Conceptual Framework for Culturally Competent Care

  • Dula Pacquiao


This chapter provides an overview of the social determinants of health in global populations. It introduces a conceptual framework for culturally competent healthcare to demonstrate how social determinants impact health of vulnerable populations. The framework integrates the principles of cultural competence, human rights, social justice, and beneficence to address health inequities particularly in vulnerable populations. Culturally competent care strategies are conceptualized at the individual, organizational/institutional, and community/societal levels. Amelioration of health disparities requires transformation of care for individuals and populations through intersectoral and multilevel efforts in order to transform life conditions of people supportive of their health. The ten guidelines for culturally competent practices in nursing care are listed with corresponding examples of implementation for each guideline.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Dula Pacquiao
    • 1
    • 2
  1. 1.School of NursingRutgers UniversityNewarkUSA
  2. 2.School of NursingUniversity of Hawaii, HiloHiloUSA

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