Cultural Competence: Do We Agree on its meaning and Should It be Considered a Core Competency in Training Programs?

A literature review was undertaken to evaluate whether groups in American healthcare view cultural competence in the same way. It also explores learning opportunities in professional training programs. The review was specifically limited to the subject from the viewpoint of nurses, physicians, physician assistants, and healthcare executives. Professional Web sites were reviewed for each group, The American Nursing Association, The American Medical Association, The American Academy of Physician Assistants, and the American College of Healthcare Executives. A journal search was performed utilizing Medline, CINAHL, EBSCO, and OhioLink for articles relating to cultural competence for each of the groups. Each group conceptualized cultural competence in similarly, but each group provided unique insights and alternatives in achieving it. The methods included the addition of formal training in professional schools, of practicing professionals, and enhancing the diversity of the workforce. Conclusions were drawn from the literature to guide students and practicing professionals.