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International Journal of Nursing Education Scholarship

Editor-in-Chief: Andrusyszyn, Mary-Anne

Ed. by Maltby, Hendrika J. / Babenko-Mould, Yolanda / Booth, Richard Garnet

CiteScore 2017: 1.13

SCImago Journal Rank (SJR) 2017: 0.503
Source Normalized Impact per Paper (SNIP) 2017: 0.929

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Cultural Competence and Cultural Safety in Canadian Schools of Nursing: A Mixed Methods Study

Margo S. Rowan
  • Corresponding author
  • University of Ottawa, Rowan Research and Evaluation, Ottawa, ON, Canada. Consultant to the Aboriginal Nurses Association of Canada
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ellen Rukholm / Lisa Bourque-Bearskin / Cynthia Baker / Evelyn Voyageur / Annie Robitaille
  • University of Ottawa, Rowan Research and Evaluation, Ottawa, ON, Canada. Consultant to the Aboriginal Nurses Association of Canada
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2013-06-08 | DOI: https://doi.org/10.1515/ijnes-2012-0043


Cultural competence and cultural safety are essential knowledge in contemporary nursing care. Using a three-phase, mixed methods sequential triangulation design, this study examines the extent to which Anglophone Schools of Nursing in Canada have integrated cultural competence and/or cultural safety into the undergraduate nursing curricula. Factors that influence successful integration are identified through the lens of Donabedian’s structure, process, and outcome model. Results suggest that several facilitating factors are present, such as leadership, partnerships and linkages, and educational supports for students. Of particular concern is the lack of policies to recruit and retain Aboriginal faculty, financial resources, and outcome evaluation indicators. A conceptual model of integration is offered to explain how Schools of Nursing function to support the implementation of these concepts into their curriculum. This study provides theoretical and practical implications for initiation and improvement of cultural competence and/or cultural safety integration strategies in Schools of Nursing.

Keywords: Cultural competence; cultural safety; nursing curriculum; Donabedian model


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About the article

Published Online: 2013-06-08

Citation Information: International Journal of Nursing Education Scholarship, Volume 10, Issue 1, Pages 1–10, ISSN (Online) 1548-923X, ISSN (Print) 2194-5772, DOI: https://doi.org/10.1515/ijnes-2012-0043.

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