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Culture and Cultural Competence in Nursing Education and Practice: The State of the Art
Author(s) -
Harkess Linda,
Kaddoura Mahmoud
Publication year - 2015
Publication title -
nursing forum
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.618
H-Index - 36
eISSN - 1744-6198
pISSN - 0029-6473
DOI - 10.1111/nuf.12140
Subject(s) - cultural competence , competence (human resources) , curriculum , psychology , nurse education , nursing , medical education , pedagogy , medicine , social psychology
Problem The concept of cultural competency has developed a substantial presence in nursing education and practice since first attracting widespread attention in the 1990s. While several theories and corresponding measures of cultural competency have been advanced and tried, much work remains, as many nursing professionals continue to call for greater evidence‐based research and attention to patient perspectives and outcomes. Methods Using a method provided by Hawker et al. to appraise articles, this paper compares nine recent (2008–2013) studies (including two composite studies) related to cultural competency, undergraduate curricula, and teaching strategies in nursing to assess the state of the art in this important area of care. Findings The studies applied phenomenological, study abroad, online, and service learning strategies, four of which relied on some version of C ampinha‐ B acote's IAPCC © model. These studies reported a general improvement in competency among students, though generally only to a level of cultural awareness, and admitted being constrained by several common limitations. Conclusion Improved results and more realistic expectations in this area may require a closer understanding of the nature of the “culture” that underlies cultural competence.HarkessKaddoura