Transcultural nursing with Native Americans: critical knowledge, skills, and attitudes.

Native American nurses are in an ideal position to articulate how to serve Native people in ways that respect indigenous cultures. Forty Native American nurses and nursing students completed a survey on knowledge, skills, and attitudes/values necessary for culturally competent service provision to Native patients. Four knowledge themes, four skill themes, and three attitude/value themes were identified. Nurses must know about and show respect for the culture and history of Native groups, including culturally specific health beliefs and healing practices. Skills must be tailored for work in a non-Western context, and containment skills become particularly important. Additionally, respecting diversity and traditions and being open-minded and nonethnocentric are fundamental. This study provides valuable information nurses can use to enhance their work with indigenous people.