Storytelling and Citizen Science for Transcultural Critical Care Nursing: The C4 Framework

INTRODUCTION: Growing cultural diversity in critical care underscores the need for curricula translating transcultural nursing theory into advanced critical care nursing practice. This article presents a conceptual framework to address this gap. METHODS: A theory-based design synthesizes Leininger's Culture Care Theory and Campinha-Bacote's model of cultural competence with participatory pedagogies. The Co-Creation for Cultural Competence (C4) Framework integrates storytelling, citizen science, and critical reflection as strategies for embedding lived experience. RESULTS: The framework maps theoretical constructs to pedagogical methods and outcomes in advanced nursing in intensive care. Implementation considerations include faculty preparation, ethical engagement of migrant communities, evaluation using validated transcultural measures and educational models. DISCUSSION: The C4 Framework operationalizes culturally congruent care in critical care education, extending Leininger theory and Campinha-Bacote model. It offers guidance for educators while advancing transcultural nursing theory and supporting global goals of equity and inclusion.