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A Concept Analysis of Structural Competency
Katerina Melino1, Joanne Olson, Carla Hilario
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada (Ms Melino and Drs Olson and Hilario); and Department of Community Health Systems, University of California San Francisco School of Nursing (Ms Melino).
Abstract:
Structural competency is a concept that offers a way to understand and respond to health inequities and work toward antiracism in health care. This article undertakes a concept analysis of structural competency using Rodgers' evolutionary method. Based on this analysis, structural competency refers to the ability to recognize and act on structural inequities, skill development, multidisciplinary collaboration, and the reproduction of inequity over time. The meanings and use of this concept differ among disciplines. Multidisciplinary applications of structural competency offer insight into how this concept can foster health equity and antiracism in nursing care, education, research, and health services delivery.
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