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Cultural competence in nursing is the ability of nurses to provide nursing care to patients while demonstrating cultural awareness toward the patient and their loved ones. How is Cultural Competence Different From Cultural Humility?
Leininger’s Culture Care Theory attempts to provide culturally congruent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, group’s, or institution’s cultural values, beliefs, and lifeways.”
- History of The Revised Standards and New Standard 8
- Application of Standard 8 to Nursing Practice
- Implementing Culturally Congruent Practice Through The Nursing Process
- Culturally Congruent Practice For Graduate-Prepared Nurses and APRNs
- Evaluation of Culturally Congruent Practice
- Research Into Culturally Congruent Practice
- Conclusion: A Call to Action
- Acknowledgment
- Authors
The standards of nursing practice... are authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty, are expected to competently perform. ANA is responsible for articulating the social contract between the profession and society, which includes the definition of nursing (ANA, 2015a), the nursing ...
Standard 8 is explicated with 13 competencies for registered nursing practice at all educational levels and in all roles, an additional five specific competencies for graduate-level nursing practice, and two more for the practice of Advanced Practice Registered Nurses (for a total of 20). Table 2 provides a list of all these competencies, and Table...
In the NSSP (ANA, 2015a), the concept of culture is included in many passages. For example, culture is mentioned in the first six standards—assessment, diagnosis, outcomes identification, planning, implementation (which includes coordination of care, health teaching, and health promotion), and finally, evaluation of practice. Standard 8 further exp...
Graduate-level nurses, including APRNs and other advanced nurses, are equipped to lead and participate in designing systems of care and organizational policies that reflect respect, equity, and values for diversity and inclusion (ANA, 2015a, p. 70). Using national and international standards of care and evidence-based practice, APRNs can model cult...
The Standard 8 list of competencies will help to formulate a credible assessment tool by which the nurse can conduct an informal self-evaluation of culturally congruent practice. Culturally congruent nursing practice spans all types of consumers, healthcare delivery systems, and nursing roles; therefore, practice evaluation ranges from fairly simpl...
The aim of research related to culturally congruent practice is to eliminate racial and ethnic health disparities among all populations. Registered nurses from all areas can identify research questions to improve culturally congruent care, and nurses with advanced degrees can evaluate the tools, instruments, and services for culturally diverse popu...
The demand for culturally congruent practice in Standard 8 and accompanying competencies prevails in clinical, educational, and research settings. Within quality-focused practice settings, nurses take the opportunity to learn about the cultures of the consumers for whom they provide care and support. Nurse managers are advised to use standard onboa...
The authors acknowledge Amanda Chapman Howard, MSN, RN, College of Nursing at Augusta University PhD student, who contributed to the final preparation of this manuscript for publication.
Lucy Marion, PhD, RN, FAAN, FAANP Email: lumarion@augusta.edu Lucy Marion, PhD, RN, FAAN, FAANP, Dean of the College of Nursing at Augusta University, has taught nursing research and practice at all levels. Over 30 years, she worked to develop national nursing standards, including coauthoring the first American Nurses Association nurse practitioner...
Culture care diversity and universality: A theory of nursing. New York: National League for Nursing Press. (Distributed by Jones and Bartlett, New York.)
- Madeleine M. Leininger
- 1999
Jan 24, 2020 · Cultural competence, cultural humility, and patient-centered care are all concepts that endeavor to detail essential components of a health care system that is sensitive to patient diversity, individual choice, and doctor–patient connection.
- Dorothy E Stubbe
- 2020
Feb 1, 2023 · In this study, CALD nurses mentioned differences in care culture, patient guidance, medical care and technology skills, between their native country and the country of immigration. Moreover, the CALD nurses felt that they needed further competence development in the local language and medical care.
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There are a number of conceptual models and theories that exist to guide the application of cultural competency in nursing education. One of the major critiques is that these theories or models of cultural competency remain patient or client-oriented rather than focused on organizations.
