Standards of Practice for

Culturally Congruent Nursing Care

Standards of Practice for

Culturally Congruent Nursing Care

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Larry Purnell, PhD, RN, FAANEmeritus Professor: University of DelawareFunded Professor: Universita di Modena, ItalyAdjunct Professor: Florida International UniversityConsulting Faculty: Excelsior College

Committee MembersCommittee Members

American Academy of Nursing *Expert Panel on Global Nursing *Expert Panel on Cultural Competence

*Transcultural Nursing Society

*All members of the committee have extensive global health care experiences.

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Committee MembersCommittee Members

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Marilyn K. Douglas, DNSc, RN, FAAN: University of California, San FranciscoJoan Uhl Pierce, PhD, RN, FAAN: Pierce & Associates Nursing ConsultantsMarlene Rosenkoetter, PhD, RN, FAAN: Medical College of GeorgiaLynn Clark Callister, PhD, RN, FAAN: Brigham Young UniversityMarianne Hattar-Pollara, DNSc, RN, FAAN: Azusa Pacific UniversityJana Lauderdale, PhD, RN: Vanderbilt UniversityJeri Milstead, PhD, RN, FAAN: University of ToledoDeena A. Nardi, PhD, PMHCNS-BC, FAAN: University of St. FrancisDula Pacquiao, EdD, RN, CTN: University of Medicine and Dentistry of New JerseyLarry Purnell, PhD, RN, FAAN

PurposePurpose

Establish a set of guidelines to initiate global discussion for the practice of culturally competent nursing care in

Clinical Practice Education Administration Research

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Review of the LiteratureReview of the Literature

~ 50 documents of International origins

Examples International Council of Nurses Hospital Accreditation Agencies Government Agencies National Nursing Organizations,

ex. New Zealand, Australia, UK, & others

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Social JusticeSocial Justice

Professional nurses shall promote social justice to attain racial and ethnic equality for all.

The applied principles of social justice guide nurses’ decisions related to the patient,

family, community, as well as to other health care professionals.

Nurses will develop leadership skills to advocate for

socially just policies.

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Critical ReflectionCritical Reflection

Nurses shall engage in critical reflection

of their own values, beliefs, and cultural

heritage in order to have an awareness of

how these qualities and issues can

impact culturally congruent nursing care.

Use of self-reflection.

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Transcultural Nursing Knowledge

Transcultural Nursing Knowledge

Nurses shall gain an understanding of the

perspectives, traditions, values, practices, and family

systems of culturally diverse individuals, families, and

communities for whom they care.

Nurses shall gain a knowledge of the

complex variables that affect the

achievement of health and well being.

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Cross Cultural PracticeCross Cultural Practice

Nurses shall use

Cross-cultural theories, knowledge, and

culturally-competent skills in order to

implement culturally congruent nursing

care.

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Health Care Systems & Organizations

Health Care Systems & Organizations

Health care organizations shall

Provide the structure and resources

necessary to evaluate and meet the cultural

and language needs of their ethnically

diverse clients.

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Patient Advocacy and Empowerment

Patient Advocacy and Empowerment

Nurses shall recognize the effect of healthcare policies, delivery systems, and resources on their patients..

Nurses shall empower and advocate for their patients.

Nurses shall advocate for the inclusion of

patients’ cultural beliefs and practices in all

dimensions of their healthcare.

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Multicultural WorkforceMulticultural Workforce

Nurses shall be activists in the global

effort to ensure a representative

multicultural workforce in health care

settings.

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Education and TrainingEducation and Training

Nurses shall be educationally prepared to deliver culturally congruent health care through use of

Standards of practice that guide knowledge and skills necessary for the inclusion of culturally congruent care that are mandated in global heath care agendas through:

formal education clinical training continuing education

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CommunicationCommunication

Nurses shall use effective, culturally

competent communication that takes into

consideration each client’s

verbal language non-verbal (del cuerpo) language cultural values perceptions

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Cross Cultural LeadershipCross Cultural Leadership

Nurses shall have the knowledge and

ability to influence individuals, groups

and systems to achieve satisfactory

outcomes of cultural competent care for

diverse populations.

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Policy DevelopmentPolicy Development

Nurses shall have the knowledge and skills to work

with

government and non-government organizations,

professional associations, and local

communities

in order to establish policies and standards for

comprehensive implementation and evaluation of

cultural competent care.

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Evidence-Based Practice & Research

Evidence-Based Practice & Research

Nurses shall base their practice on interventions that have been systematically tested and shown to be the

most effective for the culturally diverse populations that they serve.

In areas where there is a lack of evidence of efficacy, nurse researchers shall investigate and test interventions that may be the most effective in reducing the racial and ethnic inequalities in health outcomes.

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“Borders can no longer be boundaries” Kofi Annan former UN Secretary-

General

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Culturally Competent

Is this term an accurate or “appropriate” description of this concept?

Culturally competent, culturally congruent, culturally appropriate, culturally safe, etc.

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The Standards

Are they relevant to your nursing practice?

Could you implement them as currently presented?

Challenges? What resources would you need to

implement these standards?

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ReferenceDouglas, M.K., et al. 2009. Commentary.

Journal of Transcultural Nursing, (20 )3,257-269. Publications. http://icn.sagepub.com hosted at: http://online.sagepub.com

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