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Note: The greater the number of positive responses, the greater the person’s identification with a traditional heritage. The one exception to positive answers is the question about family name change. This question may be answered negatively.

1. Where was your mother born? ____________________________

2. Where was your father born? ______________________________

3. Where were your grandparents born? (1) Your mother’s mother? ______________________________ (2) Your mother’s father? ______________________________ (3) Your father’s mother? ______________________________ (4) Your father’s father? ________________________________

4. How many brothers _____ and sisters _____ do you have?

5. What setting did you grow up in? Urban _____ Rural _____ Suburban _____

6. What country did your parents grow up in? Father _____ Mother _____

7. How old were you when you came to the United States? _____

8. How old were your parents when they came to the United States? Mother _____ Father _____

9. When you were growing up, who lived with you? _____

10. Have you maintained contact with a. Aunts, uncles, cousins? (1) Yes _____ (2) No _____ b. Brothers and sisters? (1) Yes _____ (2) No _____ c. Parents? (1) Yes _____ (2) No _____ d. Your own children? (1) Yes _____ (2) No _____

11. Did most of your aunts, uncles, cousins live near your home? (1) Yes _____ (2) No _____

12. Approximately how often did you visit your family members who lived outside your home? (1) Daily _____ (2) Weekly _____ (3) Monthly _____ (4) Once a year or less _____ (5) Never _____

13. Was your original family name changed? (1) Yes _____ (2) No _____

14. What is your religious preference? (1) Catholic _____ (2) Jewish _____ (3) Protestant _____ (4) Denomination (5) Other _____ (6) None _____

15. Is your spouse the same religion as you? (1) Yes _____ (2) No _____

16. Is your spouse the same ethnic background as you? (1) Yes _____ (2) No _____

17. What kind of school did you go to? (1) Public _____ (2) Private _____ (3) Parochial _____

18. As an adult, do you live in a neighborhood where the neighbors are the same religion and ethnic background as yourself? (1) Yes _____ (2) No _____

19. Do you belong to a religious institution? (1) Yes _____ (2) No _____

20. Would you describe yourself as an active member? (1) Yes _____ (2) No _____

21. How often do you attend your religious institution? (1) More than once a week _____ (2) Weekly _____ (3) Monthly _____ (4) Special holidays only _____ (5) Never _____

22. Do you practice your religion at home? (1) Yes _____ (2) No _____ (If yes, please specify) (3) Praying _____ (4) Bible reading _____ (5) Diet _____ (6) Celebrating religious holidays _____

23. Do you prepare foods of your ethnic background? (1) Yes _____ (2) No _____

24. Do you participate in ethnic activities? (1) Yes _____ (2) No _____

(If yes, please verify) (3) Singing _____ (4) Holiday celebrations _____ (5) Dancing _____ (6) Festivals _____ (7) Costumes _____ (8) Other _____

25. Are your friends from the same religious background as you? (1) Yes _____ (2) No _____

26. Are your friends from the same ethnic background as you? (1) Yes _____ (2) No _____

27. What is your native language? _____

28. Do you speak this language? (1) Prefer _____ (2) Occasionally _____ (3) Rarely _____

29. Do you read your native language? (1) Yes _____ (2) No _____

B O X 6 – 1 Heritage Assessment Tool

Source: Spector, R. E. (2000). CulturalCare: Guide to heritage assessment and health traditions (5th ed.). Pearson Education/PH College.

Developing Cultural Competence in Nursing Practice Developing an understanding of cultural competence requires paying attention to considerations of global health, cultural val- ues, cultural phenomena affecting health, and the importance of cultural assessment as part of the nursing process. Cultural

competence in nursing practice requires practical strategies (in general as well as specific to a particular cultural group), con- siderations of community-based health care promotion and disease prevention programs, and the need to advocate for cul- tural diversity in nursing practice, research, and education. At the same time, it is important to be aware that there are varying degrees of acculturation and individual differences—assess-

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