Preface xvii Developing Cultural Competence and Cultural Humility The text incorporates stories to help nurses develop cul- tural competence and cultural humility. The stories provide nurses with the opportunity to reflect on their ethnocentric view, to develop awareness of other people’s cultural be- liefs and values, and to develop cultural skills for com- municating with, interpreting, and engaging with people of different cultures. With these practices the nurse can mindfully respect and support the person and family and their cultural wishes. Incorporating Leadership and Advocacy As a nurse you are in a unique position to lead and ad- vocate for the dying person and the family. You witness suffering, and you assess physical and psychosocial issues. Throughout the text you will be encouraged to con sider your role as a leader and advocate in your day-to-day work as you strive to integrate hospice and palliative care across the continuum of care. I wish you well, and mostly I wish that this text helps you increase your competence, confidence, and compassion in caring for the dying person and their family.