Building an Organizational Environment of Cultural Competence

  • Marilyn “Marty” DouglasEmail author


The purpose of this chapter is to consolidate elements from the other guidelines for culturally competent healthcare and illustrate their application at the organizational level. A commitment to cultural competence is needed at the highest administrative level of healthcare institutions, reflected in their mission and vision statements, formation of a diversity committee accountable to leadership, and engaging community members in committees, such as patient education, research and ethics committees. These community members can also help develop culturally appropriate alternatives to unsafe traditional practices. Recruitment of a multicultural workforce and cultural competence training of all the employees are also necessary. Signage in languages of the populations served and interpreters’ services are needed to improve communication and patient education services for those populations not speaking the dominant language. Linking quality of care with equity of care aims to reduce the disparities of health outcomes for our most vulnerable populations.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.School of NursingUniversity of California, San FranciscoSan FranciscoUSA

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