This chapter provides valuable insight into the diverse religious beliefs ar Native American patients and the importance of understanding and respe and spiritual needs in nursing care . It reinforces the need for nurses to b competent , communicate effectively . and provide holistic and patient -ce sensitive to the unique needs of each patient Importance of cultural competence in nursing : "Cultural competence invo and respecting differences between individuals and groups with respect behaviors , and customs " (p. 267 ). It is essential for nurses to be culturally order to provide patient -centered care that is sensitive to the unique nee Importance of spirituality in Native American culture : "Spirituality is the American culture and is intricately woven into the fabric of everyday life need to be aware of the significance of spirituality in Native American cul influences the healthcare decisions and practices of Native American pati The role of traditional healers in Native American healthcare: "Traditiona sought out by Native Americans because of their cultural familiarity and interconnectedness of all things " (p. 278 ). Nurses need to recognize the traditional healers in Native American healthcare and respect their role process. Importance of communication in cross - cultural nursing care : "Communicati component of cross -cultural nursing care , and the use of interpreters . far cultural brokers may be necessary to facilitate effective communication need to be able to communicate effectively with patients from diverse CU in order to provide optimal care. Importance of addressing cultural and spiritual needs in nursing care : "Ac and spiritual needs can lead to better patient outcomes and increased pa with care " (p. 290 ). Nurses need to be aware of and sensitive to the cultur needs of their patients in order to provide holistic and patient -centered The content of this chapter contributes to our understanding of religion importance of understanding and respecting religious diversity in nursing Firstly , it emphasizes the importance of cultural competence in nursing for providing patient -centered care . Secondly , it highlights the significance Native American culture and the role of traditional healers in healthcare