From Cultural to Structural Competence: Reframing Transcultural Nursing Through Intersectional Social Justice

Area of Science:

• Nursing
• Public Health
• Sociology

Background:

• Cultural competence improves transcultural nursing and patient-centered care.
• Persistent health inequities necessitate strategies addressing systemic determinants of health.
• Existing transcultural nursing frameworks require enhancement to tackle root causes of health disparities.

Purpose of the Study:

• To explore the integration of intersectionality and structural competence into transcultural nursing.
• To enhance nursing's capacity for equity-oriented care.
• To empower nurses to address structural barriers and advance social justice.

Main Methods:

• Perspective article synthesizing existing literature and theoretical frameworks.
• Conceptual analysis of intersectionality and structural competence in nursing.
• Argument for curriculum integration and policy advocacy.

Main Results:

• Intersectionality and structural competence offer a robust framework for enriching transcultural nursing.
• Integrating these concepts enhances nurses' ability to address systemic determinants of health.
• The approach empowers nurses to challenge structural barriers and promote health equity.

Conclusions:

• Integrating structural competence into transcultural nursing frameworks is crucial for equity-oriented care.
• Embedding intersectional approaches in curricula and policy advocacy can tackle health disparities.
• This synergistic approach advances social justice and promotes equitable health care systems.