NRSE 4570 M2 Sharifi 2019 Cultural competence in nursing

NRSE 4570 M2 Sharifi 2019 Cultural competence in nursing

Background: Cultural competence is one of the principal foundations of. It has not yet been clearly defined and analysed and there are different views regarding this issue. Objective: Analyzing the concept of cultural competence in nursing. Design: A concept analysis. Data Sources: The literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID with no date limitation. Any quantitative or qualitative studies published in English or Persian, which were focused on cultural competence in nursing were included in the study. Review methods: Walker and Avant’s strategy for concept analysis was used. The attributes, antecedents, consequences, and uses of the concept were identified. Results: A total of 43 articles were included. The six defining attributes of cultural competence were cultural awareness, cultural knowledge, cultural sensitivity, cultural skill, cultural proficiency, and dynamicity. Antecedents included cultural diversity, cultural encounter and interaction, cultural desire, cultural humility, general humanistic competencies, educational preparation, and organizational support. The consequences of cultural were also identified: those related to care receivers, those related to care providers, and health-related consequences. Conclusion: A theoretical definition and a conceptual model of cultural competence were developed. The attributes, antecedents, and consequences of cultural competence identified in this study can be used in nursing education, research, and managerial and organizational planning.

© 2019 Published by Elsevier Ltd.

What is already known about the topic? � Reduction in health care inequalities, enhancing patients’ trust in healthcare systems and cultural safety are among the main

Contents lists available at ScienceDirect

International Journal of

journal homepage:

� Cultural competence is one of the principal foundations of clinical nursing.

� Cultural competence is affected by the immediate financial, political, social, historical, and cultural context.

� There are many different definitions of cultural competence.

What this paper adds

� Cultural competence is the dynamic process of acquiring the ability to provide effective, safe, and quality care to the patients through considering their different cultural aspects.

* Corresponding author. E-mail addresses: (N. Sharifi),

(M. Adib-Hajbaghery), (M. Najafi). 0020-7489/© 2019 Published by Elsevier Ltd.

consequences of cultural competence. � The system and healthcare organizations have significant roles in improving nurses’ cultural competence.

1. Introduction

Globalization and international migrations have caused cultural diversity in societies and hence, nurses in different societies have patients with different cultures and different cultural needs (Alizadeh and Chavan, 2016; Sharma et al., 2009). Cultural diversity can be a major barrier to effective care delivery. Nurses’ lack of knowledge and skills about how to effectively deal with patients from different cultures may impair their relationships with them and result in inequality in care delivery. Consequently, cultural competence has become an international demand (Alizadeh and Chavan, 2016; Taylor, 2005).

Box 1. Electronic search strategy in PubMed.

Cultural competency [Title/Abstract] AND nursing[Title/


Culturally competent care [Title/Abstract] AND nursing[Title/


Transcultural nursing [Title/Abstract].

2 N. Sharifi et al. / International Journal of Nursing Studies 99 (2019) 103386

The importance of cultural competence in nursing was recognised two decades ago. Then, many studies were carried out and several nursing theories were developed to address this concept. Nonetheless, many ambiguities still surround this concept (Cai, 2016; Suh, 2004). The term cultural competence consists of the words culture and competence. Some studies focused on the word competence and defined cultural competence as a spectrum or a process, while some studies focused on the word culture and referred to the methods for developing cultural competence. For instance, Campinha-Bacote (2002) focused on the word compe- tence and defined cultural competence as a process which encompasses the five components of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and desire On the other hand, Leininger (2002) defined cultural competence based on the different dimensions of culture, including values, health beliefs, religion, and philosophy. Some studies also interchangeably used cultural congruence, culturally congruent care, culturally competent care, and congruent care to refer to the cultural competence concept (Andrews and Boyle, 2008).

NRSE 4570 M2 Sharifi 2019 Cultural competence in nursing

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with CheapNursingWriter
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Job well done and completed in a timely fashioned!
Customer 452451, November 18th, 2022
Excellent services will definitely come back
Customer 452441, September 23rd, 2022
The paper was EXCELLENT. Thank you
Customer 452449, September 23rd, 2022
Business Studies
Job well done. Finish paper faster than expected. Thank you!
Customer 452451, October 3rd, 2022
excellent loved the services
Customer 452443, September 23rd, 2022
Business Studies
Thank you!
Customer 452451, November 27th, 2022
English 101
Very good job. I actually got an A
Customer 452443, September 25th, 2022
Architecture, Building and Planning
The assignment was well written and the paper was delivered on time. I really enjoyed your services.
Customer 452441, September 23rd, 2022
Thanks a lot the paper was excellent
Customer 452453, October 26th, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat