title: Cultural Competence and Related Factors Among Taiwanese Nurses.
abstract: BACKGROUND
  Taiwan is a multicultural and multiethnic society with a growing number of immigrants who have diverse ethnic, racial, and cultural needs. Although this diversity highlights the pressing need for culturally competent healthcare providers, cultural competence is a concept that is little understood and implemented only sporadically in Taiwan.
  
  
  OBJECTIVE
  This study investigates the cultural competence of Taiwanese nurses and the related factors of influence.
  
  
  METHODS
  An online self-report survey was used to collect data from 221 Taiwanese nurses from December 2012 through January 2013. Data from the demographic questionnaire, the Nurses' Cultural Competence Scale, and the Perceived Nurses' Cultural Competence Rating were analyzed using descriptive statistics, Pearson correlation, independent sample t tests, and multiple regressions.
  
  
  RESULTS
  The cultural competence of the participants was in the "low to moderate" range, with relatively higher mean scores for the subscales of cultural awareness and cultural sensitivity and relatively lower scores for the subscales of cultural knowledge and cultural skills. Participants generally perceived themselves as being "not culturally competent." Variables found to predict cultural competence included years of work experience, hours of continuing education related to cultural nursing care, and frequency of caring for clients from culturally and ethnically diverse backgrounds.
  
  
  CONCLUSIONS
  Participating Taiwanese nurses rated their level of cultural competence as in the low-to-moderate range and self-perceived as being not culturally competent. These findings support the need to further expand and enhance cultural-competence-related continuing education and to address the topic of cultural care in the nursing curricula.
authors.affiliation: 1PhD, RN, Assistant Professor, Betty E. Smith School of Nursing, Grambling State University, Grambling, LA 2PhD, RN, Associate Professor, College of Nursing and Health Science, University of Texas at Tyler, Tyler, TX 3PhD, RN, Professor, Department of Nursing, I-Shou University.
authors.forename: Chin-Nu
authors.initials: CN
authors.lastname: Lin
authors.forename: Beth
authors.initials: B
authors.lastname: Mastel-Smith
authors.forename: Danita
authors.initials: D
authors.lastname: Alfred
authors.forename: Yu-Hua
authors.initials: YH
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000592:standards* / Q000706:statistics & numerical data*; D057566:Self Report; D011795:Surveys and Questionnaires; D013624:Taiwan; D055815:Young Adult