Dimensions of Cultural Competence
Nurses integrate their professional knowledge with the client's knowledge and practices to maintain, protect, and restore the client s health. Leininger (2002a) suggests three modes of action, based on negotiation between the client and nurse, which guide the nurse to deliver culturally competent care: cultural preservation, cultural accommodation, and cultural repatterning. When these decisions and actions are used with cultural brokering, the nurse is able to provide holistic care for culturally diverse clients (individual, family, or community).