They must do so by gaining an understanding of the perceptions, traditions, and values ​​of the patient for whom they care (Ulrich, 2009). By using intercultural knowledge and sensitivity, nurses can establish trust and rapport for better care for their patients (Ulrich, 2009). Once a need is identified and a respectable connection is established, hopefully the third step (a resolution or outcome) can be achieved (Jezewski, 1995). It is not enough to simply identify a problem. Nurses must uphold, negotiate, innovate, and mediate cultural boundaries to provide the highest level of care to their patients (Jezewski, 1995). If any of these steps fail, providers must continue to attempt to assist their patients during the conflict by staying in touch and continually implementing culturally competent communication (Ulrich,