“…The studies included two case studies (Barone, 2010;Derose, 2000), ten qualitative studies using interviews or focus groups (Bergmark, Barr, & Garcia, 2010;Carbone, Rosal, Torres, Goins, & Bermudez, 2007;Clark & Redman, 2007;Collins, Villagran, & Sparks, 2008;Cristancho, Garces, Peters, & Mueller, 2008;Frazier, Garces, Scarinci, & Marsh-Tootle, 2009;Harari, Davis, & Heisler, 2008;Keller, 2008;Nailon, 2004;Warda, 2000); a descriptive correlational study (Castro & Ruiz, 2009); three reviews of the literature (Cooper & Ballard, 2011;Mayo, Sherrill, Sundareswaran, & Crew, 2007;Padilla & Villalobos, 2007); five studies using survey data (Gonzalez, Vega, & Tarraf, 2010;Johnson, Saha, Arbelaez, Beach & Cooper, 2004;Riffe, Turner, & Rojas-Guyler, 2008;Sorkin, NgoMetzger, & DeAlba, 2010;Wallace, DeVoe, Rogers, Protheroe, Rowlands, & Fryer, 2009), and a mixed methods study (Lassetter & Baldwin, 2004) While the majority of the selected studies focused on the patient's perspective, only a few studied cultural competence as a whole (Barone, 2010;Carbone, Rosal, Torres, Goins, & Bermudez, 2007;Nailon, 2004). The majority of studies focused on investigating aspects affecting cultural competence including themes such as barriers to health care (Bergmark, Barr, & Garcia, 2010;Collins, Villagran, & Sparks, 2008;Cristancho, Garces, Peters, & Mueller, 2008;Derose, 2000;Frazier, Garces, Scarinci, & MarshTootle, 2009;Harari, Davis, & Heisler, 2008;…”