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

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...

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Published inBMC 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
LanguageEnglish
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
Online AccessGet full text
ISSN1472-6955
1472-6955
DOI10.1186/s12912-025-03687-5

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Abstract 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.
AbstractList BackgroundNurse 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.MethodsThis 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.ResultsParticipants 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.ConclusionThe 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.
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.BACKGROUNDNurse 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.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.METHODSThis 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.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.RESULTSParticipants 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.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.CONCLUSIONThe 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.
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. Keywords: Cultural competence, Professional role identity, Nurse practitioners
Abstract 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.
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. 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. 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. 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.
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. 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. 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.
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.
ArticleNumber 1138
Audience Academic
Author Chou, Cheng-Chen
Chou, Wan-Yu
Liaw, Geng-Wang
Wu, Ying-Hui
Chen, Chi-Wen
Hou, I-Ching
Liu, Pei-Ching
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Issue 1
Keywords Cultural competence
Professional role identity
Nurse practitioners
Language English
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Snippet Background Nurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective, high-quality...
Nurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective, high-quality care....
Background Nurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective, high-quality...
BackgroundNurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective, high-quality...
Abstract Background Nurse practitioners (NPs) are internationally acknowledged for their advanced clinical skills and ability to provide cost-effective,...
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SubjectTerms 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
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Title Exploring the impact of professional role identity and correlated factors on cultural competence among nurse practitioners
URI https://link.springer.com/article/10.1186/s12912-025-03687-5
https://www.ncbi.nlm.nih.gov/pubmed/40890703
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