Sample Nursing Essay Paper on Barriers to Cultural Competence

Barriers to Cultural Competence

Despite the fact that the need for cultural competence in healthcare is well-know, the integration of cultural competence procedures in most healthcare settings is not yet a reliability. Cultural competency is the ability of health care corporations and health specialists to offer care that is safe, patient‐centered, evidence‐based and justifiable. However, in line with Betancourt, Green and Carrilo (2003) providing culturally competent services can be difficult. This is because culture can have an effect on patients’ values, ideals, and health-associated practices and health interventions are usually tailored to fulfill the desires of the majority populations’ cultural values, which as result do not serve all cultural groups. Moreover, Betancourt, Green and Carrilo further notion that, assessment bias where wrong interpretations of patients’ competence happens can cause misdiagnosis among minority culture populations (2003).

In the American Organization of Nurse Executives (AONE) (2011), a sturdy stance for cultural competency included educating the health personnel about cultural competency and diversity resources. Assisting with the essential assets for culturally competent patient centered care, developing a positive mindset towards different cultures as well as addressing language barriers within the provider-patient encounter would also help overcome cultural incompetence. Examining bias can be used to overcome cultural incompetence as it specializes in techniques to lessen provider bias in patient interactions and clinical decision making through provider self-examination of bias. The outcomes of examining bias as well discusses and demonstrates how healthcare venders can apprehend and successfully address the perspective that they convey to the patient-provider interaction. AONE similarly state that demonstrating cultural competence within the provider-patient interpersonal communication explores and respects patient ideals, values, and meaning of illness, alternatives, and desires, builds rapport and believe and establishes common ground (2011).


American Organisation of Nurse Executives. (2011).Guiding Principles. Diversity in Health Care Organizations. AONE. Washington, DC:

Betancourt, J.R., Green, A.R., & Carrillo, J.E. (2003). Defining cultural competence. A practical framework for addressing racial/ethnic disparities in health and health care.118:293–302.