Nursing in a multicultural world: Cultural competence and sensitivity as ethical imperatives
DOI:
https://doi.org/10.32945/atr47223.2025Keywords:
caring, perspective, cultural competence , cultural diversity, cultural sensitivity, nursingAbstract
Healthcare today is marked by growing cultural diversity, which profoundly shapes the way nurses deliver care. This perspective article argues that cultural competence and cultural sensitivity are not optional skills but essential dimensions of effective nursing practice. Positioned through a reflective and theoretical lens, this article examines how nurses' awareness, knowledge, and skills intersect with sensitivity to patients' cultural values and beliefs to promote trust, equity, and improved health outcomes. It discusses persistent barriers including language differences, implicit biases, and systemic inequities that hinder culturally responsive care. Drawing from current discourse and professional experience, the article emphasizes the critical role of nurses as advocates who bridge cultural gaps within healthcare systems. The perspective advanced here is that integrating cultural awareness into both nursing education and clinical practice is central to reducing health disparities and enhancing the patient experience. Ultimately, cultural competence and sensitivity should be reframed not as optional attributes but as core nursing responsibilities vital for advancing equity in a diversifying world.
References
Berhanu, R. D., Golja, E. A., Gudeta, T. A., Feyisa, J. W., Rikitu, D. H., & Bayane, Y. B. (2024). Cultural sensitivity and associated factors among nurses in southwest Ethiopia: A cross-sectional study. BMC Nursing, 23(1), 182. https://doi.org/10.1186/s12912-024-01838-8
Cerdeña, J. P., Plaisime, M. V., & Tsai, J. (2020). From race-based to race-consciousmedicine: How anti-racist uprisings call us to act. The Lancet, 396(10257), https://www.thelancet.com/article/S0140-6736(20)32076-6/fulltext1125-1128.
Deering, M. (2022). Cultural competence in nursing. NurseJournal.https://nursejournal.org/resources/cultural-competence-in-nursing/
International Council of Nurses. (2021). ICN Code of Ethics for Nurses (Revised 2021) [PDF]. https://www.icn.ch/sites/default/files/2023-06/ICN_Code-of-Ethics_EN_Web.pdf
Johnston, J., McKenna, L., Malik, G., & Reisenhofer, S. (2023). Recognizing and adapting to cultural differences: Influence of international educational programs on future nursing and midwifery practice. Journal of Transcultural Nursing, 34(6), 423-430. https://doi.org/10.1177/10436596231198276
Joo, J. Y., & Liu, M. F. (2021). Culturally tailored interventions for ethnic minorities: A scoping review. Nursing Open, 8(5), 2078–2090. https://doi.org/10.1002/nop2.733
Leininger, M., & McFarland, M. (2006). Culture care diversity and universality: A worldwide nursing theory. Jones & Bartlett. https://www.scirp.org/reference/referencespapers?referenceid=2037735
Majda, A., Zalewska-Puchała, J., Bodys-Cupak, I., Kurowska, A., & Barzykowski, K. (2021). Evaluating the effectiveness of cultural education training: Cultural competence and cultural intelligence development among nursing students. International Journal of Environmental Research and Public Health, 18(8), 4002. https://doi.org/10.3390/ijerph18084002
Oikarainen, A., Mikkonen, K., Kenny, A., Tomietto, M., Tuomikoski, A., Meriläinen, M., Miettunen, J., & Kääriäinen, M. (2019). Educational interventions designed to develop nurses’ cultural competence: A systematic review. International Journal of Nursing Studies, 98, 75–86. https://doi.org/10.1016/j.ijnurstu.2019.06.005
Shahzad, S., Ali, N., Younas, A., & Tayaben, J. L. (2021). Challenges and approaches to transcultural care: An integrative review of nurses’ and nursing students’ experiences. Journal of Professional Nursing, 37(6), 1119–1131. https://doi.org/10.1016/j.profnurs.2021.10.001
Song, X., & Willy, M. J. (2024). Exploring unprofessional behaviors and biased perceptions in the clinical environment: Students’ perspectives. Medical Science Educator, 34(5), 1049–1057. https://doi.org/10.1007/s40670-024-02087-9
Togioka, B., & Young, E. (2024). Diversity and discrimination in health care. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK568721/
Vandecasteele, R., Robijn, L., Willems, S., Maesschalck, S. D., & Stevens, P. A. J. (2024). Barriers and facilitators to culturally sensitive care in general practice: A reflexive thematic analysis. BMC Primary Care, 25, 381. https://doi.org/10.1186/s12875-024-02630-y
Vela, M. B., Erondu, A. I., Smith, N. A., Peek, M. E., Woodruff, J. N., & Chin, M. H. (2022). Eliminating explicit and implicit biases in health care: Evidence and research needs. Annual Review of Public Health, 43, 477–501. https://doi.org/10.1146/annurev-publhealth-052620-103528
World Health Organization. (2023). World migration report 2023. International Organization for Migration.
Wylie, L., & McConkey, S. (2018). Insiders’ insight: Discrimination against Indigenous peoples through the eyes of health care professionals. Journal of Racial and Ethnic Health Disparities, 6(1), 37–45. https://doi.org/10.1007/s40615-018-0495-9
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