From cultural to structural competence: reframing transcultural nursing through intersectional social justice

Article

Leyva-Moral, J.M., Pezzella, A. and Dworkin, S.L. 2026. From cultural to structural competence: reframing transcultural nursing through intersectional social justice. Journal of Transcultural Nursing. https://doi.org/10.1177/10436596261433973
TypeArticle
TitleFrom cultural to structural competence: reframing transcultural nursing through intersectional social justice
AuthorsLeyva-Moral, J.M., Pezzella, A. and Dworkin, S.L.
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.

Keywordsstructural competence; intersectionality; decolonization; transcultural nursing; social determinants of health; health equity; structural humility
Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
PublisherSAGE Publications
JournalJournal of Transcultural Nursing
ISSN1043-6596
Electronic1552-7832
Publication dates
Online27 Mar 2026
Publication process dates
Accepted23 Feb 2026
Deposited16 Apr 2026
Output statusPublished
Accepted author manuscript
File Access Level
Open
Copyright Statement

Nicholls, S. B., Groom, R., Francis, J. W., Parmar, N., & James, N. (2026). From roots to branches: Developing relational, practical, and technical competencies in performance analysis. International Journal of Sports Science & Coaching, 0(0).
Copyright © 2026 The Author(s).
The accepted manuscript is included in the Middlesex University Research Repository as permitted by SAGE's Posting to an institutional repository (Green Open Access) policy https://www.sagepub.com/journals/permissions/posting-to-an-instituti...

Digital Object Identifier (DOI)https://doi.org/10.1177/10436596261433973
LanguageEnglish
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