A Concept Analysis in Cultural Competency among Nurses Based on Walker and Avant Method

Abstract

Background: Nursing serve as frontline in the delivery of care. Health care services focus on the complexity of cultural diversity to meet the multicultural clients therefore it necessary to have cultural competency in providing quality care from diverse background. Nurses must have that confidence in performing their duties, this includes plan of care that appropriate base on their patient beliefs or practices. Nurses with transcultural competency can overcome any challenges in serving the patient. Cultural skills showcase competency. In contrast, Nurses with low cultural competency tend to be avoidant to the patient in clinical assessment due to barriers like communication, lack of awareness and sensitivity in patient beliefs and practices. Purpose: The objective of this study is to investigate nurses in providing culturally congruent care for the patient with diverse background. Tailored with cultural competency in understanding patient situation in rendering services. Methods: The study utilize method by Walker and Avant in studying literature of different concepts of nurses pertaining to their nursing competency.  The process of concept analysis as follows [1] selection of concept [2] establishing the purpose [3] concept confirmation [4] identification of concept attributes [5] presentation of model case [6] provide constructing borderline, and other cases [7] identification of antecedent and consequences [8] Identification of empirical references. [1]. Results: The research shows that nurses adhere responsibilities in providing care. It highlights knowledge and skills in the improvement of cross cultural health care. The use of concept such as cultural health, cultural education and cultural care serve as foundation in the concept of culturally competency. Nurses’ attributes such as cultural awareness, cultural knowledge and cultural communication skills in providing quality of care to the patient sharing  common goals and  creating meaningful partnership in health the  care plan. Conclusion: Cultural competence is an ability that is being developed gradually and that those who have already gained more experiences have been proven to be more aware and culturally competent than those with only some to little experiences.