From Cultural to Structural Competence: Reframing Transcultural Nursing Through Intersectional Social Justice

Abstract

Introduction:

This perspective article explores how intersectionality and intersectional structural competence can enrich transcultural nursing. While cultural competence has historically improved patient-centered care through better transcultural communication, persistent health inequities demand strategies that address the systemic and institutional determinants of health.

Discussion:

We argue for integrating structural competence into established transcultural frameworks to enhance nursing’s capacity for equity-oriented care. By embedding intersectional approaches into curricula and engaging nurses in policy advocacy, the nursing profession can evolve beyond its cultural foundations to tackle the root causes of health disparities.

Recommendation:

This synergistic approach honors the legacy of transcultural nursing while empowering practitioners with the professional agency needed to challenge structural barriers. Ultimately, this integration equips nurses to advance social justice and promote more equitable health care systems.