Exploring the impact of professional role identity and correlated factors on cultural competence among nurse practitioners

• Published in: BMC nursing Vol. 24; no. 1; pp. 1138 - 10
• Main Authors: Chou, Wan-Yu, Liu, Pei-Ching, Hou, I-Ching, Chou, Cheng-Chen, Chen, Chi-Wen, Liaw, Geng-Wang, Wu, Ying-Hui
• Format: Journal Article
• Language: English
• Published: London BioMed Central 01.09.2025; BioMed Central Ltd; BMC
• Subjects: Career development; Clinical competence; Clinical medicine; Cultural competence; Curricula; Hospitals; Identity; Knowledge; Medicine; Medicine & Public Health; Multiculturalism & pluralism; Nurse practitioners; Nurses; Nursing; Nursing Management; Nursing Research; Patient satisfaction; Primary care; Professional identity; Professional role identity; Psychological aspects; Questionnaires; Social aspects; Taiwan; Taiwan; Cultural competence; Professional role identity; Nurse practitioners
• ISSN: 1472-6955; 1472-6955
• DOI: 10.1186/s12912-025-03687-5

Background Nurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective, high-quality care. Cultural competence, a vital aspect of NP practice, facilitates effective engagement with diverse patient populations. Professional role identity, characterized by the recognition and internalization of the NP role, has been linked to improved clinical competence. However, the interplay between cultural competence and professional role identity in NPs has received limited attention. Methods This cross-sectional study included 225 NPs and NP candidates from hospitals of different levels in Taiwan. Participants completed self-administered questionnaires measuring cultural competence, professional role identity, demographic characteristics, and professional training backgrounds. Data were analyzed using descriptive statistics, correlation analyses, and logistic regression in SPSS 24.0 to explore the relationship between cultural competence and professional role identity alongside other influencing factors. Results Participants demonstrated a commendable average cultural competence score. Professional role identity was the most significant factor influencing cultural competence. Higher competence levels were observed in NPs who had completed cultural competence courses or were in earlier career ladder stages. Conversely, lower competence scores were noted among NPs working in pediatric departments. Conclusion The findings underscore a strong association between professional role identity and cultural competence, suggesting that fostering role identity could enhance cultural competence among NPs. Incorporating cultural competence training and role identity development into NP curricula is crucial to addressing the healthcare needs of diverse populations, particularly as NPs expand their roles in underserved communities.