Transcultural Nursing Standards of Practice
A task force of the Expert Panel for Global Nursing and Health of the American Academy of Nursing, along with members of the
Transcultural Nursing Society, has developed a set of standards for cultural competence in nursing practice. The aim of this project
was to define standards that can be universally applied by nurses around the world in the areas of clinical practice, research,
education, and administration, especially by nurses involved in direct patient care.

The document includes a Preface and 12  Standards:
Standard 1. Social Justice
Standard 2. Critical Reflection
Standard 3. Knowledge of Cultures
Standard 4. Culturally Competent Practice
Standard 5. Cultural Competence in HealthCare Systems and Organizations
Standard 6. Patient Advocacy and Empowerment
Standard 7. Multicultural Workforce
Standard 8. Education and Training in Culturally Competent Care
Standard 9. Cross Cultural Communication
Standard 10. Cross Cultural Leadership
Standard 11. Policy Development
Standard 12. Evidence-Based Practice and Research

For each standard, a definition, supporting rationale, and numerous suggestions for implementation are provided. A glossary of

terms is appended. All standards are based on the concepts of social justice and human rights, as defined by the United Nations
and the International Council of Nurses. These concepts are manifested at a systems or governmental level by political, economic,
and social policies that exhibit impartiality and objectivity.

All task force members have experience working with peoples from a variety of cultures throughout the world. In developing this
document, the task force reviewed more than 50 documents on cultural competence published by nursing and health care
organizations worldwide. In addition, an on-line survey solicited comments from nurses in many countries. Responses from nurses
representing a variety of settings and educational backgrounds were incorporated into the final document. Every attempt was

made to develop standards that can be used globally.