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Quality of attachment and the development

English articles from 2000 to 2015 were searched through CINAHLMedline, and EBSCO databases using “cultural competence” or “culturally competent care” and “nursing” as keywords. Disciplines, including nursing, medicine, education, psychology, sociology, and other related fields were examined. Relevant references were included. Articles were selected according to whether the concept of cultural competence was defined or described and whether dimensions of cultural competence were discussed. Key works from reference lists of selected articles were also included. For particularly eloquent authors, a maximum of two papers from each author was set to avoid excessive personal influence. A total of 45 articles were used for this concept analysis.

The eight-step method proposed by Walker and Avant, which requires researchers to “select a concept, determine the aims of analysis, identify uses of the concept, determine the defining attributes, identify model case, identify additional cases, identify antecedents and consequences, and define empirical referents” was used in this paper.