Transcultural Nursing Standards of Practice
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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.
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