Cultural Humility for

Transformative Change

Michele J. Upvall,, PhD, RN, CRNP

Professor of Nursing

+Outcomes

Articulate the evolving role of cultural concepts within nursing practice

Analyze the conceptual basis of cultural humility

Integrate the conceptual definition of cultural humility into practice for

transformative change

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Cultural Humility Defined

Incorporates a lifelong commitment to self-evaluation

and self-critique, addressing power imbalances in the

provider-client relationship and to the development of

mutually beneficial and dynamic partnerships.

Tervalon & Murray-Garcia, 1998

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Cultural Competence

Cultural Humility

+Cultural Competence

A complex know-act grounded in critical reflection and action, which the

health care professional draws upon to provide culturally safe, congruent,

and effective care in partnership with individuals, families, and

communities living health experiences and which takes into account the

social and political dimensions of care.

Garneau & Pepin, 2015, p. 12

+Conceptual Basis of Cultural Humility

What does it mean to be “humble”?

Where is humility in the literature?

Qualities of humility as a virtue

Self-knowing

Mode for genuine gratitude to others

+Transformative Change

How do we integrate

cultural humility for

change?

Self in relation to the

community

Working in

collaboration with the

community

Nursing practice in a

globalized world

+Goals of Partnerships

Transformation of guest and host partners

Transformation of organizations

Improved outcomes for individuals and/ or

populations

+Nurse as Guest

The guest should be invited and not force a way into the community

No demand should be made to the community to adhere to predefined

biomedical standards

Self-serving attitudes should be replaced with an attitude of other-serving

when participating in projects

Co-participation is required of all

+References

Campinha-Bacote, J. (2003). The process of cultural competence in the delivery of

healthcare services. Transcultural C.A.R.E. Associates: Author.

Crigger, N. & Godfrey, N. (2010). The importance of being humble. Advances in Nursing

Science, 33(4), 310-319.

Garneua, A.B. & Pepin, J. (2015). Cultural competence: A constructivist definition. Journal of

Transcultural Nursing, 26(1), 9-15.

Grootjans, J. & Newman, S. (2012). The relevance of globalization to nursing: A concept

analysis. International Nursing Review, 60, 78-85.

+References

Leininger, M. (1991). Cultural care and universality: A theory of

nursing. New York: National League for Nursing Press.

Milton, C. (2012). Teaching-learning in community: The metaphor of

nurse as guest. Nursing Science Quarterly, 25(2), 137-139.

Purnell, L. (2013). Transcultural health care: A culturally competent

approach (4th ed.). Philadelphia, PA: F.A. Davis.

Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus

cultural competence: A critical distinction in defining

physician training outcomes in multicultural education.

Journal of Health Care for the Poor and Underserved , 117- 125.