First, the process for developing and implementing curricula
for cultural competence is described. Existing curricular
models often fall short of the needs of nurses who
encounter diverse patients in their clinical or practicum
areas, and more is needed to prepare them with the knowledge,
attitudes, and skills of cultural competence. The cultural
competencies are described thereafter, followed by a
review of evaluative options to determine student performance
in this area. Next, we review the characteristics of
culturally competent nurses. Nurses who demonstrate an
awareness of their personal attributes that influence their
care and interactions with others are prepared to engage in
relationships with patients that focus on the patient needs
and preferences. Skills in assessing and communicating
with individuals from other cultures are needed, as well as
the ability to assess patients, families, and communities
given cross-cultural variations. In all of these activities, the
hallmark of nursing competence in cross-cultural encounters
is the adaptation of interventions to meet culturally
unique needs. Finally, we conclude with recommendations
for implementation