Cultural Safety: An Evolutionary Concept Analysis

Holist Nurs Pract. 2016 Jan-Feb;30(1):33-8. doi: 10.1097/HNP.0000000000000125.


Healing occurs in a safe milieu, and patients feel safe when service providers view them as whole persons, recognizing the multiple underlying factors that cause illness. Cultural safety can lead to service delivery in this way, but most nurses have no clear understanding of this concept. This study aimed to clarify cultural safety on the basis of Rodgers' evolutionary concept analysis. Cultural sensitivity and cultural awareness are the antecedents of cultural safety. These concepts include a nurse's flexibility toward his or her patients with different perspectives, creating an atmosphere free from intimidation and judgment of the patients, with an overall promotion of health in multicultural communities.

MeSH terms

  • Comprehension
  • Concept Formation
  • Cultural Competency*
  • Cultural Diversity*
  • Holistic Nursing*
  • Humans
  • Nursing Evaluation Research
  • Patient Care Planning