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Cultural cometence
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Cultural Cometence
testbank and solutions manual for phd_dissertation_in_nursing_entitled_evaluation_of_the anticedents of cultural competence university of central florida
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
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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