Scholarlink

Background <p>International migration and globalization have dramatically transformed healthcare delivery over recent decades, intensifying the need for cultural competency among healthcare providers. While numerous studies explore cultural competency in nursing, a comprehensive framework synthesizing its core domains and attributes from existing literature remains absent. This study analyzes nursing literature to develop an integrated model capturing the essential domains and attributes of cultural competency.</p> Methods <p>An integrative review of empirical and theoretical literature was conducted using five major databases: Embase, Scopus, Web of Science, CINAHL, and PubMed. From an initial pool of 493 papers identified through cultural competency and nursing-related search terms, 58 articles were selected for final analysis following screening by three independent reviewers using Covidence. Data analysis involved descriptive assessment, quality evaluation, and thematic coding using MaxQDA Analytics Pro 2020 software.</p> Results <p>Analysis yielded a novel Cultural Competency Wheel Model comprising five interconnected domains: Culture, Team, Patient, Action, and Self. Each domain integrates specific attributes across three dimensions: cultural knowledge (Core, Cadre, Client, Change, Character), competence/skills (Comprehension, Connection, Conversation, Cultivation, Contemplation), and caring values (Critical, Collegial, Congenial, Centrifugal, Committal).</p> Conclusion <p>Study findings reveal cultural competency as a complex, multidimensional construct requiring healthcare providers to master three essential components: (1) comprehensive knowledge of self, team dynamics, and patient backgrounds; (2) practical skills spanning healthcare delivery, team collaboration, and patient support; and (3) professional values encompassing personal, interpersonal, and broader institutional contexts. This model provides a structured framework for developing cultural competency initiatives in healthcare education, research, and practice.</p> Clinical trial number <p>Not applicable.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Cultural competency wheel: advancing a model to characterize the domains and attributes of cultural competency from published nursing literature via integrative review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月21日

查看全文
  • Reen Skaria,
  • Jenica Ana Rivero,
  • Michael Joseph Dino

摘要

Background

International migration and globalization have dramatically transformed healthcare delivery over recent decades, intensifying the need for cultural competency among healthcare providers. While numerous studies explore cultural competency in nursing, a comprehensive framework synthesizing its core domains and attributes from existing literature remains absent. This study analyzes nursing literature to develop an integrated model capturing the essential domains and attributes of cultural competency.

Methods

An integrative review of empirical and theoretical literature was conducted using five major databases: Embase, Scopus, Web of Science, CINAHL, and PubMed. From an initial pool of 493 papers identified through cultural competency and nursing-related search terms, 58 articles were selected for final analysis following screening by three independent reviewers using Covidence. Data analysis involved descriptive assessment, quality evaluation, and thematic coding using MaxQDA Analytics Pro 2020 software.

Results

Analysis yielded a novel Cultural Competency Wheel Model comprising five interconnected domains: Culture, Team, Patient, Action, and Self. Each domain integrates specific attributes across three dimensions: cultural knowledge (Core, Cadre, Client, Change, Character), competence/skills (Comprehension, Connection, Conversation, Cultivation, Contemplation), and caring values (Critical, Collegial, Congenial, Centrifugal, Committal).

Conclusion

Study findings reveal cultural competency as a complex, multidimensional construct requiring healthcare providers to master three essential components: (1) comprehensive knowledge of self, team dynamics, and patient backgrounds; (2) practical skills spanning healthcare delivery, team collaboration, and patient support; and (3) professional values encompassing personal, interpersonal, and broader institutional contexts. This model provides a structured framework for developing cultural competency initiatives in healthcare education, research, and practice.

Clinical trial number

Not applicable.