) EN ES
Sheet to develop the coaching action plan (annex VII) EN ES
Reflection sheet (annex VIII) EN ES
Evaluation of the tool (annex IX) EN ES
Key outputs

IENE 1, 2008-2010

  • Research report EN
  • PTT/IENE Model EN
  • Report of the survey EN
  • Good Practice Manual EN
  • Newsletter  1  2  3  4  5  6

IENE 2, 2010-2012

  • Transnational Report  EN
  • ToT methodology  EN  RO  FR  NL
  • Strategic Guide  EN
  • Newsletter  1  2  3  4
  • Final conference  EN
  • Brochure with project results  EN

IENE 3, 2013-2015

IENE 4, 2014-2016

  • Report on integrative literature reviews EN
  • Needs assessment report EN
  • An European model for the development of role models to promote and support culturally competent and compassionate care EN
  • Curriculum EN
  • Report of the Tools EN
  • Newsletter  1  2  3  4

IENE 5, 2015-2017

  • Needs assessment Report EN
  • Training Model EN RO IT EL DK
  • Curriculum EN
  • Handbook for MOOC facilitators EN
  • MOOC Best Practice Guide EN
  • Newsletter  1  2  3  4
  • Leaflet EN
  • Flyer EN

IENE 6, 2016-2018

IENE 7, 2017-2019

  • Download the project Outputs at
This project has been funded with support from the European Commission.
This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
Visitors of this website are welcome to use any of the materials for educational purposes as long as they clearly credit their source.