The article discusses how freedom of speech needs to incorporate respect. While freedom of speech is a constitutional right, exercising it can hurt and offend others from different cultures and religions. The murder of journalists in Paris was partly blamed on drawings published that insulted other faiths. Nurses are well-trained in cultural competence and respecting differences, and can help advocate maintaining respect when exercising freedom of speech. By role modeling respect in patient care regardless of cultural backgrounds, nurses can promote tolerance and acceptance worldwide.

1. Viewpoint: Adding respect to freedom of
speech
June 2015 Vol. 10 No. 6
Author: Maureen Kroning, EdD, RN
The right to freedom of speech is a common topic in the news, but the reporting often doesn’t
include a full discussion of the issue. We need to consider what we are not including when we
exercise our right to freedom of speech. We need to look at the fact that although freedom of
speech is a constitutional right, exercising that right can be hurtful to others and has,
unfortunately, even been cited as an excuse for acts of violence.
The murder of 12 people in Paris on January 7, 2015, was blamed in part on newspaper
personnel who exercised their right to freedom of speech. Let me be clear, speaking or writing
something that offends another does not justify killing. But that doesn’t mean we should insult

2. and make fun of other cultures and religions when we exercise our rights. There seems to be
something fundamental missing from the act of exercising the right to freedom of speech these
days: I think it’s the simple seven-letter word “respect.”
Remembering respect
According to Merriam-Weber dictionary the word respect means that one feels another person is
valuable, important, and should be treated in an appropriate way. Respect is part of cultural
competence.
Today, most schools and employers provide education on cultural diversity training and cultural
awareness that includes an expectation that everyone needs to develop an understanding and
acceptance of all people from all cultures and religions. Yet, all around the world we are seeing
increased attacks of violence as a result of the lack of understanding and acceptance of people
who are not of each other’s culture and religious faith.
Fortunately, nurses have acquired cultural competence skills, which help them to role model the
incorporation of respect into freedom of speech.
A special expertise
Nurses receive cultural competence training in most nursing schools and in the healthcare
facilities where they work. According to the Transcultural Nursing organization, for a nurse to
possess cultural competence, he or she must be: knowledgeable of each person’s culture, able to
communicate and understand the cultural influences that affect a person’s health behavior, and
reevaluate and adapt to the way culturally competent care is provided. An essential component of
cultural competence is respect for others and respect for differences in each other’s culture and
religion.
Nurses take what we learn and apply it in our daily practice. When we provide care to patients
and interact daily with others in a caring way, we develop and show respect for our patients and
others who are often from a different culture and religion than our own. Respect is a core value
of nursing and essential to providing patient-centered care.
Our expertise in cultural competence makes us ideally suited for leading the way to advocate for
maintaining respect for others when exercising the right of freedom of speech.
Leading by example
Nurses are in a unique position to lead by example and promote respect for their patients,
families, communities, and society by providing culturally competent care to all people

3. regardless of their culture and religion. Nurses can help others around the world develop cultural
awareness, tolerance, and acceptance by valuing and respecting all people.
We need to remember that respect is more than just a word; it’s an essential component of
cultural competence and needs to be included when we exercise our right to freedom of speech.
Selectedreferences
BBC News. Charlie Hebdo Gun attack on French Majority Kills 12. 2015.
http://www.bbc.com/news/world-europe-30710883
Jeffrey M. Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness.
NYSNA. 2008.
http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_NovDec08_Feat_Jeffreys.pdf
Transcultural Nursing: Cultural competence. http://www.culturediversity.org/cultcomp.htm
Maureen Kroning is an associate professor of nursing at Nyack College School of Nursing
in Nyack, New York.