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Cultural Competence Among Hospice Nurses

Schim, Stephanie Myers PhD, RN; Doorenbos, Ardith Z. PhD, RN; Borse, Nagesh N. BPharm, MS

Journal of Hospice & Palliative Nursing: September-October 2006 - Volume 8 - Issue 5 - p 302-307

The purpose of this study was to examine variables associated with cultural competence among hospice nurses. In a cross-sectional descriptive design, a convenience sample of 107 hospice nurses from five different hospice agencies completed a survey that included the Cultural Competence Assessment instrument. Regression analysis revealed a significant association between higher education and cultural awareness and sensitivity, as well as an association between diversity training and self-reported cultural competence behaviors. Findings support the need for additional education and training for hospice nurses and provision of more resources targeted toward enhancing cultural competency.

Stephanie Myers Schim, PhD, RN, is an Associate Professor in Family, Community, and Mental Health Nursing at Wayne State University, Detroit, MI.

Ardith Z. Doorenbos, PhD, RN, is an Assistant Professor in the School of Nursing at University of Washington, Seattle, WA.

Nagesh N. Borse, BPharm, MS, is a student at the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.

Address correspondence to Stephanie Myers Schim, PhD, RN, College of Nursing, Wayne State University, 240 Cohn Building, Detroit, MI 48202 (e-mail:

The authors have no conflict of interest.

© 2006 The Hospice and Palliative Nurses Association