Self-reported cultural competence of public health nurses in a Southeastern U.S. Public health department.
OBJECTIVE
Delivery of culturally competent public health nursing that can address health disparities is dependent on competent practice by nurses. Examining public health nurses' (PHNs') cultural competence provides a basis for planning and developing interventions to ensure competent care. Examine the cultural competence of PHNs.


METHODS
Descriptive, exploratory study examining the measured cultural competence of PHNs and their perceptions of delivery of culturally competent care.


METHODS
A convenience sample of 31 PHNs participated.


METHODS
Participants completed the Cultural Competence Assessment tool and documented personal experiences and perceptions of culturally competent health care through open-ended questions.


RESULTS
Most participants reported a moderate level of cultural competence. Cultural awareness and sensitivity scores were higher than scores for culturally competent behaviors. Participation in specific types of cultural competence training was significantly related to higher scores on cultural competence. Participants documented culturally competent care for a diverse clientele and requested additional diversity educational opportunities and interpreter services.


CONCLUSIONS
The nurses had culturally competent knowledge and attitudes but were unable to fully and consistently enact these in practice. The need for appropriate cultural competence education and interpreter services addressing health disparities, as mandated in the Culturally and Linguistically Appropriate Services in Health Care standards, is emphasized.
Starr
Sharon
S
David Belk Cannon Health Education Institute, Gaston College, Dallas, NC 28033, USA. starr.sharon@gaston.edu
Wallace
Debra C
DC
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D054624:Health Status Disparities; D006801:Humans; D008875:Middle Aged; D011635:Public Health Administration; D011637:Public Health Nursing; D015144:Southeastern United States; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult