I recently read the article “Culturally Competent Nursing Care: A Challenge for the 21st Century” (August 2004:48–52). I thought the author made some very pertinent points and I am glad they have been brought up for discussion. Cultural diversity is growing within the United States and we as nurses are being called upon to be sensitive to a variety of ethnic groups.

I have found that interactions with family members are particularly important. Family is highly valued within many ethnic groups, and large families are not uncommon. This can pose a problem in the ICU setting. For instance, it is common practice within many ICUs to limit the number of visitors to 1 or 2 at a time. However, many ethnicities have large families and it is often important for all of them to be present. This is especially...

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