[Cultural Care in Nursing Practice]

In this paper, how cultural care may be operationalized in clinical nursing practice in Taiwan is examined by integrating the Giger-Davidhizar transcultural assessment model with the Narayan cultural assessment framework, with Leininger's Theory of Cultural Care Diversity and Universality serving as the central theoretical framework. Using a case exemplar (a Taiwanese woman living with type 2 diabetes), we examine the influence on health behaviors and treatment decisions of multiple cultural factors, including education, economic conditions, politico-legal context, biological characteristics, cultural values and lifestyle, kinship relationships, religious beliefs, and acceptance of health technologies. Guided by Leininger's three strategies of cultural care preservation/maintenance, accommodation/negotiation, and repatterning/restructuring, we illustrate how culturally sensitive assessments may inform the development of individualized and integrated care plans. Moreover, we argue that strengthening cultural competence enables clinicians to better identify patients' embedded cultural beliefs and life contexts, facilitate interprofessional collaboration, and promote health equity through the provision of culturally congruent care. Practice-oriented implications for nursing education and clinical practice in Taiwan are provided with the goal of strengthening culturally responsive, patient-centered care and enhancing the quality of personalized care in local healthcare settings.