Culturally Competent Nursing Care
Culturally Competent Nursing Care
Culturally Competent Nursing Care
COMPETENT NURSING
CARE
(Campinha-Bacote, 2003)
Cultural Self Assessment
Be aware of your own cultural values, attitudes,
beliefs, and practices.
Benefit: it will be possible to gain insight into the
health-related values, attitudes, beliefs, and
practices that have been transmitted to you by your
own family. It will enable you to overcome
ethnocentric tendencies and cultural stereotypes.
Cultural Self Assessment
Skills Needed for Cultural Competence
Cross-Cultural Communication
1. Barriers: differences in language, worldview, and
values.
2. Types: oral and written communication, and
nonverbal communication (gestures, body
movements, posture, tone of voice, and facial
expressions).
3. The meaning of silence, eye contact, touch, space
and distance, sex and gender, language,
Use of Interpreters
To overcome language barriers, we can use
interpreters.
The National Council for Interpreters in Health
Care (2006) has developed the 1st set of national
standards for medical interpreting professionals in
USA (32 standards) based on 9 issues: accuracy,
confidentiality, impartiality, respect, cultural
awareness, role boundaries, professionalism,
professional development, and advocacy.
Languages Spoken at Home
No. Languages Estimate Number
1 Population 5 years old and older 268,110,961
2 English only 216,176,111
3 Language other than English 51,934,850
4 Speak English less than “very well” 23,142,029
5 Spanish or Spanish Creole 32,184,293
6 Speak English less than “very well” 15,396,674
7 Other Indo-European languages 9,929,004
8 Speak English less than “very well” 3,302,077
9 Asian and Pacific Islander languages 7,769,500
10 Speak English less than “very well” 3,828,819
11 Other languages 2,052,053
12 Speak English less than “very well” 614,459
Conceptual Model of
Transcultural Communication
Cultural Perspectives on Intimacy
Range: very formal interactions – close personal relationships.
Asian origin: expect you to be authoritarian, directive, and
detached.
Chinese: expect you to know intuitively what’s wrong with
them.
Thai culture: high value in awareness and anticipation of
professional competencies.
Hispanic: simpatia and personalismo should be considered.