“I am a Registered Nurse and have studied this area extensively. I adapted a curriculum a few years ago for use in a large regional visiting nurse organization that is still active today. My experience has been that the available cultural competence training for nurses is poor—most of what I have seen stresses cultural diversity instead of cultural competence/cultural proficiency. As such, the training does not stress skill building and tools, but instead emphasizes awareness which will only take you so far. You can be aware and sensitive, yet we need to move forward in developing skills and tools to be able to work cross culturally.”