• community nursing;
  • cultural care;
  • migrant farm workers;
  • plan of care

Migrant farm workers and their families represented a critical labour pool in the planting and harvesting of agricultural products in the United States, yet their diminished health status parallel many non-industrialized communities. The interaction of social, political, environmental and financial obstacles severely restrict access to health care among this community who often perceive insurmountable barriers to navigating the health-care system. Through the provision of a culturally competent and sensitive assessment, community health nurses and other health providers can positively impact on health outcomes by incorporating the unique health beliefs and practices of this vulnerable population into a mutually defined plan of care.