title: Identifying the essential components of cultural competence in a Chinese nursing context: A qualitative study.
abstract: This qualitative study using semi-structured interviews was conducted to identify the essential components of cultural competence from the perspective of Chinese nurses. A purposive sample of 20 nurse experts, including senior clinical nurses, nurse administrators, and educators in transcultural nursing, was recruited. Using thematic analysis, four themes: awareness, attitudes, knowledge, and skills, with two subthemes for each, were identified. Notably, culture in China was understood in a broad way. The participants' responses focused upon demographic attributes, individuality, and efforts to facilitate quality care rather than on the cultural differences of ethnicity and race and developing the capacity to change discrimination or health disparities. A greater understanding of cultural competence in the Chinese nursing context, in which a dominant cultural group exists, is essential to facilitate the provision of culturally competent care to diverse populations.
authors.affiliation: School of Nursing, Nantong University, Nantong City, China.|Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Duanying
authors.initials: D
authors.lastname: Cai
authors.affiliation: Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Wipada
authors.initials: W
authors.lastname: Kunaviktikul
authors.affiliation: Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Areewan
authors.initials: A
authors.lastname: Klunklin
authors.affiliation: Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Acharaporn
authors.initials: A
authors.lastname: Sripusanapan
authors.affiliation: School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
authors.forename: Patricia Kay
authors.initials: PK
authors.lastname: Avant
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002681:China; D054521:Cultural Competency; D005260:Female; D006801:Humans; D008875:Middle Aged; D009726:Nurses / Q000523:psychology* / Q000592:standards; D010465:Perception; D036301:Qualitative Research
keywords: China; cultural competence; nurses; qualitative study; semi-structured interview; transcultural