10 Guidelines for Implementing Culturally Competent Nursing Care
The center’s work is guided by the 1014 Guidelines for Culturally Competent Nursing Care. These guidelines were developed by the American Academy of Nursing Taskforce for Global Health and members of the Transcultural Nursing Society and focus on the care provided by a healthcare professional and the role of organizations and systems in the provision of culturally competent care. The guidelines broadly address education and training, practice, communication, and personal reflection that can be applied to professionals in all health-related disciplines.
10 Guidelines for Implementing Culturally Competent Nursing Care:
1. Knowledge of Cultures
Nurses shall gain an understanding of the perspectives, traditions, values, practices, and family systems of culturally diverse individuals, families, communities, and populations they care for, as well as knowledge of the complex variables that affect the achievement of health and well being.
2. Education and Training in Culturally Competent Care
Nurses shall be educationally prepared to provide culturally congruent health care. Knowledge and skills necessary for assuring that nursing care is culturally congruent shall be included in global health care agendas that mandate formal education and clinical training, as well as required ongoing, continuing education for all practicing nurses.
3. Critical Reflection
Nurses shall engage in critical reflection of their own values, beliefs, and cultural heritage in order to have an awareness of how these qualities and issues can impact culturally congruent nursing care.
4. Cross-Cultural Communication
Nurses shall use culturally competent verbal and nonverbal communication skills to identify client’s values, beliefs, practices, perceptions, and unique health care needs.
Nurses shall utilize cross-cultural knowledge and culturally sensitive skills in implementing culturally congruent nursing care.
6. Cultural Competence in Health Care Systems and Organizations
Health care organizations should provide the structure and resources necessary to evaluate and meet the cultural and language needs of their diverse clients.
7. Patient Advocacy and Empowerment
Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations, and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care.
8. Multicultural Workforce
Nurses shall actively engage in the effort to ensure a multicultural workforce in health care settings. One measure to achieve a multicultural workforce is through strengthening of recruitment and retention efforts in the hospitals, clinics, and academic settings.
9. Cross-Cultural Leadership
Nurses shall have the ability to influence individuals, groups, and systems to achieve outcomes of culturally competent care for diverse populations. Nurses shall have the knowledge and skills to work with public and private organizations, professional associations, and communities to establish policies and guidelines for comprehensive implementation and evaluation of culturally competent care.
10. Evidence-Based Practice and Research
Nurses shall base their practice on interventions that have been systematically tested and shown to be the most effective for the culturally diverse populations that they serve. In areas where there is a lack of evidence of efficacy, nurse researchers shall investigate and test interventions that may be the most effective in reducing the disparities in health outcomes.