The table below shows the percentages of the respondents who already have a cultural competence training program in place for nurses, and what proportion of their staff is currently trained-on average, 37 percent. The table also shows how respondents would rate the nursing staff’s level of competence, from the highest level (5) to the lowest level (1). More than three quarters (78 percent) of all respondents rated the current levels of cultural competence a 3 or lower, with more than 50 percent of nurse administrators from large systems reporting the lowest ratings of cultural competence in their organizations.