背 景臺灣為多元種族與文化之社會，且移入人口正逐漸增加，故健康照護者宜具有照護不 同種族文化背景病患之能力。然應用文化適能在護理相關領域之概念在臺灣仍未被充分 的熟悉。 目 的探討臺灣護理人員的文化照護能力及其相關影響因素。 方 法採網路調查問卷調查法，自2012 年12月到2013 年1月共收集221位有效樣本。研究工 具採用護理人員文化照護能力量表（Nurses’ Cultural Competence Scale）及護理人員文化 照護能力自覺分級（Perceived Nurses’ Cultural Competence Rating）。採Pearson相關分析、 獨立t- 檢定及多變項迴歸等統計方法進行資料分析。 結 果護理人員文化照護能力介於低到中等程度，文化自覺及文化敏感二次量表之得分較 高，文化知識及文化技巧二次量表得分較低。大多數填答者自我評量為文化不勝任。 護理人員之工作年數、有關文化照護繼續教育時數、照護來自不同種族文化背景病患 的頻率為文化適能程度之預測因子。 結 論／ 實務應用 本研究結果證實參與研究者文化照護能力在低到中等程度，因此建議提供有關文化適 能相關內容在繼續教育及護理教育課程的規劃設計以便增進臺灣護理人員的文化知識 及文化技巧。

Background: Taiwan is a multicultural and multiethnic society with a growing number of immigrants who have diverse ethnic, racial, and cultural needs. Although this diversity highlights the pressing need for culturally competent healthcare providers, cultural competence is a concept that is little understood and implemented only sporadically in Taiwan. Purpose: This study investigates the cultural competence of Taiwanese nurses and the related factors of influence. Methods: An online self-report survey was used to collect data from 221 Taiwanese nurses from December 2012 through January 2013. Data from the demographic questionnaire, the Nurses’ Cultural Competence Scale, and the Perceived Nurses’ Cultural Competence Rating were analyzed using descriptive statistics, Pearson correlation, independent sample t tests, and multiple regressions. Results: The cultural competence of the participants was in the ‘‘lowto moderate’’ range, with relatively highermean scores for the subscales of cultural awareness and cultural sensitivity and relatively lower scores for the subscales of cultural knowledge and cultural skills. Participants generally perceived themselves as being ‘‘not culturally competent.’’ Variables found to predict cultural competence included years of work experience, hours of continuing education related to cultural nursing care, and frequency of caring for clients from culturally and ethnically diverse backgrounds. Conclusions/Implications for Practice: Participating Taiwanese nurses rated their level of cultural competence as in the lowto- moderate range and self-perceived as being not culturally competent. These findings support the need to further expand and enhance cultural-competence-related continuing education and to address the topic of cultural care in the nursing curricula.