What Native Americans want nurses to know: Attitudes and behaviors desired in client/nurse relationships

This study examined Native American perceptions of attitudes and behaviors desired in their client/nurse relationships for the purpose of informing cultural-competency education and practice.

A descriptive-qualitative methodology was used and face-to-face interviews were conducted.

A targeted sampling approach was applied; the sample included Native Americans employed at a western reservation casino.

Thematic analysis involved constant-comparison through the examination of similarities and differences, and relationships between concepts.

Theme I, Native American Experiences with Nurses and Theme II, Native American Experiences with Other Native Americans. Subthemes offer participant perspectives of the dynamics within their client/nurse interactions. Participants offer advice to both nurses and other Native Americans that promotes mutual understanding and respect.

Becoming a culturally competent nurse is a complex developmental journey. Four implications are offered. First, nurses can feel confident doing what they do best; valued nurse attributes and behaviors are being taught and practiced that are foundational for cultural competence. Second, within the context of a population-health focus, consider individual preferences and beliefs. Third, empower Native American self-advocacy. Lastly, disrupt racism at the relationship level by seeking cultural humility and practicing critical self-reflection and dialogue.