Nursing Ethics 18 (4):560-570 (2011)

Authors
Martin Leever
University of Detroit Mercy
Abstract
Terms such as ‘cultural competence’ and ‘transcultural nursing’ have comfortably taken their place in the lexicon of health care. Their high profile is a reflection of the diversity of western societies and health care’s commitment to provide care that is responsive to the values and beliefs of all who require treatment. However, the relationship between cultural competence and familiar ethical concepts such as patient autonomy has been an uneasy one. This article explores the moral foundations of cultural competence, ultimately locating them in patient autonomy and patient good. The discussion of patient good raises questions about the moral relevance of a value’s rootedness in a particular culture. I argue that the moral justification for honoring cultural values has more to do with the fact that patients are strongly committed to them than it does with their cultural rootedness. Finally, I suggest an organizational approach to cultural competence that emphasizes overall organizational preparedness
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DOI 10.1177/0969733011405936
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References found in this work BETA

Ethical Relativism in a Multicultural Society.Ruth Macklin - 1998 - Kennedy Institute of Ethics Journal 8 (1):1-22.
Autonomy & the Refusal of Lifesaving Treatment.Bruce L. Miller - 1981 - Hastings Center Report 11 (4):22-28.
Liberalism and Multiculturalism.Brian Barry - 1997 - Ethical Perspectives 4 (1):3-14.

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Citations of this work BETA

Culturally Incompetent Care: Endangers Life.Shah Nb - 2015 - Journal of Clinical Research and Bioethics 6 (5).

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