ArticleBMC nursing2025
Cultural competency wheel: advancing a model to characterize the domains and attributes of cultural competency from published nursing literature via integrative review.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternational migration and globalization have dramatically transformed healthcare delivery over recent decades, intensifying the need for cultural competency among healthcare providers. While numerous studies explore cultural competency in nursing, a comprehensive framework synthesizing its core domains and attributes from existing literature remains absent. This study analyzes nursing literature to develop an integrated model capturing the essential domains and attributes of cultural competency.
methodsAn integrative review of empirical and theoretical literature was conducted using five major databases: Embase, Scopus, Web of Science, CINAHL, and PubMed. From an initial pool of 493 papers identified through cultural competency and nursing-related search terms, 58 articles were selected for final analysis following screening by three independent reviewers using Covidence. Data analysis involved descriptive assessment, quality evaluation, and thematic coding using MaxQDA Analytics Pro 2020 software.
resultsAnalysis yielded a novel Cultural Competency Wheel Model comprising five interconnected domains: Culture, Team, Patient, Action, and Self. Each domain integrates specific attributes across three dimensions: cultural knowledge (Core, Cadre, Client, Change, Character), competence/skills (Comprehension, Connection, Conversation, Cultivation, Contemplation), and caring values (Critical, Collegial, Congenial, Centrifugal, Committal).
conclusionStudy findings reveal cultural competency as a complex, multidimensional construct requiring healthcare providers to master three essential components: (1) comprehensive knowledge of self, team dynamics, and patient backgrounds; (2) practical skills spanning healthcare delivery, team collaboration, and patient support; and (3) professional values encompassing personal, interpersonal, and broader institutional contexts. This model provides a structured framework for developing cultural competency initiatives in healthcare education, research, and practice. CLINICAL TRIAL NUMBER: Not applicable.
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