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Electronic Theses and Dissertations Doctoral Dissertation (Open Access)



Evaluation Of The Antecedents Of Cultural
Competence
2008

Mary Harper
University of Central Florida




Find similar works at: http://stars.library.ucf.edu/etd

University of Central Florida Libraries http://library.ucf.edu

Part of the Nursing Commons

STARS Citation
Harper, Mary, "Evaluation Of The Antecedents Of Cultural Competence" (2008). Electronic Theses and Dissertations. 3718.
http://stars.library.ucf.edu/etd/3718

This Doctoral Dissertation (Open Access) is brought to you for free and open access by STARS. It has been accepted for inclusion in Electronic Theses
and Dissertations by an authorized administrator of STARS. For more information, please contact lee.dotson@ucf.edu.

,EVALUATION OF THE ANTECEDENTS OF CULTURAL COMPETENCE




by




MARY G. HARPER
B.S.N. University of West Florida, 1981
M.S.N. University of Florida, 1993



A dissertation submitted in partial fulfillment of the requirements
for the degree of Doctor of Philosophy
in the College of Nursing
at the University of Central Florida
Orlando, Florida




Spring Term
2008




Major Professor: Jacqueline Byers

,© 2008 Mary G. Harper




ii

, ABSTRACT


Purpose: The threefold purpose of this research is to identify the essential

antecedents of cultural competence as identified by international nurse researchers, to

compare the content of the extant cultural competence instruments to these

antecedents and to potentially identify gaps in their conceptualization. A secondary aim

of this research is to initiate validation of Harper’s model of ethical multiculturalism.

Conceptual Basis: The model of ethical multiculturalism depicts the attributes

of ethical multiculturalism as the fulcrum of a balance between two ethical philosophies

of fundamentalism and relativism. The attributes of moral reasoning,

beneficence/nonmaleficence, respect for persons and communities, and cultural

competence form the pyramidal fulcrum. The antecedents form the base of the pyramid

and include cultural awareness, culture knowledge, cultural sensitivity, cultural

encounters, cultural skill and understanding of ethical principles.

Methodology: An on-line Delphi method was conducted with 35 international

nurse researchers identified through published research, university directories, and

professional organizations. Consensus was reached after two rounds. Following the

Delphi rounds, sixteen members of the expert panel participated in an on-line focus

group to validate results of the Delphi and discuss cultural competence in the

international arena.

Findings: Eighty antecedents of cultural competence were identified. Focus

group discussion validated findings of the Delphi. Consensual thematic analysis of the

focus group transcripts resulted in six themes: chimerical, contact, contextual,

iii

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