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Cultural Competence
In Nursing Practice
Time Strategies

  • Determine time orientation: present, past , or future, for example:
    • African Americans tend to be more present-oriented.
    • Chinese Americans tend to be more past and future oriented.
    • European Americans tend to be future-oriented.
    • Filipinos tend to be past, present and future-oriented.
    • Iranians tend to be present and future-oriented.
    • Mexican Americans tend to be present-oriented.
    • Navajo Americans tend to be present, past and future-oriented (in that order, with very little future planning)
    • Vietnamese tend to be past-oriented.
  • When visiting or meeting, inform person when you are coming.
  • Be on time; avoid surprises.
  • Ask people from other regions and cultures what times are appropriate, what they expect or prefer.
  • Be familiar with the times and meanings of ethnic and religious holidays.


Spector, R.E. (2004). Cultural Diversity in Health and Illness (6 ed.). Upper Saddle River, New Jersey: Pearson/Prentice Hall.

Purnell, L.D. & Paulanka, B.J. (2005). Guide to Culturally Competent Health Care. Philadelphia: F.A. Davis.

   
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