Smith L S
State University of West Georgia, Carollton, USA.
J Cult Divers. 1998 Spring;5(1):4-10.
To evaluate theory, concepts with that theory must be identified, analyzed and defined. The aim of this concept analysis of cultural competence is to clarify and differentiate the term as it is used in health care and nursing literature and to separate cultural competence from its measurement. Before the question of what is cultural competence can be answered, culture and competence--as separate terms--must be understood. Components of the cultural competence concept are identified along with its antecedents and consequences. Additionally, terms closely related to cultural competence are described and differentiated from the cultural competence concept. To add meaning to the analysis, a cultural competence model case and contrary case are supplied along with outcome measures and empirical referents for cultural competence. Finally, a concluding definition based on extensive review of literature sources such as archeology, anthropology, history, psychology, policy, criminal justice, occupational therapy, medicine, nursing, and education is provided.
为了评估理论,必须识别、分析和界定该理论所包含的概念。本次文化能力概念分析的目的是澄清和区分该术语在医疗保健和护理文献中的用法,并将文化能力与其测量方法区分开来。在回答什么是文化能力这个问题之前,必须先理解文化和能力这两个独立的术语。确定文化能力概念的组成部分及其前因和后果。此外,还描述了与文化能力密切相关的术语,并将其与文化能力概念区分开来。为了给分析增添意义,提供了一个文化能力模型案例和反例,以及文化能力的结果测量和实证参考。最后,在广泛回顾考古学、人类学、历史、心理学、政策、刑事司法、职业治疗、医学、护理和教育等文献来源的基础上,给出了一个结论性定义。