Cultural competence, also known as intercultural competence, is a range of cognitive, affective, behavioral, and linguistic skills that lead to effective and appropriate communication with people of other cultures. Intercultural or cross-cultural education are terms used for the training to achieve cultural competence.

Introduction According to UNESCO, intercultural competence involves a combination of skills, attitudes, and knowledge that enables individuals to navigate cultural differences and build meaningful relationships. UNESCO emphasizes that developing these competencies is essential for promoting peace, tolerance, and inclusion in diverse societies.

Effective intercultural communication comprises behaviors that accomplish the desired goals of the interaction and parties involved. It includes behaviors that suit cultural expectations, situational characteristics, and characteristics of relationship.

Characteristics Individuals who are effective and appropriate in intercultural situations display high levels of cultural self-awareness and understand the influence of culture on behavior, values, and beliefs.Janet M. Bennett, The SAGE Encyclopedia of Intercultural Competence, SAGE Publications, USA, 2015, p. 490Deardorff, D. K. (2009). The Sage handbook of intercultural competence. Thousand Oaks, Calif: Sage Publications. Cognitive processes imply the understanding of situational and environmental aspects of intercultural interactions and the application of intercultural awareness, which is affected by the understanding of the self and own culture. Self-awareness in intercultural interactions requires self-monitoring to censor anything not acceptable to another culture. Cultural sensitivity or cultural awareness leads the individual to an understanding of how their own culture determines feelings, thoughts, and personality.Alizadeh, S., & Chavan, M. (2016). Cultural competence dimensions and outcomes: a systematic review of the literature. Health & Social Care In The Community, 24(6), e117-e130. doi:10.1111/hsc.12293

Affective processes define the emotions that span during intercultural interactions. These emotions are strongly related to self-concept, open-mindedness, non-judgmentalism, and social relaxation. In general, positive emotions generate respect for other cultures and their differences. Behavioral processes refer to how effectively and appropriately the individual directs actions to achieve goals. Actions during intercultural interactions are influenced by the ability to clearly convey a message, proficiency with the foreign language, flexibility and management of behavior, and social skills.

Creating intercultural competence Intercultural competence is determined by the presence of cognitive, affective, and behavioral abilities that directly shape communication across cultures.Messner, W., & Schäfer, N. (2012) The ICCA Facilitator's Manual. Intercultural Communication and Collaboration Appraisal. London: GloBus Research, p. 41 (also see: ); Spitzberg, B. H. (2000). A Model of Intercultural Communication Competence. In L. A. Samovar, & R. E. Porter, Intercultural Communication - A Reader (pp. 375-87). Belmont: Wadsworth Publishing. These essential abilities can be separated into five specific skills that are obtained through education and experience:

Mindfulness: the ability of being cognitively aware of how the communication and interaction with others is developed. It is important to focus more in the process of the interaction than its outcome while maintaining in perspective the desired communication goals. For example, it would be better to formulate questions such as "What can I say or do to help this process?" rather than "What do they mean?" Cognitive flexibility: the ability of creating new categories of information rather than keeping old categories. This skill includes opening to new information, taking more than one perspective, and understanding personal ways of interpreting messages and situations. Tolerance for ambiguity: the ability to maintain focus in situations that are not clear rather than becoming anxious and to methodically determine the best approach as the situation evolves. Generally, low-tolerance individuals look for information that supports their beliefs while high-tolerance individuals look for information that gives an understanding of the situation and others. Behavioral flexibility: the ability to adapt and accommodate behaviors to a different culture. Although knowing a second language could be important for this skill, it does not necessarily translate into cultural adaptability. The individual must be willing to assimilate the new culture. Cross-cultural empathy: the ability to visualize with the imagination the situation of another person from an intellectual and emotional point of view. Demonstrating empathy includes the abilities of connecting emotionally with people, showing compassion, thinking in more than one perspective, and listening actively.

Assessment The assessment of cross-cultural competence is a field that is rife with controversy. One survey identified 86 assessment instruments for 3C. A United States Army Research Institute study narrowed the list down to ten quantitative instruments that were suitable for further exploration of their reliability and validity.

The following characteristics are tested and observed for the assessment of intercultural competence as an existing ability or as the potential to develop it: ambiguity tolerance, openness to contacts, flexibility in behavior, emotional stability, motivation to perform, empathy, metacommunicative competence, and polycentrism. According to Caligiuri, personality traits such as extroversion, agreeableness, conscientiousness, emotional stability, and openness have a favorable predictive value to the adequate termination of cross-cultural assignments.

Quantitative assessment instruments Three examples of quantitative assessment instruments are:

the Intercultural Development Inventory the Cultural Intelligence (CQ) Measurement the Multicultural Personality Questionnaire

Qualitative assessment instruments Research in the area of 3C assessment, while thin, points to the value of qualitative assessment instruments in concert with quantitative ones. Republished as: Qualitative instruments, such as scenario-based assessments, are useful for gaining insight into intercultural competence.Davis, B. (1993). Tools for teaching. San Francisco: Jossey-Bass Publishers.Doll, W. (1993). A post-modern perspective on curriculum. New York: Teacher's College Press.English, F. & Larson, R. (1996). Curriculum management for educational and social service organizations. Springfield, IL: Charles C. Thomas Publishers.Palomba, A. & Banta, T. (1999). Assessment essentials. San Francisco: Jossey-Bass.

Intercultural coaching frameworks, such as the ICCA (Intercultural Communication and Collaboration Appraisal), do not attempt an assessment; they provide guidance for personal improvement based upon the identification of personal traits, strengths, and weaknesses.Messner, W. & Schäfer, N. (2012). The ICCA™ Facilitator's Manual London: Createspace.

Healthcare

The provision of culturally tailored health care can improve patient outcomes. In 2005, California passed Assembly Bill 1195 that requires patient-related continuing medical education courses in California medical school to incorporate cultural and linguistic competence training in order to qualify for certification credits. In 2011, HealthPartners Institute for Education and Research implemented the EBAN Experience™ program to reduce health disparities among minority populations, most notably East African immigrants.

These initiatives demonstrate the application of cultural competency in healthcare through training and practicing strategies. The cultural competency wheel provides a complex structure that can be used in assessing development across many domains, such as critical thinking, relationship building, and knowledge. This enables healthcare workers to apply their new sense of cultural competency more effectively. Further research expands on methods for implementing cultural competency. Additional strategies for implementing competency include interpreter services, working alongside traditional healers, exposure to another culture, and community-based support. These strategies are intended to improve communication and reduce health differences. However, research on cultural competency identifies several limitations when applied. The models may oversimplify cultures, generalizing them based on characteristics, and these methods aren't taught to be a standard or given enough consistency. These limitations give light onto challenges in effectively implementing cultural competency across the healthcare industry.

Cross-cultural competence

Cross-cultural competence (3C) has generated confusing and contradictory definitions because it has been studied by a wide variety of academic approaches and professional fields. One author identified eleven different terms that have some equivalence to 3C: cultural savvy, astuteness, appreciation, literacy or fluency, adaptability, terrain, expertise, competency, awareness, intelligence, and understanding.Selmeski, B.R. (2007). Military cross-cultural competence: Core concepts and individual development. Kingston: Royal Military College of Canada Centre for Security, Armed Forces, & Society. The United States Army Research Institute, which is currently engaged in a study of 3C has defined it as "A set of cognitive, behavioral, and affective/motivational components that enable individuals to adapt effectively in intercultural environments".Abbe, A., Gulick, L.M.V., & Herman, J.L. (2007). Cross-cultural competence in Army leaders: A conceptual and empirical foundation. Washington, DC: U.S. Army Research Institute.

Organizations in academia, business, health care, government security, and developmental aid agencies have all sought to use 3C in one way or another. Poor results have often been obtained due to a lack of rigorous study of 3C and a reliance on "common sense" approaches.

Cross-cultural competence does not operate in a vacuum, however. One theoretical construct posits that 3C, language proficiency, and regional knowledge are distinct skills that are inextricably linked, but to varying degrees depending on the context in which they are employed. In educational settings, Bloom's affective and cognitive taxonomiesBloom, B.S. (Ed.). (1956). Taxonomy of educational objectives: Handbook I: Cognitive domain. New York: David McKay.Krathwohl, D.R., Bloom, B.S., & Masia, B.B. (1973). Taxonomy of Educational Objectives, the Classification of Educational Goals. Handbook II: Affective Domain. New York: McKay Co., Inc. serve as an effective framework for describing the overlapping areas among these three disciplines: at the receiving and knowledge levels, 3C can operate with near-independence from language proficiency and regional knowledge. But, as one approaches the internalizing and evaluation levels, the overlapping areas approach totality.

The development of intercultural competence is mostly based on the individual's experiences while he or she is communicating with different cultures. When interacting with people from other cultures, the individual experiences certain obstacles that are caused by differences in cultural understanding between two people from different cultures. Such experiences may motivate the individual to acquire skills that can help him to communicate his point of view to an audience belonging to a different cultural ethnicity and background.

Intercultural competence models