This is a fusion of specific cultural communicative competence and generic inter-cultural communication, whereby one type of competence feeds off the other
Cultural communicative competence requires the practitioner to learn and understand the cultural values, behavioural patterns and rules for interaction in specific cultures.
Inter-cultural communication refers to a generic ability to work with the ambiguity that is present in any cross-cultural interaction, and is an open empathic negotiation of the patient's identity and needs.
Husband, C. & Hoffman, E. (2004). Transcultural health care practice: Transcultural communication and health care practice. In C. Husband & B. Torry (2004). Transcultural Health Care Practice: An educational resource for nurses and health care professionals.
Available at www.rcn.org.uk/development/learning/trancultural_health/communcation