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 true during end of life. It is our responsibility as nurses...

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