*Within the CCC model, cultural competence is defined as a multidimensional learning process that integrates transcultural skills in all three dimensions (cognitive, practical, and affective) and involves transcultural-self-efficacy (TSE) as a major component. TSE is the perceived confidence for learning or performing transcultural skills needed for culturally congruent care. Culturally congruent care actions involve the use of culturally based knowledge in sensitive, responsive, and responsible ways.