title: Guiding the Process of Culturally Competent Care With Hispanic Patients: A Grounded Theory Study.
abstract: OBJECTIVE
  To explore nursing care actions that lead to culturally competent care for Hispanic patients.
  
  
  BACKGROUND
  Nurses report apprehension when delivering nursing care because of language barriers and a lack of Hispanic cultural understanding. Research is needed to inform culturally aware nursing practice actions for Hispanic patients.
  
  
  METHODS
  The study used a qualitative, grounded theory design to address the questions: (a) What cultural knowledge should nurses have when caring for Hispanic patients and families and (b) What nursing actions should nurses take to provide culturally competent care? Hispanic lay health promoters and Hispanic community members were interviewed to make recommendations for care.
  
  
  RESULTS
  A model was identified that informs culturally competent nursing care. "Connectedness," the central phenomenon, describes nursing actions and contains subthemes explaining influences on nursing care. "Up to You" and "At the Mercy of the System" are descriptive themes influencing connectedness.
  
  
  CONCLUSIONS
  Connectedness is central to culturally well-informed nurse-patient interactions.
authors.affiliation: James Madison University, Harrisonburg, VA, USA sobelll@jmu.edu.
authors.forename: Linda L
authors.initials: LL
authors.lastname: Sobel
authors.affiliation: James Madison University, Harrisonburg, VA, USA.
authors.forename: Erika
authors.initials: E
authors.lastname: Metzler Sawin
mesh_terms: D000328:Adult; D054521:Cultural Competency; D065246:Culturally Competent Care; D005260:Female; D066296:Grounded Theory; D006293:Health Promotion; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D016746:Transcultural Nursing
keywords: Hispanic care; clinical areas; culturally competent care; grounded theory; research methods; transcultural health