Culturally competent nursing care is guided by four principles (American Academy of Nursing Expert Panel, 1992):
1. Care is designed for the specific client.
2. Care is based on the uniqueness of the client's culture and includes cultural norms and values.
3. Care includes self-empowerment strategies to facilitate client decision making in health behavior.
4. Care is provided with sensitivity and is based on the cul¬tural uniqueness of the client.