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Journal Question:

After reading this week’s reading topics, consider the “4 C’s” of cultural competence: (a) Awareness of one’s cultural worldview, (b) Attitude towards cultural differences, (c) Knowledge of different cultural practices and worldviews, and; (d) Cross-cultural Skills. Considering the “4 C’s”, discuss why it is important to practice cultural competence and humility and integrate diversity, equity, and inclusion in all aspects of nursing? How will you ensure cultural competence is applied in your DNP project?

Journal Response Expectations

This is my Topic

 

“ This quality improvement project is to implement the use of an evidence-based self-care tool, Summary of Diabetes Self-Care Activities (SDSCA), to improve diabetes self-care behaviors among adults with type 2 diabetes.”

 

Each short-answer Journal response will be a minimum of 300 words.

No citation, reference, or APA style is necessary.

 

references

Borkowski, N. & Meese, K.A. (2021).  Organizational behavior in healthcare (4th ed.). Jones & Bartlett Learning. ISBN: 9781284183245. Read chapters 2 & 3.

Weberg, D. & Davidson, S. (2019). Leadership for evidence-based innovation in nursing and health professions (2nd ed.). Jones & Bartlett Learning. ISBN: 9781284171365. Read chapter 5.

 

Additional resources

Abe, J. (2020). Beyond cultural competence, toward social transformation: Liberation psychologies and the practice of cultural humility.  Journal of Social Work Education,  56(4), 696–707.

Fahlberg, B., Foronda, C., & Baptiste, D. (2016). Cultural humility: The key to patient/family partnerships for making difficult decisions.  Nursing2016, 46(9).

Robinson, D., Masters, C. & Ansari, A. A. (2020). The 5 Rs of cultural humility; A conceptual model for health care leaders. The American Journal of Medicine.

Think Cultural Health. (2022). Culturally competent nursing care: A cornerstone of nursing care. U.S. Department of Health and Human Services Office of Minority Health (OHM).

Truong, M., Gibbs, L., Paradies, Y., & Priest, N. (2017). “Just treat everybody with respect”: Health service providers’ perspectives on the role of cultural competence in community health service provision.  ABNF Journal,  28(2), 34–43.

 

Journal Response: Cultural Competence in Nursing and the SDSCA Project

Practicing cultural competence and humility in nursing is essential to providing high-quality, patient-centered care. The “4 C’s” of cultural competence—awareness of one’s cultural worldview, attitude toward cultural differences, knowledge of diverse cultural practices, and cross-cultural skills—serve as a framework for understanding and engaging with patients in a respectful and effective manner. Awareness of one’s cultural worldview allows nurses to recognize their own biases and assumptions, which is critical when working with patients from diverse backgrounds. Maintaining a positive attitude toward cultural differences fosters openness and curiosity, creating an environment where patients feel valued and heard. Knowledge of various cultural practices ensures care plans are relevant, respectful, and safe, while cross-cultural skills enable nurses to communicate effectively and adapt interventions appropriately.

In the context of my DNP project, which focuses on implementing the evidence-based Summary of Diabetes Self-Care Activities (SDSCA) to improve self-care behaviors among adults with type 2 diabetes, cultural competence is crucial. Diabetes self-management practices—such as diet, exercise, medication adherence, and blood glucose monitoring—are influenced by cultural beliefs, health literacy, family roles, and social norms. Integrating cultural competence ensures that education and self-care tools are tailored to patients’ unique cultural contexts, enhancing understanding, engagement, and adherence. Practicing cultural humility allows me to acknowledge that patients are experts in their own experiences and encourages collaboration, rather than imposing prescriptive care plans.

To ensure cultural competence is applied in this project, I will incorporate several strategies. First, I will assess patients’ cultural preferences and health beliefs during intake and use this information to guide individualized SDSCA education. Second, I will provide culturally relevant resources, including language-appropriate materials and examples that reflect patients’ lifestyles and dietary practices. Third, I will engage in continuous self-reflection and seek feedback from patients and interdisciplinary team members to refine interventions. By embedding diversity, equity, and inclusion into all aspects of this project, I aim to support meaningful behavior change, reduce health disparities, and empower patients to achieve optimal diabetes self-care outcomes.

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