A reflection on culture over time by Baccalaureate nursing students

The aim of this retrospective descriptive study was to compare students' reflective responses to a set question 18 months apart to determine if their understanding of nurses' commitment to serve all clients regardless of age, gender, religious affiliation, or racial origin changed. One hundred and twenty-six reflections (63 pairs) were thematically analysed. Three themes were developed: equal treatment; commitment to serve all clients; and 'it's not easy'. Cultural competency, although not yet fully operationalized in the nursing profession, is a developmental process that goes across time. It is also more than learning about other cultures.