A model for the delivery of culturally competent community care

Aim. To describe the proposed Culturally Competent Community Care (CCCC) mo del, and the process of development and testing of the model. Background. Community health nurses are challenged to provide culturally co mpetent care in all types of communities. However, existing models have not provided community, nurses with Specific guidelines, and none attempt to e xplain the effects of culturally, competent care oil populations in communi ty settings. Therefore, it is necessary to develop a model that is comprehe nsive in its description of the dimensions of culturally competent care ill community-based settings and that also requires a focus on ethnic populati ons. The model is essential for reducing racial and ethnic health dispariti es. Methods. Based on literature review and concept analysis, three constructs of the Culturally Competent Community Care Model were developed. Two of the constructs, the health care system and health outcomes, were developed bas ed on a literature review. The main construct of the model, Cultural compet ence, was developed after a concept analysis, following the development and testing of the Cultural Competence Scale (CCS). Interviews with eight comm unity health nurses and a survey by five community nurse experts were condu cted in order to refine and confirm the dimensions of Cultural competence a nd its impact oil health outcomes. Conclusions. The proposed dimensions of Culturally competent care are carin g, cultural sensitivity, cultural knowledge, and Cultural skills. This mode l focuses on the relationship between Cultural competence and health outcom es for culturally diverse populations. The framework provides specific guid elines for community nurses in developing and assessing Cultural competence and meeting the health needs of diverse communities.