Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo

23.1 Culture, Cultural Identity, and Cultural Humility

Individuals and groups pass culture from one generation to the next in a dynamic process that influences a person’s actions and helps to shape their identities, roles, and lifeways. Cultural identity is the unique combination of beliefs, values, attitudes, behaviors, customs, practices, experiences, and language that make up an individual’s sense of belonging to a particular group. To provide culturally and linguistically responsive nursing care, nurses must develop cultural humility and awareness and prioritize client self-determination.

23.2 What Is Culturally Responsive Care?

Culturally responsive care fully considers the needs of individuals and groups in relation to their cultural backgrounds, values, and preferences and is one potential outcome of the dynamic process of cultural competence. A nurse’s ability to provide effective, culturally responsive care involves ongoing reflection about their own attitudes, beliefs, and values, as well as an understanding of health inequities and the social determinants of health.

23.3 Factors Affecting Culturally Responsive Care

Personal factors that affect a nurse’s ability to provide culturally responsive care include value system, beliefs, customs, cultural identity, and knowledge and attitudes about other cultures. Implicit and explicit biases, stereotypes, othering, and ethnocentrism play a role in nurses’ interactions with clients. Barriers to providing culturally responsive nursing care include systemic and organizational barriers within the health care system and structural inequities in the broader health care environment.

23.4 Becoming a Culturally Responsive Nurse

Culturally responsive attitudes include a positive approach to diversity, respect and equal treatment for cultural differences, and cultural humility. Models of cultural competence offer ways to best provide culturally responsive care and include Campinha-Bacote’s process of cultural competence, Giger and Davidhizar’s transcultural model, and the Purnell model of cultural competence. Tools for self-assessment of cultural competence include the IAPCC-R and the TSET.

23.5 Linguistically Responsive Care

Cultural and linguistic competence is the ability to understand and respond effectively to the culturally diverse needs that clients bring to health care encounters. Different communication styles affect how individuals interpret messages and may involve tone, volume, and speed of speech; eye contact; facial expressions; emotional expressiveness; and high- and low-context communication. Promoting health literacy—the ability to access, understand, and use health information or services to make informed decisions—can reduce health disparities.

23.6 Providing Culturally and Linguistically Responsive Care

Strategies to provide clients with culturally and linguistically competent care include translation, interpretation via certified medical interpreters, observation of nonverbal communication, use of jargon-free language, the “teach-back” method, and culturally tailored materials. Such strategies address the specific content, language, and delivery needs of different clients and can improve their engagement and outcomes.


This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at
Citation information

© Apr 26, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.